-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PxXQNyyCGCkUbu6d3y1rBDF1tQXgAQ2ni+6MeHbhvF4/RgfI5YnmUA9zPpYHUAD6 kMvGKf+xhBbvCu7QC9zAkA== 0000912057-02-032092.txt : 20020814 0000912057-02-032092.hdr.sgml : 20020814 20020814154357 ACCESSION NUMBER: 0000912057-02-032092 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20020814 ITEM INFORMATION: Financial statements and exhibits ITEM INFORMATION: FILED AS OF DATE: 20020814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NORTHBROOK LIFE INSURANCE CO CENTRAL INDEX KEY: 0000716791 IRS NUMBER: 363001527 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 033-39268 FILM NUMBER: 02736109 BUSINESS ADDRESS: STREET 1: 3100 SANDERS RD STREET 2: PO BOX 3005 CITY: NORTHBROOK STATE: IL ZIP: 60062 BUSINESS PHONE: 7084025000 MAIL ADDRESS: STREET 1: 3100 SANDERS RD CITY: NORTHBROOK STATE: IL ZIP: 60062 8-K 1 a2086414z8-k.htm 8-K

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.


FORM 8-K

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934

Date of report (Date of earliest event reported) August 14, 2002

Northbrook Life Insurance Company
(Exact Name of Registrant as Specified in Charter)

Arizona
(State or Other Jurisdiction
of Incorporation)		 333-58520
(Commission
File Number)		 36-3001527
(IRS Employer
Identification Number)

3100 Sanders Road, P.O. Box 3005, Northbrook Illinois
(Address of Principal Executive Offices)		 60062
(Zip Code)

Registrant's telephone number, including area code (847) 402-5000

Item 9.    Regulation FD Disclosure

        Furnished with this Form 8-K, as Exhibits 99.1 and 99.2, are the certifications by Thomas J. Wilson II, President and Chief Executive Officer, and Steven E. Shebik, Vice President and Chief Financial Officer, of Northbrook Life Insurance Company, pursuant to 18 United States Code § 1350, that accompanied the Quarterly Report on Form 10-Q of Northbrook Life Insurance Company for the quarterly period ended June 30, 2002.

Item 7.    Financial Statements and Exhibits

(c)
Exhibits

Exhibit No.
   Description
99.1   Certification Pursuant to 18 United States Code § 1350 of the Chief Executive Officer

99.2
 
Certification Pursuant to 18 United States Code § 1350 of the Chief Financial Officer

2

SIGNATURES

        Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

    NORTHBROOK LIFE INSURANCE COMPANY

 
 
 
 
 

 
 
By
 
/s/  SAMUEL H. PILCH      
Name: Samuel H. Pilch
Title: Group Vice President and Controller

August 14, 2002
 
 
 
 

INDEX TO EXHIBITS

Exhibit No.
   Description
99.1   Certification Pursuant to 18 United States Code § 1350 of the Chief Executive Officer

99.2
 
Certification Pursuant to 18 United States Code § 1350 of the Chief Financial Officer

3


 EX-99.1 3 a2086414zex-99_1.htm EX-99.1

Exhibit 99.1

CERTIFICATION
Pursuant to 18 United States Code § 1350

        The undersigned hereby certifies that the Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2002 of Northbrook Life Insurance Company (the "Company") filed with the Securities and Exchange Commission on the date hereof fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and that the information contained in such report fairly presents, in all material respects, the financial condition and results of operations of the Company.

    /s/  THOMAS J. WILSON, II      
    Name: Thomas J. Wilson, II
    Title: President and Chief Executive Officer
    Date: August 14, 2002

EX-99.2 4 a2086414zex-99_2.htm EX-99.2

Exhibit 99.2

CERTIFICATION
Pursuant to 18 United States Code § 1350

        The undersigned hereby certifies that the Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2002 of Northbrook Life Insurance Company (the "Company") filed with the Securities and Exchange Commission on the date hereof fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and that the information contained in such report fairly presents, in all material respects, the financial condition and results of operations of the Company.

    /s/  STEVEN E. SHEBIK      
    Name: Steven E. Shebik
    Title: Vice President and Chief Financial Officer
    Date: August 14, 2002

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