FORM N-8A
NOTIFICATION OF REGISTRATION FILED PURSUANT TO SECTION 8(a)
OF THE INVESTMENT COMPANY ACT OF 1940
The undersigned investment company hereby notifies the
Securities and Exchange Commission that it registers under and
pursuant to the provisions of Section 8(a) of the Investment
Company Act of 1940 and in connection with such notification of
registration submits the following information:
Name: Northbrook Variable Annuity Account III
Address of Principal Business Office:
c/o Northbrook Life Insurance Company
3100 Sanders Road
Northbrook, Illinois 60062
Telephone Number:
(847) 402-2400
Name and address of agent for service of process:
Michael J. Velotta
Vice President, Secretary and General Counsel
3100 Sanders Road
Northbrook, Illinois 60062
Check Appropriate Box:
Registrant is filing a Registration Statement pursuant to
Section 8(b) of the Investment Company Act of 1940 concurrently
with the filing of form N-8A: YES [ ] NO [X]
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Item 1. Exact Name of registrant.
Northbrook Variable Annuity Account III
Item 2. Name of state under the laws of which registrant was
organized or created and the date of such organization
or creation.
Established on April 8, 1996 under the laws of
Illinois.
Item 3. Form of organization of registrant.
Segregated asset account of Northbrook Life Insurance
Company.
Item 4. Classification of registrant.
Unit Investment Trust
Item 5. If registrant is a management company:
(a) state whether registrant is a "closed-end" company
or an "open-end" company;
NOT APPLICABLE
(b) state whether registrant is registering as a
"diversified" company or a "non-diversified" company.
NOT APPLICABLE
Item 6. Name and address of each investment adviser of
registrant.
NOT APPLICABLE
Item 7. If registrant is an investment company having a board
or directors, state the name and address of each
officer and director of registrant.
NOT APPLICABLE
Item 8. If registrant is an unincorporated investment company
not having a board or directors:
(a) state the name and address of each sponsor of
registrant;
Northbrook Life Insurance Company
3100 Sanders Road
Northbrook, Illinois 60062
(b) state the name and address of each officer and
director of each sponsor of registrant;
EXECUTIVE OFFICERS AND DIRECTORS
Louis G. Lower, II, Chief Executive Officer and
Chairman of the Board
Marla G. Friedman, President, Chief Operating
Officer and Director
Michael J. Velotta, Vice President, Secretary,
General Counsel and Director
Peter H. Heckman, Vice President and Director
John R. Hunter, First Vice President, Assistant
Vice President and Director
Laurence P. Moews, Director
Barry S. Paul, Assistant Vice President and
Controller
Casey J. Sylla, Director
James P. Zils, Director
The address for all individuals listed above is:
3100 Sanders Road
Northbrook, Illinois 60062-7154
(c) state the name and address of each trustee and each
custodian or registrant.
The registrant does not have any trustees.
Northbrook Life Insurance Company acts as the
custodian of the assets of the registrant. Its
address is 3100 Sanders Road, Northbrook, Illinois
60062-7154.
Item 9. (a) State whether registrant is currently issuing and
offering its securities directly to the public (yes or
no).
No.
(b) If registrant is currently issuing and offering its
securities to the public through an underwriter, state
the name and address of such underwriter.
NOT APPLICABLE
(c) If the answer to Item 9(a) is "no" and the answer
to Item 9(b) is "not applicable," state whether
registrant presently proposes to make a public offering
of its securities (yes or no).
Yes.
(d) State whether registrant has any securities
currently issued and outstanding (yes or no).
No.
(e) If the answer to Item 9(d) is "yes," state as of a
date not to exceed ten days prior to the filing of this
notification of registration the number of beneficial
owners of registrant's outstanding securities (other
than short-term paper) and the name of any company
owning 10 percent or more of registrant's outstanding
voting securities.
NOT APPLICABLE
Item 10. State the current value of registrant's total assets.
NOT APPLICABLE
Item 11. State whether registrant has applied or intends to
apply for a license to operate as a small business
investment company under the Small Business Investment
Act of 1958 (yes or no).
No.
Item 12. Attach as an exhibit a copy of the registrant's last
regular period report to its securityholders, if any.
NOT APPLICABLE
SIGNATURES
Pursuant to the requirements of the Investment Company Act
of 1940 the sponsor of the registrant has caused this
notification of registration to be duly signed on behalf of the
registrant in the Township of Northfield and the state of
Illinois on the 12th day of April, 1996
Northbrook Variable Annuity Account III
(Name of Registrant)
By: Northbrook Life Insurance Company
(Name of Sponsor)
By: /s/ MICHAEL J. Velotta
Michael J. Velotta
Vice President, Secretary and
General Counsel
Northbrook Life Insurance Company
Attest:_/s/ BRENDA D. SNEED
Brenda D. Sneed
Assistant Secretary
