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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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: Fulcrum Separate Account of Allmerica Financial Life Insurance
and Annuity Company
Address of Principal Business Office:
440 Lincoln Street, Worcester, Massachusetts 01653
Telephone Number: (506) 855-1000
Name and Address of Agent for Service of Process:
Abigail M. Armstrong
Secretary and Counsel
Allmerica Financial Life Insurance and Annuity Company
440 Lincoln Street
Worcester, MA 01653
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 X No
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SIGNATURES
Pursuant to the requirements of the Investment Company Act of 1940,
Registrant has caused this notification of registration to be duly signed on
behalf of Registrant in the City of Worcester and the Commonwealth of
Massachusetts on the day of September, 1996.
Separate Account Fulcrum of Allmerica Financial Life
Insurance and Annuity Company
(Registrant)
By: /s/ Abigail M. Armstrong
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Abigail M. Armstrong
Secretary and Counsel
Attest: /s/ Sheila B. St. Hilaire
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Sheila B. St. Hilaire
Counsel
