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ANNUAL NOTICE OF SECURITIES SOLD PURSUANT TO RULE 24F-2
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OMB APPROVAL
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UNITED STATES OMB Number: 3235-0456
SECURITIES AND EXCHANGE COMMISSION Expires: August 31, 2000
Washington, D.C. 20549 Estimated average burden
hours per response . . . . . 1
FORM 24F-2 ------------------------------
ANNUAL NOTICE OF SECURITIES SOLD
PURSUANT TO RULE 24F-2
READ INSTRUCTIONS AT END OF FORM BEFORE PREPARING FORM.
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1. Name and address of issuer: FAFLIC
440 Lincoln Street
Worcester, MA 01653
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2. The name of each series or class of securities for which this Form is filed (If the Form is being
filed for all series and classes of securities of the issuer, check the box but do not list series or
classes): X / / Fulcrum Separate Account
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3. Investment Company Act File Number: 811-07947
Securities Act File Number: 333-16929
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4 (a). Last day of fiscal year for which this Form is filed. 12/31/97
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4 (b). / / Check box if this Form is being filed late (I.E., more than 90 calendar days after the end
of the issuer's fiscal year). (See Instruction A.2)
NOTE: IF THE FORM IS BEING FILED LATE, INTEREST MUST BE PAID ON THE REGISTRATION FEE DUE.
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4 (c). / / Check box if this is the last time the issuer will be filing this Form.
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5. Calculation of registration fee:
(i) Aggregate sale price of securities sold during the
fiscal year pursuant to section 24(f): $1,158,632
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(ii) Aggregate price of securities redeemed or
repurchased during the fiscal year: $8,257
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(iii) Aggregate price of securities redeemed or
repurchased during any PRIOR fiscal year ending no
earlier than October 11, 1995 that were not
previously used to reduce registration fees payable
to the Commission: $ N/A
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(iv) Total available redemption credits [add Items 5(ii)
and 5(iii)]: -$ 8,257
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(v) Net sales - if Item 5(i) is greater than Item 5(iv)
subtract Item 5(iv) from Item 5(i)]: $1,150,375
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(vi) Redemption credits available for use in future years $(N/A )
- if Item 5(i) is less than Item 5(iv) [subtract -----------
Item 5(iv) from Item 5(i)]:
(vii) Multiplier for determining registration fee (See Instruction C.9): X.000295
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(viii) Registration fee due [multiply Item 5(v) by Item 5(vii)] (enter "0"
if no fee is due): =$ 339
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6. Prepaid Shares
If the response to Item 5(i) was determined by deducting an amount of
securities that were registered under the Securities Act of 1933 pursuant
to rule 24e-2 as in effect before October 11, 1997, then report the amount
of securities (number of shares or other units) deducted here: If there
is a number of shares or other units that were registered pursuant to rule
24e-2 remaining unsold at the end of the fiscal year for which this form is
filed that are available for use by the issuer in future fiscal years, then
state that number here:___. NOT APPLICABLE
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7. Interest due - if this Form is being filed more than 90 days after the end
of the issuer's fiscal year
(see Instruction D):
+$ N/A
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8. Total of the amount of the registration fee due plus any interest due [line
5(viii) plus line 7]:
=$ 339
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9. Date the registration fee and any interest payment was sent to the
Commission's lockbox depository:
March 26, 1998 Method of Delivery:
/x/ Wire Transfer
/ / Mail or other means
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SIGNATURES
This report has been signed below by the following persons on behalf of the
issuer and in the capacities and on the dates indicated.
By (Signature and Title)* /s/ Sheila B. St. Hilaire
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Sheila B. St. Hilaire -
Assistant Vice President and Counsel
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Date 3/26/98
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