FORM N-8F
I. General Identifying Information
1. Reason fund is applying to deregister (check only one):
[] Liquidation
[X] Abandonment of Registration (Note: Abandonments of Registration answer only
questions 1 through 15, 24 and 25 of this form and complete verification at the
end of the form.)
[] Election of status as a Business Development Company (Note: Business
Development Companies answer only questions 1 through 10 of this form and
complete verification at the end of the form.)
2. Name of fund: First SAFECO Separate Account S
3. Securities and Exchange Commission File No.: 811-07949
4. Is this initial Form N-8F or an amendment to a previously filed Form N-8F?
[X] Initial Application [] Amendment
5. Address of Principal Executive Office (include No. & Street, City,
State, Zip Code): First SAFECO National Life Insurance Company
5069 154th Pl NE
Redmond, Washington 98052-5114
6. Name, address and telephone number of individual the Commission staff should
contact with any questions regarding this form:
William E. Crawford, Esq.
First SAFECO National Life Insurance Company
5069 154th Pl NE
Redmond, Washington 98052-5114
Phone: (425) 867-8257
7. Name, address and telephone number of individual or entity responsible for
maintenance and preservation of fund records in accordance with rules 31a-1 and
31a-2 under the Act [17 CFR 270.31a-1,.31a-2]: Scott Bartholomaus
First SAFECO National Life Insurance Company
5069 154th Pl NE
Redmond, Washington 98052-5114
Phone: (425) 867-8257
NOTE: Once deregistered, a fund is still required to maintain and preserve the
records described in rules 31a-1 and 31a-2 for the periods specified in those
rules. 8. Classification of fund (check only one):
[] Management company;
[X] Unit investment trust; or
[] Face-amount certificate company. [*19475]
9. Subclassification if the fund is a management company (check only one):
[] Open-end [] Closed-end
10. State law under which the fund was organized or formed (e.g., Delaware,
Massachusetts): New York Insurance
Law Article 4240
11. Provide the name and address of each investment adviser of the fund
(including sub-advisers) during the last five years, even if the fund's contract
with those advisers have been terminated: Not Applicable
12. Provide the name and address of each principal underwriter of the fund
during the last five years, even if the fund's contracts with those underwriters
have been terminated:
SAFECO Securities, Inc.
10865 Willows Road NE
Redmond, Washington 98052
13. If the fund is a unit investment trust ("UIT") provide:
(a) Depositor's name(s) and address(es):
First SAFECO National Life Insurance Company
5069 154th Pl NE
Redmond, Washington 98052-5114
(b) Trustee's name(s) and address(es): Not Applicable
14. Is there a UIT registered under the Act that served as a vehicle for
investment in the fund (e.g., an insurance company separate account)?
[X] Yes [] No
If Yes, for each UIT state:
Name(s): First SAFECO Separate Account S
File No.: 811- 07949
Business Address: 5069 154th Pl NE
Redmond, Washington 98052-5114
15. (a) Did the fund obtain approval from the board of directors concerning the
decision to engage in a Merger, Liquidation or Abandonment of Registration?
[X] Yes [] No
If Yes, state the date on which the board vote took place:
DATE: August 5, 1999
If No, explain:
(b) Did the fund obtain approval from the shareholders concerning the decision
to engage in a Merger, Liquidation or Abandonment of Registration?
[] Yes [X] No
If Yes, state the date on which the shareholder vote took place: [*19476]
If No, explain: Not Applicable
V. Conclusion of Fund Business
24. Is the fund a party to any litigation or administrative proceeding?
[] Yes [X] No
If Yes, describe the nature of any litigation or proceeding and the position
taken by the fund in that litigation:
25. Is the fund now engaged, or intending to engage, in any business activities
other than those necessary for winding up its affairs?
[] Yes [X] No
If Yes, describe the nature and extent of those activities: [*19479]
VERIFICATION
The undersigned states that (i) he or she has executed this Form N-8F
application for an order under section 8(f) of the Investment Company Act of
1940 on behalf of - First SAFECO Separate Account S (ii) he or she is the
Assistant Secretary of First SAFECO National Life Insurance Company, and (iii)
all actions by shareholders,
directors, and any other body necessary to authorize the undersigned to
execute and file this Form N-8F application have been taken. The undersigned
also states that the facts set forth in this form N-8F application are true to
the best of my knowledge, information and belief.
/s/ George Pagos--------------------------------
(Signature)
