U. S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 12b-25
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SEC File Number: 2-35669
CUSIP Number: 843805102
NOTIFICATION OF LATE FILING
(Check One):
(X) Form 10-K ( ) Form 20-F ( ) Form 11-K ( ) Form 10-Q ( ) Form N-SAR
Form Period Ended:
( ) Transition Report on Form 10-K
( ) Transition Report on Form 20-F
( ) Transition Report on Form 11-K
( ) Transition Report on Form 10-Q
( ) Transition Report on Form N-SAR
For the Transition Period Ended:
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Read Attached Instruction Sheet Before Preparing Form. Please Print or
Type.
Nothing in this form shall be construed to imply that the Commission has
verified any information contained herein.
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If the notification relates to a portion of the filing checked above,
identify the Item(s) to which the notification relates:
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PART I -- Registrant Information
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Full Name of Registrant:
Southern Security Life Insurance Company
Former Name if Applicable: n/a
Address of Principal Executive Office (Street and Number):
755 Rinehart Road
City, State and zip Code:
Lake Mary, Florida 32746
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PART II -- Rules 12b-25 (b) and (c)
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If the subject report could not be filed without unreasonable effort or
expense and the Registrant seeks relief pursuant to Rule 12b-25(b), the
following should be completed. (Check box if appropriate):
(X) (a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expense;
(X) (b) The subject annual report, semi-annual report, transition report on
Form 10-K, Form 20-K, 11-K or Form N-SAR, or portion thereof will be filed
on or before the fifteenth calendar day following the prescribed due date;
or the subject quarterly report or transition report on Form 10-q, or
portion thereof will be filed on or before the fifth calendar day following
the prescribed due date; and
(X) (c) The accountant's statement or other exhibit required by Rule
12B-25(c) has been attached if applicable.
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PART III -- Narrative
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State below in reasonable detail the reasons why Form 10-K, Form 20-K,
11-K or Form N-SAR, or the transition report or portion thereof could
not be filed within the prescribed period. (Attach Extra Sheets if
Needed)
The Registrant and its auditors, KPMG Peat Marwick LLP, are still in the
process of accumulating information required for the December 31, 1996
audit of the Registrant. The extension should be adequate for the
accumulation of the remaining information.
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PART IV -- Other Information
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(1) Name and telephone number of person to contact in regard to this
notification:
David C. Thompson (407) 321-7113
(Name) (Area Code) (Telephone Number)
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(2) Have all other periodic reports under section 13 or 15(d) of the
Securities Exchange Act of 1934 or section 30 of the Investment Company Act
of 1940 during the preceding 12 months or for such shorter period that the
registrant was required to file such report(s) been filed? If the answer is
no, identify report(s).
(X) Yes ( ) No
(3) Is it anticipated that any significant change in results of operations
from the corresponding period for the last fiscal year will be reflected by
the earnings statements to be included in the subject report or portion
thereof?
( ) Yes (X) No
If so: attach an explanation of the anticipated change, both narratively
and quantitatively, and, if appropriate, state the reasons why a reasonable
estimate of the results cannot be made.
Southern Security Life Insurance Company
(Name of Registrant as specified in charter)
has caused this notification to be signed on its behalf by the
undersigned thereunto duly authorized.
Date: March 31, 1997 By:David C. Thompson
Executive Vice President
INSTRUCTION: The form may be signed by an executive officer of the
registrant or by any other duly authorized representative. The name and
title of the person signing the form shall be typed or printed beneath the
signature. If the statement is signed on behalf of the registrant by an
authorized representative (other than an executive office), evidence of the
representative's authority to sign on behalf of the registrant shall be
filed with the form.
