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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
Commission File Number: 2-35669
(Check One)
Form 10-K and Form 10-KSB Form 11-K
Form 20-F X Form 10-Q and Form 10-QSB Form N-SAR
For period ended: September 30, 1999
Transition Report on Form 10-K and Form 10-KSB
Transition Report on Form 20-F
Transition Report on Form 11-K
Transition Report on Form 10-Q and Form 10-QSB
Transition Report on Form N-SAR
For the Transition Period Ended:
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.
If the notification relates to a portion of the filling
checked above, identify the Item(s) to which the
notification relates:
PART I
REGISTRANT INFORMATION
Full name of registrant: Southern Security Life
Insurance Company
Former Name if Applicable:
Address of Principal Executive Office (Street and Number)
755 Rinehart Road
Lake Mary, Florida 32746
PART II
RULES 12b-25(b) AND (c)
If the subject report could not be filed without
unreasonable effort or expense and the registrant seeks
relief pursuant to Rule 132b-25(b), the following should be
completed. (Check box if appropriate).
(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-F, 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 of 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
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(c) The accountant's statement or other exhibit
required by Rule 12(b)-25(c) has been attached if
applicable.
PART III
NARRATIVE
State below in reasonable detail the reasons why Forms 10-K,
11-K, 10-Q, N-SAR, or the transition report or portion
thereof, could not be filed within the prescribed time
period. (Attach extra sheets if needed.)
The Form 10-Q cannot be completed within the requested time
period due to the additional time required to complete the
financial statements on account of the resignation of the
registrant's chief accountant and the installation of new
computer software for registrant's accounting system and
policy and administrative systems. The new software was
installed as a result of a change in control of registrant.
Effective December 17, 1998, approximately 57.4% of the
outstanding shares of common stock of registrant were
acquired by Security National Life Insurance Company, which
now operates registrant as a subsidiary.
PART IV
OTHER INFORMATION
(1) Name and telephone number of person to contact in
regard to this notification
Randall A. Mackey 801 575-5000
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(name) (area code) (telephone number)
(2) Have all other periodic reports required 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 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?
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.
[ ] Yes X No
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 hereunto duly authorized.
Date: November 12, 1999 By: Stephen M. Sill
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Stephen M. Sill
Vice President and
Controller
