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: June 30, 2000
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
(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 of registrant,
primarily as a result of the relocation of the accounting department of
registrant from Lake Mary, Florida to Salt Lake City, Utah.
PART IV
OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification
Randall A. Mackey 801 575-5000
(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: August 14, 2000 By: Scott M. Quist
Scott M. Quist
First Vice President,
General Counsel and
Treasurer
