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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
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SEC FILE NUMBER
811-01525
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(Check One):
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CUSIP NUMBER
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[ ] Form 10-K and Form 10-KSB [ ] Form 20-F [ ] Form 11-K [ ] Form 10-Q
and Form 10-QSB [X] Form N-SAR
For Period Ended: 12/31/98
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[ ]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
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: Provident National Assurance Company
Separate Account B
Former Name if Applicable: N/A
1 Fountain Square
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Address of Principal Executive Office (Street and Number)
Chattanooga, Tennessee 37402
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City, State, and Zip Code
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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)
(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 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.
(c) The accountant's statement or other exhibit required by
Rule 12-b25 (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 and Form 10-KSB, 20-
F, 11-K, 10-Q and Form 10-QSB, N-SAR, or the transition report or portion
thereof could not be filed within the prescribed period.
The Form N-SAR could not be filed within the prescribed period because the
administrator of the Separate Account pursuant to the Separate Account
Administrative Services Agreement dated May 15, 1998 between the Separate
Account and the Variable Annuity Life Insurance Company has not provided
sufficient information to enable the preparation of the financial statements for
the Separate Account. Consequently, the required opinion of the independent
auditors cannot be filed at this time.
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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
Susan N. Roth (423) 755-8913
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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 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.
Provident National Assurance Company Separate Account B
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(Name of Registrant as specified in charter)
has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.
Date: February 26, 1999 By: /s/Susan N. Roth, Secretary
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Board of Managers
Provident National Assurance Company Separate Account B
Dear Sirs:
In accordance with the notification to the Securities and Exchange Commission on
Form 12b-25 of the Provident National Assurance Company Separate Account B's
inability to timely file its annual report on form N-SAR for the year ended
December 31, 1998, the factors described in the succeeding paragraph make
impractical the submission of our report as of a date which will permit timely
filing on your 1998 annual report to the Commission.
The Form N-SAR could not be filed within the prescribed period because the
administrator of the Separate Account pursuant to the Separate Account
Administrative Services Agreement dated May 15, 1998 has not provided sufficient
information to enable the preparation of the financial statements for the
Separate Account. Consequently, the required opinion of the independent
auditors cannot be filed at this time.
You are authorized to attach a copy of this letter as an exhibit to Form 12-b25
to the Securities and Exchange Commission.
Very truly yours,
/s/ ERNST & YOUNG LLP
February 26, 1999
Chattanooga, Tennessee
