<PAGE>
FORM N-SAR
SEMI-ANNUAL REPORT
FOR REGISTERED INVESTMENT COMPANIES
Report For six month period ending: / / (a)
of fiscal year ending: 12/31/99 (b)
Is this a transition report?: (Y/N) N
Is this an amendment to a previous filing? (Y/N) N
Those items or sub-items with a box "[/]" after the item number should be
completed only if the answer has changed from the previous filing on this form.
1. A. Registrant Name: Pacific Select Separate Account
B. File Number: 811-5142
C. Telephone Number: (949) 219-3743
2. A. Street: 700 Newport Center Drive
B. City: Newport Beach C. State CA D. Zip Code: 92660 Zip Ext:
E. Foreign Country: Foreign Postal Code:
3. Is this the first filing on this form by Registrant? (Y/N) N
4. Is this the last filing on this form by Registrant? (Y/N) N
5. Is Registrant a small business investment company (SBIC)? (Y/N) N
[If answer is "Y" (Yes), complete only items 89 through 110.]
6. Is Registrant a unit investment trust (UIT)? (Y/N) Y
[If answer is "Y" (Yes), complete only items 111 through 132.]
7. A. Is Registrant a series or multiple portfolio Company? (Y/N) ___________
_______________________________________________________________________
[If answer is "N" (No), go to item 8.]
B. How many separate series or portfolios did Registrant have at the end
of the period? ________________________________________________________
SCREEN NUMBER: 01 PAGE NUMBER: 01 SEC2100 (5/90)
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For period ending 12/31/98 If filing more than one
Page 48, "X" box: [_]
File number 811-5142
111. A.[/] Trustee Name: ______________________________________________________
B.[/] City: _____________ State: ______ Zip Code: ______ Zip Ext.: ______
[/] Foreign Country: __________________ Foreign Postal Code: ___________
113. A.[/] Trustee Name: ______________________________________________________
B.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______
[/] Foreign Country: __________________ Foreign Postal Code: ___________
114. A.[/] Principal Underwriter Name: Pacific Mutual Distributors, Inc.
-----------------------------------------
B.[/] File Number: 8-15264
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C.[/] City: Newport Beach State: CA Zip Code: 92660 Zip Ext.: ______
-------------- ------ ------
[/] Foreign Country: __________________ Foreign Postal Code: ___________
114. A.[/] Principal Underwriter Name: ________________________________________
B.[/] File Number: 8-_____________
C.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______
[/] Foreign Country: __________________ Foreign Postal Code: ___________
115. A.[/] Independent Public Accountant Name: Deloitte & Touche LLP
--------------------------------
B.[/] City: Costa Mesa State: CA Zip Code: 92626 Zip Ext.: ______
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[/] Foreign Country: __________________ Foreign Postal Code: ___________
115. A.[/] Independent Public Accountant Name:_________________________________
B.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______
[/] Foreign Country: __________________ Foreign Postal Code: ___________
SCREEN NUMBER: 56 PAGE NUMBER: 48 SEC2100(5/90)
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For period ending 12/31/98 If filing more than one
Page 49, "X" box: [_]
File number 811-5142
116. Family of investment companies information:
A.[/] Is Registrant part of a family of investment companies? (Y/N)______
____________________________________________________________________N
Y/N
B.[/] Identify the family in 10 letters: _ _ _ _ _ _ _ _ _ _
(NOTE: In filing this form, use this identification consistently
for all investment companies in family. This designation is
for purposes of this form only.)
117. A.[/] Is Registrant a separate account of an insurance Company? (Y/N)_____
____________________________________________________________________Y
Y/N
If answer is "Y" (Yes), are any of the following types of contracts funded
by the Registrant?:
B.[/] Variable Annuity contracts? (Y/N)_______________________________N
Y/N
C.[/] Scheduled Premium variable life contracts? (Y/N)________________N
Y/N
D.[/] Flexible premium variable life contracts? (Y/N)_________________Y
Y/N
E.[/] Other types of insurance products registered under the Securities
Act of 1933? (Y/N) _____________________________________________N
Y/N
118. [/] State the number of series existing at the end of the period that had
securities registered under the Securities Act of 1933._______________
__________________________________________________________________1
119. [/] State the number of new series for which registration statements under
the Securities Act of 1933 became effective during the period_________
__________________________________________________________________0
120. [/] State the total value of the portfolio securities on the date of
deposit for the new series included in item 119 ($000's omitted)______
_________________________________________________________________$0
121. [/] State the number of series for which a current prospectus was in
existence at the end of the period _______________________________1
122. [/] State the number of existing series for which additional units were
registered under the Securities Act of 1933 during the current period.
__________________________________________________________________1
SCREEN NUMBER: 56 PAGE NUMBER: 49 SEC2100(5/90)
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For period ending 12/31/98 If filing more than one
Page 50, "X" box: [_]
File number 811-5142
123. [/] State the total value of the additional units considered in answering
item 122 ($000's omitted) $6,199
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124. [/] State the total value of units of prior series that were placed in the
portfolios of subsequent series during the current period (the value
of these units is to be measured on the date they were placed in the
subsequent series) ($000's omitted) __________________________________
$ 0
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125. [/] State the total dollar amount of sales loads collected (before
reallowances to other brokers or dealers) by Registrant's principal
underwriter and any underwriter which is an affiliated person of the
principal underwriter during the current period solely from the sale
of units of all series of Registrant ($000's omitted) ________________
$ 0
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126. Of the amount shown in item 125, state the total dollar amount of sales
loads collected from secondary market operations in Registrant's units
(include the sales loads, if any, collected on units of a prior series
placed in the portfolio of a subsequent series.) ($000's omitted) _________
__________________________________________________________ $ 0
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127. List opposite the appropriate description below the number of series whose
portfolios are invested primarily (based upon a percentage of NAV) in each
type of security shown, the aggregate total assets at market value as of a
date at or near the end of the current period of each such group of series
and the total income distributions made by each such group of series during
the current period (excluding distributions of realized gains, if any):
<TABLE>
<CAPTION>
Number of Total Assets Total Income
Series ($000's Distributions
Investing omitted) ($000's omitted)
--------- ------------ ----------------
<C> <S> <C> <C> <C>
A. U.S. Treasury direct issue ________________________ _________ $___________ $__________
B. U.S. Government agency ____________________________ _________ $___________ $__________
C. State and municipal tax-free ______________________ _________ $___________ $__________
D. Public utility debt _______________________________ _________ $___________ $__________
E. Brokers or dealers debt or debt of brokers' or
dealers' parent ___________________________________ _________ $___________ $__________
F. All other corporate intermed. & long-term debt ____ _________ $___________ $__________
G. All other corporate short-term debt _______________ _________ $___________ $__________
H. Equity securities of brokers or dealers or parents
of brokers or dealers _____________________________ _________ $___________ $__________
I. Investment company equity securities ______________ _________ $___________ $__________
J. All other equity securities _______________________ 1 $ 36,944 $__________
K. Other securities __________________________________ _________ $___________ $__________
L. Total assets of all series of registrant __________ _________ $___________ $__________
</TABLE>
SCREEN NUMBER: 58 PAGE NUMBER: 50 SEC2100 (5/90)
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For period ending 12/31/98 If filing more than one
Page 51, "X" box: [_]
File number 811-5142
128. [/] Is the timely payment of principal and interest on any of the
portfolio securities held by any of Registrant's series at the end of
the current period insured or guaranteed by an entity other than the
issuer? (Y/N) _______________________________________________ N
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Y/N
[If answer is "N" (No), go to item 131.]
129. [/] Is the issuer of any instrument covered in item 128 delinquent or in
default as to payment of principal or interest at the end of the
current period? (Y/N) _______________________________________ N
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Y/N
130. [/] In computations of NAV or offering price per unit, is any part of the
value attributed to instruments identified in item 129 derived from
insurance or guarantees? (Y/N) ______________________________ N
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Y/N
131. Total expenses incurred by all series of Registrant during the current
reporting period ($000's omitted) $227
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132. [/] List the "811" (Investment Company Act of 1940) registration number
for all Series of Registrant that are being included in this filing:
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C>
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
811-________ 811-________ 811-________ 811-________ 811-________
</TABLE>
SCREEN NUMBER: 59 PAGE NUMBER: 51 SEC2100 (5/90)
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This report is signed on behalf of the registrant in the City of Newport
Beach and State of California on the 23rd day of February, 2000.
PACIFIC SELECT SEPARATE
ACCOUNT OF PACIFIC LIFE
INSURANCE COMPANY
Witness /s/ Audrey L. Milfs By: /s/ Diane N. Ledger
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Audrey L. Milfs Diane N. Ledger
Vice President and Vice President
Corporate Secretary
