SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
SEC File Number 0-3722
(Check One):
[ ] Form 10-K [ ] Form 20-F [X] Form 11-K [ ] Form 10-Q [ ] Form N-SAR
For Period Ended: December 31, 1995
[ ] 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:_____________
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 filing checked above,
the Item(s) to which the notification relates: Not Applicable
PART I
Registrant Information
Full Name of Registrant: ATLANTIC AMERICAN CORPORATION
Former Name if Applicable: Not Applicable
Address of Principal Executive Office (street and number):
4370 Peachtree Road, N.E.
City, State and Zip Code:
Atlanta, Georgia 30319
<PAGE>
PART II
Rule 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 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-F, 11-K or Form
N-SAR, or portion thereof, will be filed on or before
the fifteenth (15th) 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 (5th) calendar day
following the prescribed due date; and
[ ] (c) The accountant's statement or other exhibit required by
Rule 12b-25(c) has been attached if applicable.
PART III
Narrative
State below in reasonable detail the reasons why the Form 10-K, 11-K, 20-F,
10-Q, N-SAR or the transition report, or portion thereof could not be filed
within the prescribed time period.
Atlantic American Corporation (the "Company") is unable to file
timely the Annual Report on Form 11-K relating to the Atlantic American
Corporation 401(k) Retirement Savings Plan (the "Plan"), for the year
ended December 31, 1995, without unreasonable effort or expense, due to a
number of recent developments with respect to the administration and
operation of the Plan, including a change in the trustee, modifications to
permit participant directed investments, and the recent inclusion of the
Company's securities as permitted investments under the Plan. Accordingly,
the Company did not have adequate time to complete the preparation of the
requisite financial statements prior to the filing deadline. The
additional time afforded by an extension of the time required for filing
the Form 11-K will enable the Company to complete the preparation of the
financial statements and be in a position to have such financial
statements reviewed and audited by the Plan's independent auditors, and to
include a report of the auditors on the Plan's financial statements as of
December 31, 1995.
- 2 -
<PAGE>
PART IV
Other Information
(1) Name and telephone number of person to contact in regard to this
notification.
John Hall (404) 266-5500
-----------------------------------------------------------
(Name) Area Code (Telephone)
(2) Have all other periodic reports required under Section 13 of 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.
ATLANTIC AMERICAN CORPORATION
-----------------------------
(Name of Registrant as specified in charter)
has caused this notification to be signed on its behalf by the
undersigned thereunto duly authorized.
Date: June 27, 1996 By: /s/
-------------------------------
Name: John W. Hancock
Title: Senior Vice President
and Treasurer
- 3 -
