<PAGE> 1
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
RULE 24f-2 NOTICE
FOR
Providentmutual Variable Annuity Separate Account
(Name of Registrant)
300 Continental Drive
Newark, DE 19713
(Address of principal executive offices)
File Nos. 33-44180 and 33-65512
1. The following information is set forth pursuant to the requirements of Rule
24f-2(b)(1):
(i). Fiscal year for which Notice is filed:
Fiscal year ended December 31, 1995
(ii). Number or amount of securities of the same class or
series, if any, which had been registered under the
Securities Act of 1933 other than pursuant to Rule
24f-2 but which remained unsold at the beginning of
such fiscal year.
None
(iii). The number or amount of securities, if any,
registered during such fiscal year other than
pursuant to Rule 24f-2:
None
(iv). The number or amount of securities sold during the
fiscal year:
<TABLE>
<CAPTION>
Growth Money Market Bond Managed
Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ----------
<S> <C> <C> <C>
$5,297,837.68 $87,330,705.79 $1,404,775.30 $2,454,880.50
worth of worth of worth of worth of
policies(1) policies(2) policies(3) policies(4)
</TABLE>
<TABLE>
<CAPTION>
Aggressive Growth International
Subaccount Subaccount
---------- ----------
<S> <C>
$3,000,633.58 $5,907,334.49
worth of worth of
policies(5) policies(6)
</TABLE>
<PAGE> 2
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity
High Income Equity Income Growth
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$3,279,124.55 $17,904,217.61 $12,517,010.29
worth of worth of worth of
policies(7) policies(8) policies(9)
</TABLE>
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity Quest for
Asset Manager Index 500 ContraFund Value Equity
Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ----------
<S> <C> <C> <C>
$5,328,290.36 $5,166,733.30 $4,787,668.13 $3,796,718.73
worth of worth of worth of worth of
policies(10) policies(11) policies(12) policies(13)
</TABLE>
<TABLE>
<CAPTION>
Scudder
Quest for Value Quest for Value Scudder Growth and Scudder
Small Cap Managed Bond Income International
Subaccount Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C>
$5,467,360.30 $11,697,916.37 $1,796,541.38 $586,364.75 $622,429.49
worth of worth of worth of worth of worth of
policies(14) policies(15) policies(16) policies(17) policies(18)
</TABLE>
<TABLE>
<CAPTION>
Dreyfus Dreyfus Federated U.S.
Dreyfus Zero Growth and Socially Government Federated
Coupon 2000 Income Responsible Bond Fund Utility Fund
Subaccount Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ---------- ----------
<S> <C> <C> <C> <C>
$1,889,949.96 $2,704,309.67 $127,053.06 $465,032.92 $608,644.19
worth of worth of worth of worth of worth of
policies(19) policies(20) policies(21) policies(22) policies(23)
</TABLE>
<PAGE> 3
(v). The number or amount of securities sold during such fiscal year in
reliance upon registration pursuant to Rule 24f-2
<TABLE>
<CAPTION>
Growth Money Market Bond Managed
Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ----------
<S> <C> <C> <C>
$5,297,837.68 $87,330,705.79 $1,404,775.30 $2,454,880.50
worth of worth of worth of worth of
policies(1) policies(2) policies(3) policies(4)
</TABLE>
<TABLE>
<CAPTION>
Aggressive Growth International
Subaccount Subaccount
---------- ----------
<S> <C>
$3,000,633.58 $5,907,334.49
worth of worth of
policies(5) policies(6)
</TABLE>
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity
High Income Equity Income Growth
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$3,279,124.55 $17,904,217.61 $12,517,010.29
worth of worth of worth of
policies(7) policies(8) policies(9)
</TABLE>
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity Quest for
Asset Manager Index 500 ContraFund Value Equity
Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ----------
<S> <C> <C> <C>
$5,328,290.36 $5,166,733.30 $4,787,668.13 $3,796,718.73
worth of worth of worth of worth of
policies(10) policies(11) policies(12) policies(13)
</TABLE>
<TABLE>
<CAPTION>
Quest for Value Quest for Value Scudder
Small Cap Managed Bond
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$5,467,360.30 $11,697,916.37 $1,796,541.38
worth of worth of worth of
policies(14) policies(15) policies(16)
</TABLE>
<PAGE> 4
<TABLE>
<CAPTION>
Scudder
Growth and Scudder Dreyfus Zero
Income International Coupon 2000
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$586,364.75 $622,429.49 $2,280,055.35
worth of worth of worth of
policies(17) policies(18) policies(19)
</TABLE>
<TABLE>
<CAPTION>
Dreyfus Dreyfus Federaled U.S.
Growth and Socially Government Federated
Income Responsible Bond Fund Utility Fund
Subaccount Subaccount Subaccount Subaccount
---------- ---------- ---------- ----------
<S> <C> <C> <C>
$2,704,309.67 $127,053.06 $465,032.92 $608,644.19
worth of worth of worth of worth of
policies(20) policies(21) policies(22) policies(23)
</TABLE>
2. An opinion of counsel with respect to the validity of the
shares accompanies this Notice.
3. Filing fee with respect to shares specified in 1(v) above:
<TABLE>
<S> <C>
Growth Subaccount $ 903.94 (1)
Money Market Subaccount 2,502.99 (2)
Bond Subaccount 246.69 (3)
Managed Subaccount (142.83) (4)
Aggressive Growth Subaccount 413.41 (5)
International Subaccount 334.32 (6)
Fidelity High Income Subaccount 575.42 (7)
Fidelity Equity Income Subaccount 4,778.87 (8)
Fidelity Growth Subaccount 3,250.63 (9)
Fidelity Asset Manager Subaccount (31.81) (10)
Fidelity Index 500 Subaccount 1,500.43 (11)
Fidelity ContraFund Subaccount 1,493.43 (12)
Quest for Value Equity Subaccount 951.65 (13)
Quest for Value Small Cap Subaccount 476.65 (14)
Quest for Value Managed Subaccount 2,637.74 (15)
Scudder Bond Subaccount 370.16 (16)
Scudder Growth and Income Subaccount 184.47 (17)
Scudder International Subaccount 208.97 (18)
Dreyfus Zero Coupon 2000 Subaccount 482.46 (19)
Dreyfus Growth and Income Subaccount 733.25 (20)
Dreyfus Socially Responsible Subaccount 43.34 (21)
</TABLE>
<PAGE> 5
<TABLE>
<S> <C>
Federated U.S. Government Bond Subaccount 157.00 (22)
Federated Utility Fund Subaccount 202.72 (23)
----------
$22,151.91
</TABLE>
Minimum Filing Fee (Certified Check Enclosed): $22,151.91
DATED: February 27, 1996
PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT
BY: /s/ Linda E. Senker
---------------------------------------
Linda E. Senker
Legal Officer
- ------------------------
(1) The actual aggregate sales price was $5,297,837.68, which consists of 2,384
policies allocating premiums to the Growth Subaccount. During the fiscal year
ended December 31, 1995, the actual aggregate redemption price of Growth
Subaccount policies redeemed was $2,676,413.50. (No portion of such aggregate
redemption price has been applied by the Registrant pursuant to Rule 24f-2(c) in
any filing made pursuant to Section 24(e)(1) of the Investment Company Act of
1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to the policies in
calculated as follows:
$5,297,837.68 - 2,676,413.50 = $2,621,424.18 / 2900 = $903.94
(2) The actual aggregate sales price was $87,330,705.79, which consists of 5,478
policies allocating premiums to the Money Market Subaccount. During the fiscal
year ended December 31, 1995, the actual aggregate redemption price of Money
Market Subaccount policies redeemed was $80,072,038.74. (No portion of such
aggregate redemption price has been applied by the Registrant pursuant to Rule
24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$87,330,705.79 - 80,072,038.74 = $7,258,667.05 / 2900 = $2,502.99
(3) The actual aggregate sales price was $1,404,775.30, which consists of 789
policies allocating premiums to the Bond Subaccount. During the fiscal year
ended December 31, 1995, the actual aggregate redemption price of Bond
Subaccount policies redeemed was $689,363.95. (No portion of such aggregate
redemption price has been applied by the Registrant pursuant to Rule 24f- 2(c)
in any filing made pursuant to Section 24(e)(1) of the Investment Company Act of
1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to the policies is
calculated as follows:
$1,404,775.30 - 689,363.95 = $715,411.35 / 2900 = $246.69
(4) The actual aggregate sales price was $2,454,880.50, which consists of 949
policies allocating premiums to the Managed Subaccount. During the fiscal year
ended December 31, 1995, the actual aggregate redemption price of Managed
Subaccount policies redeemed was $2,869,098.53. (No portion of such aggregate
redemption price has been applied by the Registrant pursuant to Rule 24f-2(c) in
any filing made pursuant to Section 24(e)(1) of the Investment Company Act of
1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to the policies is
calculated as follows:
$2,454,880.50 - 2,869,098.53 = ($414,218.03) / 2900 = ($142.83)
<PAGE> 6
(5) The actual aggregate sales price was $3,000,633.58, which consists of 2,278
policies allocating premiums to the Aggressive Growth Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Aggressive Growth Subaccount policies redeemed was $1,801,735.10. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$3,000,633.58 - 1,801,735.10 = $1,198,898.48 / 2900 = $413.41
(6) The actual aggregate sales price was $5,907,334.39, which consists of 4,881
policies allocating premiums to the International Subaccount. During the fiscal
year ended December 31, 1995, the actual aggregate redemption price of
International Subaccount policies redeemed was $4,937,819.42. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$5,907,334.39 - 3,937,819.42 = $969,515.07 / 2900 = $334.32
(7) The actual aggregate sales price was $3,279,124.55, which consists of 1,801
policies allocating premiums to the Fidelity High Income Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Fidelity High Income Subaccount policies redeemed was $1,610,397.13. (No portion
of such aggregate redemption price has been applied by the Registrant pursuant
to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$3,279,124.55 - 1,610,397.13 = $1,668,727.42 / 2900 = $575.42
(8) The actual aggregate sales price was $17,904,217.61, which consists of 6,420
policies allocating premiums to the Fidelity Equity Income Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Fidelity Equity Income Subaccount policies redeemed was $4,045,497.30. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$17,904,217.61 - 4,045,497.30 = $13,858,720.31 / 2900 = $4,778.87
(9) The actual aggregate sales price was $12,517,010.29, which consists of 5,882
policies allocating premiums to the Fidelity Growth Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Fidelity Growth Subaccount policies redeemed was $3,090,174.12. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$12,517,010.29 - 3,090,174.12 = $9,426,836.17 / 2900 = $3,250.63
<PAGE> 7
(10) The actual aggregate sales price was $5,328,290.36, which consists of 3,586
policies allocating premiums to the Fidelity Asset Manager Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Fidelity Asset Manager Subaccount policies redeemed was $5,420,537.03. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$5,328,290.36 - 5,420,537.03 = ($92,246.67) / 2900 = ($31.81)
(11) The actual aggregate sales price was $5,166,733.30, which consists of 2,408
policies allocating premiums to the Fidelity Index 500 Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Fidelity Index 500 Subaccount policies redeemed was $815,490.00. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$5,166,733.30 - 815,490.00 = $4,351,243.30 / 2900 = $1,500.43
(12) The actual aggregate sales price was $4,787,668.13, which consists of 1,273
policies allocating premiums to the Fidelity ContraFund Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Fidelity ContraFund Subaccount policies redeemed was $456,719.04. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$4,787,668.13 - 456,719.04 = $4,330,949.09 / 2900 = $1,493.43
(13) The actual aggregate sales price was $3,796,718.73, which consists of 1,975
policies allocating premiums to the Quest for Value Equity Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Quest for Value Equity Subaccount policies redeemed was $1,036,926.71. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$3,796,718.73 - 1,036,926.71 = $2,759,792.02 / 2900 = $951.65
(14) The actual aggregate sales price was $5,467,360.30, which consists of 4,977
policies allocating premiums to the Quest for Value Small Cap Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Quest for Value Small Cap Subaccount policies redeemed was $4,085,077.48. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$5,467,360.30 - 4,085,077.48 = $1,382,282.82 / 2900 = $476.65
<PAGE> 8
(15) The actual aggregate sales price was $11,697,916.37, which consists of
4,579 policies allocating premiums to the Quest for Value Managed Subaccount.
During the fiscal year ended December 31, 1995, the actual aggregate redemption
price of Quest for Value Managed Subaccount policies redeemed was $4,048,464.79.
(No portion of such aggregate redemption price has been applied by the
Registrant pursuant to Rule 24f-2(c) in any filing made pursuant to Section
24(e)(1) of the Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the
filing fee with respect to the policies is calculated as follows:
$11,697,916.37 - 4,048,464.79 = $7,649,451.58 / 2900 = $2,637.74
(16) The actual aggregate sales price was $1,796,541.38, which consists of 1,373
policies allocating premiums to the Scudder Bond Subaccount. During the fiscal
year ended December 31, 1995, the actual aggregate redemption price of Scudder
Bond Subaccount policies redeemed was $723,066.78. (No portion of such aggregate
redemption price has been applied by the Registrant pursuant to Rule 24f-2(c) in
any filing made pursuant to Section 24(e)(1) of the Investment Company Act of
1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to the policies is
calculated as follows:
$1,796,541.38 - 723,066.78 = $1,073,474.60 / 2900 = $370.16
(17) The actual aggregate sales price was $586,364.75, which consists of 232
policies allocating premiums to the Scudder Growth and Income Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Scudder Growth and Income Subaccount policies redeemed was $51,415.33. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$586,364.75 - 51,415.33 = $534,949.42 / 2900 = $184.47
(18) The actual aggregate sales price was $622,429.49, which consists of 297
policies allocating premiums to the Scudder International Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Scudder International Subaccount policies redeemed was $16,415.09. (No portion
of such aggregate redemption price has been applied by the Registrant pursuant
to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$622,429.49 - 16,415.09 = $606,014.40 / 2900 = $208.97
(19) The actual aggregate sales price was $1,889,949.96, which consists of 882
policies allocating premiums to the Dreyfus Zero Coupon 2000 Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Dreyfus Zero Coupon 2000 Subaccount policies redeemed was $844,601.39. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$1,889,949.96 - 844,601.39 = $1,045,348.57 / 2900 = $360.47
<PAGE> 9
(20) The actual aggregate sales price was $2,704,309.67, which consists of 863
policies allocating premiums to the Growth and Income Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Growth and Income Subaccount policies redeemed was $577,891.74. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$2,704,309.67 - 577,891.74 = $2,126,417.93 / 2900 = $733.25
(21) The actual aggregate sales price was $127,053.06, which consists of 73
policies allocating premiums to the Socially Responsible Subaccount. During the
fiscal year ended December 31, 1995, the actual aggregate redemption price of
Socially Responsible Subaccount policies redeemed was $1,372.64. (No portion of
such aggregate redemption price has been applied by the Registrant pursuant to
Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the Investment
Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with respect to
the policies is calculated as follows:
$127,053.06 - 1,372.64 = $125,680.42 / 2900 = $43.34
(22) The actual aggregate sales price was $465,032.92, which consists of 100
policies allocating premiums to the Federated U.S. Government Bond Fund
Subaccount. During the fiscal year ended December 31, 1995, the actual aggregate
redemption price of Federated U.S. Government Bond Fund Subaccount policies
redeemed was $9,739.15. (No portion of such aggregate redemption price has been
applied by the Registrant pursuant to Rule 24f-2(c) in any filing made pursuant
to Section 24(e)(1) of the Investment Company Act of 1940.) Pursuant to Rule
24f-2(c), the filing fee with respect to the policies is calculated as follows:
$465,032.92 - 9,739.15 = $455,293.77 / 2900 = $157.00
(23) The actual aggregate sales price was $608,644.19, which consists of 143
policies allocating premiums to the Federated Utility Fund Subaccount. During
the fiscal year ended December 31, 1995, the actual aggregate redemption price
of Federated Utility Fund Subaccount policies redeemed was $20,748.75. (No
portion of such aggregate redemption price has been applied by the Registrant
pursuant to Rule 24f-2(c) in any filing made pursuant to Section 24(e)(1) of the
Investment Company Act of 1940.) Pursuant to Rule 24f-2(c), the filing fee with
respect to the policies is calculated as follows:
$608,644.19 - 20,748.75 = $587,895.44 / 2900 = $202.72
<PAGE> 10
[PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA LETTERHEAD]
February 27, 1996
Providentmutual Life and Annuity Company
of America
300 Continental Drive
Newark, DE 19713
Re: Rule 24f-2 Notice
Registration Nos. 33-44180 and 33-65512
Dear Sirs:
I have served as counsel to Providentmutual Life and Annuity Company of
America in connection with the above-referenced Notice. In my opinion, the
securities being registered with respect to the Providentmutual Variable Annuity
Separate Account are legally issued, fully paid and non-assessable.
Sincerely,
Linda E. Senker
Legal Officer
LES:cf
