VIA EDGAR
_________
June 1, 1995
Securities and Exchange Commission
450 Fifth Street, N.W.
Washington, D. C. 20549
RE: Cova Variable Annuity Account Five
(formerly, Xerox Variable Annuity Account Five)
Form N-8A
File No. 811-7060
______________________________________________________
Dear Sir:
Accompanying this letter for filing pursuant to the Investment Company Act of
1940 is Form N-8A for Cova Variable Annuity Account Five. Manually executed
signature pages have been executed prior to the time of this electronic filing
and will be retained by the Company for five years.
Please feel free to contact the undersigned with any questions or comments.
Sincerely,
BLAZZARD, GRODD & HASENAUER, P.C.
By: /s/ LYNN KORMAN STONE
_____________________
Lynn Korman Stone
a:0333
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File Number: 811-7060
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
Form N-8A
NOTIFICATION OF AMENDMENT OF REGISTRATION
FILED PURSUANT TO SECTION 8(a) OF THE
INVESTMENT COMPANY ACT OF 1940
The undersigned investment company hereby notifies the Securities and
Exchange Commission that it amends its registration under and pursuant to the
provisions of Section 8(a) of the Investment Company Act of 1940 and in
connection with such notification of amendment of registration submits the
following information:
Name: COVA VARIABLE ANNUITY ACCOUNT FIVE
(formerly, Xerox Variable Annuity Account Five)
Address of Principal Business Office:
One Tower Lane, Suite 3000
Oakbrook Terrace, Illinois 60181-4644
Telephone Number: (800) 523-1661
Name and Address of Agent for Service of Process:
Jeffery K. Hoelzel
Cova Financial Life Insurance Company
One Tower Lane, Suite 3000
Oakbrook Terrace, Illinois 60181-4644
Check Appropriate Box:
Registrant is filing a Registration pursuant to Section 8(b) of the
Investment Company Act of 1940 concurrently with the filing of
Form N-8A: [X] Yes [ ] No
SIGNATURES
Pursuant to the requirements of the Investment Company Act of 1940, the
depositor of the registrant has caused this notification of registration to be
duly signed on behalf of the registrant in the city of Oakbrook Terrace and
state of Illinois on the 1st day of June, 1995.
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SIGNATURE: COVA VARIABLE ANNUITY ACCOUNT FIVE
--------------------------------------
(Name of Registrant)
By: COVA FINANCIAL LIFE INSURANCE COMPANY
By: /s/ JEFFERY K. HOELZEL
__________________________
Jeffery K. Hoelzel
ATTEST:
/s/ FRANCES S. COOK
___________________
Frances S. Cook
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