<PAGE> 1
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
RULE 24f-2 NOTICE
FOR
Provident Mutual Variable Annuity Separate Account
--------------------------------------------------
(Name of Registrant)
1600 Market Street
Philadelphia, PA 19103
---------------------------------------------
(Address of principal executive offices)
File Nos. 33-62588 and 33-70926
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
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$617,314.90 $9,696,529.29 $131,650.03
worth of worth of worth of
policies(1) policies(2) policies(3)
Aggressive
Managed Growth International
Subaccount Subaccount Subaccount
---------- ---------- ----------
$166,301.30 $ 210,844.69 $694,415.10
worth of worth of worth of
policies(4) policies(5) policies(6)
</TABLE>
<PAGE> 2
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity
High Income Equity Income Growth
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$875,094.20 $1,613,465.31 $1,505,669.12
worth of worth of worth of
policies(7) policies(8) policies(9)
Fidelity Fidelity Quest for
Asset Manager Index 500 Value Equity
Subaccount Subaccount Subaccount
---------- ---------- ----------
$306,283.27 $ 609,481.13 $ 747,103.57
worth of worth of worth of
policies(10) policies(11) policies(12)
Quest for Value Quest for Value Scudder
Small Cap Managed Bond
Subaccount Subaccount Subaccount
---------- ---------- ----------
$759,092.85 $ 842.279.11 $ 81,237.51
worth of worth of worth of
policies(13) policies(14) policies(15)
Dreyfus Zero
Coupon 2000
Subaccount
----------
$115,399.91
worth of
policies(16)
</TABLE>
(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
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$617,314.90 $9,696,529.29 $131,650.03
worth of worth of worth of
policies(1) policies(2) policies(3)
Aggressive
Managed Growth International
Subaccount Subaccount Subaccount
---------- ---------- ----------
$166,301.30 $ 210,844.69 $694.415.10
worth of worth of worth of
policies(4) policies(5) policies(6)
</TABLE>
<PAGE> 3
<TABLE>
<CAPTION>
Fidelity Fidelity Fidelity
High Income Equity Income Growth
Subaccount Subaccount Subaccount
---------- ---------- ----------
<S> <C> <C>
$875,094.20 $1,613,465.31 $1,505,669.12
worth of worth of worth of
policies(7) policies(8) policies(9)
Fidelity Fidelity Quest for
Asset Manager Index 500 Value Equity
Subaccount Subaccount Subaccount
---------- ---------- ----------
$306,283.27 $ 609,481.13 $ 747,103.57
worth of worth of worth of
policies(10) policies(11) policies(12)
Quest for Value Quest for Value Scudder
Small Cap Managed Bond
Subaccount Subaccount Subaccount
---------- ---------- ----------
$759,092.85 $ 842,279.11 $ 81,237.51
worth of worth of worth of
policies(13) policies(14) policies(15)
Dreyfus Zero
Coupon 2000
Subaccount
----------
$115,399.91
worth of
policies(16)
</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> <C>
Growth Subaccount 150.15 (1)
Money Market Subaccount 552.97 (2)
Bond Subaccount 34.64 (3)
Managed Subaccount 128.45 (4)
Aggressive Growth Subaccount 41.50 (5)
International Subaccount 188.07 (6)
Fidelity High Income Subaccount 266.22 (7)
Fidelity Equity Income Subaccount 506.32 (8)
</TABLE>
<PAGE> 4
<TABLE>
<S> <C> <C>
Fidelity Growth Subaccount 437.70 (9)
Fidelity Asset Manager Subaccount 68.32 (10)
Fidelity Index 500 Subaccount 195.33 (11)
Quest for Value Equity Subaccount 207.97 (12)
Quest for Value Small Cap Subaccount 100.47 (13)
Quest for Value Managed Subaccount 235.11 (14)
Scudder Bond Subaccount 27.81 (15)
Dreyfus Zero Coupon 2000 Subaccount 36.16 (16)
------
$3,020.29
</TABLE>
Minimum Filing Fee (Certified Check Enclosed): $3,020.29
DATED: February 27, 1996
PROVIDENT MUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT
BY: /s/ Linda E. Senker
----------------------------------------
Linda E. Senker
- ------------------------
(1) The actual aggregate sales price was $617,314.90, which consists of 166
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 $181,885.80. (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:
$617,314.90 - 181,885.80 = $435,429.10 / 2900 = $150.15
(2) The actual aggregate sales price was $9,696,529.29, which consists of 324
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 $8,092,906.89. (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:
$9,696,529.29 - 8,092,906.89 = $1,603,622.40 / 2900 = $552.97
(3) The actual aggregate sales price was $131,650.03, which consists of 27
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 $31,197.54. (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:
$131,650.03 - 31,197.54 = $100,452.49 / 2900 = $34.64
<PAGE> 5
(4) The actual aggregate sales price was $166,301.30, which consists of 46
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 $248,793.69. (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:
$166,301.30 - 248,793.69 = ($82,492.39) / 2900 = ($28.45)
(5) The actual aggregate sales price was $210,844.69, which consists of 100
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 $90,489.41. (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:
$210,844.69 - 90,489.41 = $120,355.28 / 2900 = $41.50
(6) The actual aggregate sales price was $694,415.10, which consists of 160
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 $149,003.66. (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:
$694,415.10 - 149,003.66 - $545,411.44 / 2900 = $188.07
(7) The actual aggregate sales price was $875,094.20, which consists of 150
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 $103,070.41. (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:
$875,094.20 - 103,070.41 = $772,023.79 / 2900 = $266.22
(8) The actual aggregate sales price was $1,613,465.31, which consists of 241
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 $145,140.11. (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:
$1,613,465.31 - 145,140.11 = $1,468,325.20 / 2900 = $506.32
<PAGE> 6
(9) The actual aggregate sales price was $1,505,669.12, which consists of 301
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 $236,342.81. (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:
$1,505,669.12 - 236,342.81 - $1,269,326.31 / 2900 = $437.70
(10) The actual aggregate sales price was $306,283.27, which consists of 135
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 $108,148.80. (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:
$306,283.27 - 108,148.80 = $198,134.47 / 2900 = $68.32
(11) The actual aggregate sales price was $609,481.13, which consists of 97
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 $43,010.72. (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:
$609,481.13 - 431,010.72 = $566,470.41 / 2900 = $195.33
(12) The actual aggregate sales price was $747,103.57, which consists of 142
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 $144,003.08. (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:
$747,103.57 - 144,003.08 = $603,100.49 / 2900 = $207.97
(13) The actual aggregate sales price was $759,092.85, which consists of 194
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 $467,741.40. (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:
$759,092.85 - 467,741.40 = $291,351.45 / 2900 = $100.47
<PAGE> 7
(14) The actual aggregate sales price was $842,279.11, which consists of 200
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 $160,470.79. (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:
$842,279.11 - 160,470.79 = $681,808.32 / 2900 = $235.11
(15) The actual aggregate sales price was $81,237.51, which consists of 34
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 $595.76. (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:
$81,237.51 - 595.76 - $80,641 / 2900 = $27.81
(16) The actual aggregate sales price was $115,399.91 which consists of 32
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 $10,523.10. (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:
$115,399.91 - 10,523.10 = $104,876.81 / 2900 = $36.16
<PAGE> 8
[PROVIDENT MUTUAL LETTERHEAD]
February 27, 1996
Provident Mutual Life Insurance Company
1600 Market Street
Philadelphia, PA 19103
Re: Rule 24f-2 Notice
Registration Nos. 33-62588 and 33-70926
---------------------------------------
Dear Sirs:
I have served as counsel to Provident Mutual Life Insurance Company in
connection with the above-referenced Notice. In my opinion, the securities being
registered with respect to the Provident Mutual Variable Annuity Separate
Account are legally issued, fully paid and non-assessable.
Sincerely,
Linda E. Senker
LES:cf
