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Annual Notice of Securities Sold Pursuant to Rule 24F-2
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 24F-2
Annual Notice of Securities Sold
Pursuant to Rule 24f-2
Read instruction at end of Form before preparing Form.
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1. Name and address of issuer: Paragon Life Insurance Company
100 South Brentwood
St. Louis, MO 63105
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2. The name of each series or class of securities for which this Form is
filed (If the Form is being filed for all series and classes of securities
of the issuer, check the box but do not list series or classes): [_]
Fidelity Investments VIP Ins. Fund I - Money Market Portfolio
Fidelity Investments VIP Ins. Fund I - High Income Portfolio
Fidelity Investments VIP Ins. Fund I - Growth Portfolio
Fidelity Investments VIP Ins. Fund I - Equity Income Portfolio
Fidelity Investments VIP Ins. Fund I - Overseas Portfolio
Fidelity Investments VIP Ins. Fund II - Investment Grade Bond Portfolio
Fidelity Investments VIP Ins. Fund II - Asset Manager Portfolio
Fidelity Investments VIP Ins. Fund II - Index 500 Portfolio
Fidelity Investments VIP Ins. Fund II - Contrafund Portfolio
Fidelity Investments VIP Ins. Fund II - Asset Manager: Growth Portfolio
Fidelity Investments VIP Ins. Fund III - Growth & Income Portfolio
Fidelity Investments VIP Ins. Fund III - Growth Opportunities Portfolio
Fidelity Investments VIP Ins. Fund III - Balanced Portfolio
Fidelity Investments VIP Ins. Fund III - Mid Cap Portfolio
3. Investment Company Act File Number: 811-7982
Securities Act File Number: 33-67970
4(a). Last day of year for which this Form is filed: 12/31/99
4(b). [ ] Check box if this Form is being filed late (i.e., more than 90
calendar days after the end of the issuer's fiscal year). (See Instruction A.2)
Note: If the Form is being filed late, interest must be paid on the registration
fee due.
4(c). [_] Check box if this is the last time the issuer will be filing this
Form.
5. Calculation of registration fee:
(i) Aggregate sale price of securities sold during the fiscal year pursuant to
section 24(f): $ 11,728,564.55
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(ii) Aggregate price of securities redeemed or repurchased
during the fiscal year: $ 6,353,888.76
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(iii) Aggregate price of securities redeemed or repurchased
during any prior fiscal year ending no earlier than
October 11, 1995 that were not previously used to reduce
registration fees payable to the Commission: $ 0
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(iv) Total available redemption credits [add Items 5(ii)
and 5(iii)]: $ 6,353,888.76
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(v) Net sales - if Item 5(i) is greater than Item 5(iv)
[subtract Item 5(iv) from Item 5(i)]: $ 5,374,675.79
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(vi) Redemption credits available for use in future years $( 0 )
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- if Item 5(i) is less than Item 5(iv) [subtract Item 5(iv)
from Item 5(i)]:
(vii) Multiplier for determining registration fee (See Instruction C.9): x .000264
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(viii) Registration fee due [multiply Item 5(v) by Item
5(vii)] (enter "0" if no fee is due): =$1,418.92
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6. Prepaid Shares
If the response to Item 5(i) was determined by deducting an amount of securities
that were registered under the Securities Act of 1933 pursuant to rule 24e-2 as
in effect before October 11, 1997, then report the amount of securities (number
of shares or other units) deducted here: 0 If there is a number of shares or
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other units that were registered pursuant to rule 24e-2 remaining unsold at the
end of the fiscal year for which this form is filed that are available for use
by the issuer in future fiscal years, then state that number here: 0
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7. Interest due - if this Form is being filed more than 90 days after the end
of the issuer's fiscal year (see Instruction D):
+$ 0
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8. Total of the amount of the registration fee due plus any interest due [line
5(viii) plus line 7]: =$1,418.92
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9. Date the registration fee and any interest payment was sent to the
Commission's lockbox depository: March 09, 2000
Method of Delivery:
[x] Wire Transfer
[_] Mail or other means
SIGNATURES
This report has been signed below by the following persons on behalf of the
issuer and in the capacities and on the dates indicated.
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By (Signature and Title)* MATTHEW K. DUFFY
Matthew K. Duffy, Vice President and Chief Financial Officer
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Date March 14, 2000
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*Please print the name and title of the signing officer below the signature.
