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FORM N-SAR
SEMI-ANNUAL REPORT
FOR REGISTERED INVESTMENT COMPANIES
Report for six month period ending: / / (a)
or fiscal year ending: 12/31/99 (b)
Is this a transition report? (Y/N) N
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Is this an amendment to a previous filing? (Y/N) N
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Those items or sub-items with a box "[/]" after the item number should be
completed only if the answer has changed from the previous filing on this form.
<TABLE>
<S> <C> <C> <C>
1. A. Registrant Name: Providentmutual Variable Life Separate Account
B. File Number: 811 - 8722
C. Telephone Number: (302) 452-4000
2. A. Street: 300 Continental Drive
B. City: Newark C. State: DE D. Zip Code: 19713 Zip Ext:
E. Foreign Country: Foreign Postal Code:
3. Is this the first filing on this form by Registrant? (Y/N) N
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4. Is this the last filing on this form by Registrant? (Y/N) N
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5. Is Registrant a small business investment company (SBIC)? (Y/N) N
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[If answer is "Y" (Yes), complete only items 89 through 110.]
6. Is Registrant a unit investment trust (UIT)? (Y/N) Y
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[If answer is "Y" (Yes) complete only items 111 through 132.]
7. A. Is Registrant a series or multiple portfolio company? (Y/N)_______
[If answer is "N" (No), go to item 8.]
B. How many separate series or portfolios did Registrant have at the end of
the period?
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</TABLE>
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If filing more than one
Page 47, "X" box: [ ]
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For period ending 12/31/99
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File number 811- 8722
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UNIT INVESTMENT TRUSTS
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<S> <C> <C> <C>
111. A. [/] Depositor Name:_______________________________________________________________
B. [/] File Number (If any):_________________________________________________________
C. [/] City: _______________ State:_____ Zip Code:_____ Zip Ext.:_____________
[/] Foreign Country:______________ Foreign Postal Code:________________________
111. A. [/] Depositor Name:_______________________________________________________________
B. [/] File Number (If any):_________________________________________________________
C. [/] City:________________ State:_______ Zip Code:_______ Zip Ext.:____________
[/] Foreign Country:_______________ Foreign Postal Code:________________________
112. A. [/] Sponsor Name:_________________________________________________________________
B. [/] File Number (If any):_________________________________________________________
C. [/] City:_______________ State:_______ Zip Code:_______ Zip Ext.:____________
[/] Foreign Country:______________ Foreign Postal Code:_________________________
112. A. [/] Sponsor Name:_________________________________________________________________
B. [/] File Number (If any):_________________________________________________________
C. [/] City:_________________ State:_______ Zip Code:______ Zip Ext.:____________
[/] Foreign Country:______________ Foreign Postal Code:_________________________
</TABLE>
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If filing more than one
Page 48, "X" box: [ ]
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For period ending 12/31/99
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File number 811- 8722
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<TABLE>
<S> <C> <C> <C>
113. A. [/] Trustee Name:_______________________________________________________________
B. [/] City:________________ State:______ Zip Code:______ Zip Ext.:__________
[/] Foreign Country:_______________ Foreign Postal Code:______________________
113. A. [/] Trustee Name:_______________________________________________________________
B. [/] City:________________ State:_______ Zip Code:_______ Zip Ext.:__________
[/] Foreign Country:_______________ Foreign Postal Code:______________________
114. A. [/] Principal Underwriter Name:_________________________________________________
B. [/] File Number 8-______________________________________________________________
C. [/] City:________________ State:________ Zip Code:_______ Zip Ext.:__________
[/] Foreign Country:_____________ Foreign Postal Code:_______________________
114. A. [/] Principal Underwriter Name:_________________________________________________
B. [/] File Number 8-______________________________________________________________
C. [/] City:_______________ State:________ Zip Code:_______ Zip Ext.:__________
[/] Foreign Country:_______________ Foreign Postal Code:_______________________
115. A. [/] Independent Public Accountant Name:_________________________________________
B. [/] City:_______________ State:_________ Zip Code:______ Zip Ext.:__________
[/] Foreign Country:_______________ Foreign Postal Code:_______________________
115. A. [/] Independent Public Accountant Name:_________________________________________
B. [/] City:______________ State:________ Zip Code:______ Zip Ext.:__________
[/] Foreign Country:______________ Foreign Postal Code:_______________________
</TABLE>
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If filing more than one
Page 49, "X" box: [ ]
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For period ending 12/31/99
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File number 811- 8722
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<TABLE>
<CAPTION>
116. Family of investment companies information:
<S> <C> <C> <C>
A. [/] Is Registrant part of a family of investment companies? (Y/N)__________
Y/N
B. [/] Identify the family in 10 letters:_____________________________________
(Note: In filing this form, use this identification consistently for
all investment companies in family. This designation is for purposes
of this form only.)
117. A. [/] Is Registrant a separate account of an insurance company? (Y/N)________
Y/N
If answer is "Y" (Yes), are any of the following types of contracts funded by the Registrant?
B. [/] Variable annuity contracts? (Y/N) ________
Y/N
C. [/] Scheduled premium variable life contracts? (Y/N) ________
Y/N
D. [/] Flexible premium variable life contracts? (Y/N) ________
Y/N
E. [/] Other types of insurance products registered under the Securities
Act of 1933? (Y/N) ________
Y/N
118. [/] State the number of series existing at the end of the period that had securities
registered under the Securities Act of 1933 _______________________________________
___________________________________________________________________________________
119. [/] State the number of new series for which registration statements under the Securities
Act of 1933 became effective during the period ____________________________________
___________________________________________________________________________________
120. [/] State the total value of the portfolio securities on the date of deposit for the new
series included in item 119 ($000's omitted) _____________________________________
____________________________________$______________________________________________
121. [/] State the number of series for which a current prospectus was in existence
at the end of the period_________________________________________________________
___________________________________________________________________________________
122. [/] State the number of existing series for which additional units were registered
under the Securities Act of 1933 during the current period ________________________
___________________________________________________________________________________
</TABLE>
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If filing more than one
Page 50, "X" box: [X]
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For period ending 12/31/99
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File number 811- 8722
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<S> <C> <C>
123. [ ] State the total value of the additional units considered in answering
item 122 ($000's omitted) $ 44,500
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124. [/] State the total value of units of prior series that were placed in
the portfolios of subsequent series during the current period (the value
of these units is to be measured on the date they were placed in the
subsequent series)
($000's omitted) $
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125. [ ] State the total dollar amount of sales loads collected (before
reallowances to other brokers or dealers) by Registrant's principal
underwriter and any underwriter which is an affiliated person of the
principal underwriter during the current period solely from the sale of
units of all series of Registrant
($000's omitted) $ 770
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126. Of the amount shown in item 125, state the total dollar amount of
sales loads collected from secondary market operations in Registrant's
units (include the sales loads, if any, collected on units of a
prior series placed in the portfolio of a subsequent series.)
($000's omitted) $ 0
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127. List opposite the appropriate description below the number of series whose
portfolios are invested primarily (based upon a percentage of NAV) in each
type of security shown, the aggregate total assets at market value as of a
date at or near the end of the current period of each such group of series
and the total income distributions made by each such group of series
during the current period (excluding distributions of realized gains, if
any):
</TABLE>
<TABLE>
<CAPTION>
Total Total Income
Number of Assets Distributions
Series ($000's ($000's
Investing omitted) omitted)
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<S> <C> <C> <C>
A. U.S. Treasury direct issue $ $
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B. U.S. Government agency $ $
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C. State and municipal tax-free $ $
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D. Public utility debt $ $
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E. Brokers or dealers debt or debt of brokers'
or dealers' parent $ $
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F. All other corporate intermed. & long-term
debt $ $
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G. All other corporate short-term debt $ $
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H. Equity securities of brokers or dealers or
parents of brokers or dealers $ $
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</TABLE>
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<TABLE>
<S> <C> <C> <C>
I. Investment company equity securities $ $
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J. All other equity securities 1 $113,566 $
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K. Other securities $ $
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L. Total assets of all series of registrant 1 $113,566 $
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</TABLE>
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If filing more than one
Page 51, "X" box: [ ]
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For period ending 12/31/99
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File number 811- 8722
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<TABLE>
<S> <C> <C>
128. [/] Is the timely payment of principal and interest on any of the
portfolio securities held by any of Registrant's series at the
end of the current period insured or guaranteed by an entity
other than the issuer? (Y/N)______________________ _____________
[If answer is "N" (No), go to item 131.] Y/N
129. [/] Is the issuer of any instrument covered in item 128 delinquent
or in default as to payment of principal or interest at the
end of the current period? (Y/N)___________________ ____________
[If answer is "N" (No), go to item 131.] Y/N
130. [/] In computations of NAV or offering price per unit, is any part
of the value attributed to instruments identified in item 129
derived from insurance or guarantees? (Y/N)______________________
Y/N
131. Total expenses incurred by all series of Registrant during the
current reporting period
($000's omitted)_____________________________________ $ 572
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132. [/] List the "811" (Investment Company Act of 1940) registration
number for all Series of Registrant that are being included in
this filing:
</TABLE>
<TABLE>
<S> <C> <C> <C> <C>
811 - 811 - 811 - 811 - 811 -
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811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
811 - 811 - 811 - 811 - 811 -
------ ------- ------- ------- -------
</TABLE>
This report is signed on behalf of the Registrant in the City of Newark, State
of Delaware.
Date: February 28, 2000.
Providentmutual Life and Annuity Company of America
By: /s/ Rosanne Gatta Witness: /s/ Anthony Giampietro
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Rosanne Gatta Anthony Giampietro
Treasurer Assistant Treasurer
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