<PAGE>
OMB APPROVAL
OMB Number: 3235-0456
Expires: April 30, 1998
Estimated average burden
hours per response . . 0
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 24F-2
Annual Notice of Securities Sold
Pursuant to Rule 24f-2
Read instructions at end of Form before preparing Form. Please print or type.
1. Name and address of issuer:
ACACIA NATIONAL VARIABLE LIFE INSURANCE SEPARATE ACCOUNT I
51 Louisiana Avenue, N.W.
Washington, D.C. 20001
2. Name of each series or class of funds for which this notice is filed:
Flexible Premium Variable Life Insurance Policies
3. Investment Company Act File Number: 811-08998
Securities Act File Number: 33-90208
4. Last day of fiscal year for which this notice is filed: 12-31-96
5. Check box if this notice is being filed more than 180 days after the
close of the issuer s fiscal year for purposes of reporting securities sold
after the close of the fiscal year but before termination of the issuer's
24f-2 declaration:
6. Date of termination of issuer s declaration under rule 24f-2(a)(1), if
applicable (see Instruction A.6):
Not Applicable
7. Number and amount of securities of the same class or series which had
been registered under the Securities Act of 1933 other than pursuant to rule
24f-2 in a prior fiscal year, but which remained unsold at the beginning
of the fiscal year:
Not Applicable<PAGE>
8. Number and amount of securities registered during the fiscal year other
than pursuant to rule 24f-2:
Rule 24f-2 (1-1-96 to 6-30-96) 297 policies sales: $650,179.72
Rule 24f-1 (7-1-96 to 8-30-96) 162 policies sales: $674,323.78
9. Number and aggregate sale price of securities sold during the fiscal
year:
No. Of Policies for full year: 788
Sales thru 12-31-96 $ 3,384,430.00
Sales 1-1-96 thru 6-30-96 -650,179.72
Sales thru 8-30-96 -674,323.78
Sales 8-30-96 thru 12-31-96 $ 2,059,926.60
10. Number and aggregate sale price of securities sold during the fiscal
year in reliance upon registration pursuant to rule 24f-2:
No. Of Policies: 329 Sales 8-30-96 thru 12-31-96 $ 2,059,926.60
11. Number and aggregate sale price of securities issued during the fiscal
year in connection with divident reinvestment plans, if applicable (see
Instruction B.7):
Not Applicable<PAGE>
12. Calculation of registration fee:
(i) Aggregate sale price of securities sold during the
fiscal year in reliance on rule 24f-2 (from Item 10):
$ 2,059,926.60
(ii) Aggregate price of shares issued in connection with dividend
reinvestment plans (from Item 11, if applicable):
+ Not Applicable
(iii) Aggregate price of shares redeemed or repurchased during
the fiscal year (if applicable):
_ 217,105
(iv) Aggregate price of shares redeemed or repurchased
and previously applied as a reduction to filing fees pursuant
to rule 24e-2 (if applicable)
+ Not Applicable
(v) Net aggregate price of securities sold and issued during the
fiscal year in reliance on rule 24f-2 [line (i), plus line (ii),
less line (iii), plus line (iv)] (if applicable):
+ 1,842,821.60
(vi) Multiplier prescribed by Section 6(b) of the Securities Act
of 1933 or other applicable law or regulation (See Instruction C.6):
x 1/3300
(vii) Fee due [line (i) or line (v) multiplied by line (vi)]:
$ 558.43
Instruction: Issuers should complete lines (ii), (iii), (iv), and (v) only
if the form is being filed within 60 days after the
close of the issuer's fiscal year. See Instruction C.3.<PAGE>
13. Check box if fees are being remitted to the Commission's lockbox
depository as described in section 3a of the Commission's Rules of
Informal and Other Procedures (17 CFR 202.3a) [ ]
Date of mailing or wire transfer of filing fees to the Commission's
lockbox depository:
Account already has a balance more than sufficient to cover this
charge.
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.
By (Signature and Title)* /s/
Ellen Jane Abromson
2nd Vice President
and Associate Counsel
Date February 28, 1997
*Please print the name and title of the signing officer below the signature.<PAGE>
The Acacia Group
February 28, 1997
Acacia National Life Insurance Company
51 Louisiana Avenue, N.W.
Washington, D.C. 20001
Re: Acacia National Life Insurance Separate Account I
Investment Company Act File Number: 811-8998
Securities Act File Number: 33-90208
Gentlemen:
Pursuant to the provisions of Rule 24f-2 under the Investment Company Act of
1940, Acacia National Life Insurance Separate Account I is filing with the
Securities and Exchange Commission the Notice attached hereto making definite
the registration of securities sold in reliance upon Rule 24f-2 during the
fiscal year ended December 31, 1996. This opinion is furnished in connection
with such filing. In my professional opinion the securities sold for the
fiscal year 1996, which are the subject of the Notice filed today, are legally
issued, fully paid and non-assessable.
Sincerely,
/s/
Ellen Jane Abromson
2nd Vice President and
Associate Counsel
National Headquarters
51 Louisiana Avenue, N.W., Washington, D.C. 20001
(202) 628-4506
<PAGE>
