-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PeKDWsJdlzW2BDoWjgzBJPlKYqLXnBCYtvY+R4eZZTZsPwyJMQpOFyjd0qNLreVH t/fZcF4sSX0C5jAJOPrfgQ== 0001161697-03-000558.txt : 20031114 0001161697-03-000558.hdr.sgml : 20031114 20031114123453 ACCESSION NUMBER: 0001161697-03-000558 CONFORMED SUBMISSION TYPE: NT 10-Q PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030930 FILED AS OF DATE: 20031114 EFFECTIVENESS DATE: 20031114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN LIFE HOLDING CO INC CENTRAL INDEX KEY: 0001187449 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 52217734 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NT 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-50196 FILM NUMBER: 031002112 BUSINESS ADDRESS: STREET 1: 4823 OLD KINGSTON PIKE STREET 2: SUITE 125 CITY: KNOXVILLE STATE: TN ZIP: 37919 BUSINESS PHONE: 8655888228 NT 10-Q 1 nt10-q_sep302003.txt U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 12B-25 NOTIFICATION OF LATE FILING (Check one): Form 1O-KSB [ ] Form 20-F SEC File No. :000-50196 [ ] Form 11-K [X] Form 10-QSB CUSIP No. : 027224104 [ ] Form N-SAR [ ] Form N-CSR For Period Ended: September 30, 2003 [ ] Transition Report on Form 10-K [ ] Transition Report on Form 20-F [ ] Transition Report on Form 11-K [ ] Transition Report on Form 10-Q [ ] Transition Report on Form N-SAR For the Transition Period Ended: _____ Read Instruction (on back page) Before Preparing Form. Please Print or Type. NOTHING IN THIS FORM SHALL BE CONSTRUED TO IMPLY THAT THE COMMISSION HAS VERIFIED ANY INFORMATION CONTAINED HEREIN. If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates: --------------------------------------------------------------------- PART I - REGISTRANT INFORMATION Full Name of Registrant: AMERICAN LIFE HOLDING COMPANY, INC. Former Name if Applicable: Not applicable 4823 Old Kingston Pike, Suite 125, --------------------------------------------------------- Address of Principal Executive Office (Street and Number) Knoxville, Tennessee 37919 -------------------------- City, State and Zip Code PART II - RULES 12B-25(B) AND (C) If the subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box, if appropriate) (a) The reasons described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense; [X] (b) The subject annual report, semi-annual report, transition report on Form 10- K, Form 20-F, 11-K or Form N-SAR, or portion thereof, will be filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-Q, or portion thereof will be filed on or before the fifth calendar day following the prescribed due date; and (c) The accountant's statement or other exhibit required by Rule 12b-25(c) has been attached if applicable. PART III - NARRATIVE State below in reasonable detail the reasons why the Form 1O-K, 20-F, 11-K, 10-Q, N- SAR, N-CSR, or the transition report or portion thereof could not be filed within the prescribed time period. The Form 10-QSB cannot be filed within the prescribed time period because additional time is required by Registrant's management to finalize the necessary financial information for the Form 10-QSB. PART IV - OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification: Roxanne K. Beilly 954-522-3636 ---------------------------------------------------------- (Name) (Area Code)(Telephone Number) (2) Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If the answer is no, identify report(s). [X] Yes [ ] No (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? [ ] Yes [X] No If so: attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made. AMERICAN LIFE HOLDING COMPANY, INC. -------------------------------------------- (Name of Registrant as specified in charter) has caused this notification to be signed on its behalf by the undersigned thereunto duly authorized. AMERICAN LIFE HOLDING COMPANY, INC. Date: November 14, 2003 By: /S/Stanley P. Brown III ----------------------- Stanley P. Brown III President, Principal Executive Officer, and Principal Accounting and Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----