-----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, Q9gp2Gsedysnr2mYziqYSosZika3AFa40GWu8gFzCTzqbxYUJCh9PTMj3CcmL0g8 DmojAWi9aiQO2R5jIZ1IFQ== 0000906287-97-000062.txt : 19970226 0000906287-97-000062.hdr.sgml : 19970226 ACCESSION NUMBER: 0000906287-97-000062 CONFORMED SUBMISSION TYPE: 24F-2NT PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19961231 FILED AS OF DATE: 19970225 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT FOUR OF THE MANUFACTURERS LIFE INS CO OF AM CENTRAL INDEX KEY: 0000813572 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 232030787 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 24F-2NT SEC ACT: 1933 Act SEC FILE NUMBER: 033-13774 FILM NUMBER: 97542876 BUSINESS ADDRESS: STREET 1: 200 BLOOR STREET EAST ST 10 STREET 2: TORONTO M4W 1EF CITY: ONTARIO CANADA STATE: A6 ZIP: 48304 BUSINESS PHONE: 4169266302 MAIL ADDRESS: STREET 1: P O BOX 600 CITY: BUFFALO STATE: NY ZIP: 14201-0600 24F-2NT 1 U.S. 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: Separate Account Four of The Manufacturers Life Insurance Company of America 200 Bloor Street East, Toronto, Ontario M4W 1E5 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: 811-5130 Securities Act File Number: 33-13774 4. Last day of fiscal year for which this notice is filed: December 31, 1996 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: N/A 6. Date of termination of issuer's declaration under rule 24f-2(a)(1), if applicable (see instruction A.6): N/A 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: None 8. Number and amount of securities registered during the fiscal year other than pursuant to rule 24f-2: None 9. Number and aggregate sale price of securities sold during the fiscal year: $39,389,300 10. Number and aggregate sale price of securities sold during the fiscal year in reliance upon registration pursuant to rule 24f-2: $39,389,300 11. Number and aggregate sale price of securities issued during the fiscal year in connection with dividend reinvestment plans, if applicable (see instructions B.7): None 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): $39,389,300 (ii) Aggregate price of shares issued in connection with dividend reinvestment plans (from Item 11, if applicable): + 0 (iii) Aggregate price of shares redeemed or repurchased during the fiscal year (if applicable) -17,646,414 (iv) Aggregate price of shares redeemed or repur- chased and previously applied as a reduction to filing fees pursuant to rule 24e-2 (if applicable): 0 (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) 21,742,886 (vi) Multiplier prescribed by Section 6(b) of the 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)] $ 6,588.75 ============ 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 issuers' fiscal year. See Instruction C.3. 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). [X] Date of mailing or wire transfer of filing fees to the Commission's lockbox depository: February 20, 1997 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/ Douglas Myers Douglas Myers, Vice President Date: February 19, 1997 * Please print the name and title of the signing officer below the signature. February 20, 1997 Board of Directors The Manufacturers Life Insurance Company of America 200 Bloor Street, East Toronto, Ontario M4W 1E5 Gentlemen: You have requested my opinion for use in conjunction with a Rule 24f-2 Notice for Separate Account Four of The Manufacturers Life Insurance Company of America (the "Separate Account") to be filed in respect of Flexible Premium Variable Life Insurance Policies (the "Policies") sold for the fiscal year ended December 31, 1996, pursuant to the registration statement filed with the Securities and Exchange Commission ("SEC") under the Securities Act of 1933 (File No. 33-13774). In its Post-Effective Amendment No. 15 filed September 15, 1994 to its Registration Statement, the Separate Account elected to register an indefinite amount of Policies pursuant to the provisions of SEC Rule 24f-2. I have reviewed the amended Registration Statement of the Separate Account and such other documents, records and certification of facts by a company officer as I have deemed necessary. On the basis of the foregoing, it is my opinion that the Policies sold for the fiscal year ended December 31, 1996, registration of which the Rule 24f-2 Notice makes definite in amount, were legally issued and are legal and binding obligations of The Manufacturers Life Insurance Company of America enforceable in accordance with their terms. I consent to your filing this opinion as an Exhibit to the Rule 24f-2 Notice referred to above, to the Registration Statement of the Separate Account and to any applicable statement filed under the Securities Laws of the United States. Very truly yours, /s/Betsy A. Seel Betsy A. Seel Senior Counsel -----END PRIVACY-ENHANCED MESSAGE-----