-----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, ChApmEaLxtuyDQ2uIdK19Ct9c+zNxzE5wOCNAJtGGV+ZBbGt1LNcN8ZH/p9ugSWN ZuAEKlz4v1vntk+6kmgclA== 0000950135-01-001071.txt : 20010402 0000950135-01-001071.hdr.sgml : 20010402 ACCESSION NUMBER: 0000950135-01-001071 CONFORMED SUBMISSION TYPE: 24F-2NT PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010330 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: SEC FILE NUMBER: 333-51293 FILM NUMBER: 1586882 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 b38779c2e24f-2nt.txt SEPERATE ACCOUNT FOUR # 333-51293 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 24f-2 Annual Notice of Securities Sold Pursuant to Rule 24f-2 - -------------------------------------------------------------------------------- 1. Name and address of issuer: Separate Account Four of The Manufacturers Life Insurance Company of America 500 N. Woodward Avenue Bloomfield Hills, MI 48304 - -------------------------------------------------------------------------------- 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): [ x ] Variable Insurance Contracts - -------------------------------------------------------------------------------- 3. Investment Company Act File Number: 811-5130 Securities Act File Number: 33-13774 and 333-51293 - -------------------------------------------------------------------------------- 4(a). Last day of fiscal year for which this Form is filed : December 31, 2000 - -------------------------------------------------------------------------------- 4(b). [ ] Check box if this Form is being filed late (i.e. more than 90 calendar days after the end of the issuers 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): $156,665,425 (ii) Aggregate price of securities redeemed or repurchased during the fiscal year: $(56,753,649) (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 (iv) Total available redemption credits [add items 5(ii) and 5(iii)]: $(56,753,649) (v) Net sales -- if Item 5(i) is greater than Item 5(iv) [subtract Item 5(iv) from Item 5(i)] $ 99,911,776 2 (vi) Redemption credits available for use in future years -- if Item 5(i) is less than Item 5(iv) [subtract Item (iv) from Item 5(i)]: $0 (vii) Multiplier for determining registration fee (See Instruction C.9): x.000250 (viii) Registration fee due [multiply Item 5(v) by Item 5(vii)] (enter "0" if no fee is due): =$24,977.94 - -------------------------------------------------------------------------------- 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: _______. If there is a number of shares or 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: _________. - -------------------------------------------------------------------------------- 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 - -------------------------------------------------------------------------------- 8. Total of the amount of the registration fees due plus any interest due [line 5(viii) plus line 7]: =$22,586.11* *The registration fee was paid with Rule 24f-2 Filing for Securities Act File Number 33-13774. This fee also covers Rule 24f-2 Filings for fiscal year ended December 31, 2000 for Securities Act File Number 333-51293. - -------------------------------------------------------------------------------- 9. Date the registration fee and any interest payment was sent to the Commission's lockbox depository: March 26, 2001 Method of Delivery: [ x ] Wire Transfer [ ] Mail or other means 3 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/ Denis Turner ------------------------------------------ Denis Turner, Vice President and Treasurer Date: March 30, 2001 -----END PRIVACY-ENHANCED MESSAGE-----