-----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, Jc5rpB9ibll18A2I2myYva0aeQ/lfGHRXojABiddj5EopmKcOnHOtnZ0xb8K5x5a VOdGbXyW0a+P1M3bGbUytQ== 0000950135-04-001559.txt : 20040326 0000950135-04-001559.hdr.sgml : 20040326 20040326155251 ACCESSION NUMBER: 0000950135-04-001559 CONFORMED SUBMISSION TYPE: 24F-2NT PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040326 EFFECTIVENESS DATE: 20040326 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MANUFACTURERS LIFE INS CO USA SEPARATE ACCOUNT N CENTRAL INDEX KEY: 0000813572 IRS NUMBER: 232030787 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 24F-2NT SEC ACT: 1933 Act SEC FILE NUMBER: 333-71312 FILM NUMBER: 04693004 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 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT FOUR OF THE MANUFACTURERS LIFE INS CO OF AM DATE OF NAME CHANGE: 19920703 24F-2NT 1 b49896n2e24fv2nt.txt MANUSA SEPARATE ACCOUNT N OMB APPROVAL ------------------------ OMB Number: 3235-0456 Expires: July 31, 2006 Estimated average burden hours per response.....2 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. - -------------------------------------------------------------------------------- 1. Name and address of issuer: The Manufacturers Life Insurance Company (U.S.A.) Separate Account N 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: 333-100567*, 333-71312, and 333-76160 - -------------------------------------------------------------------------------- 4(a). Last day of fiscal year for which this Form is filed: December 31, 2002 - -------------------------------------------------------------------------------- 4(b). [ ] Check box if this Form is being filed late (i.e., more than 90 calendar days after the end of the issuer's 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. - -------------------------------------------------------------------------------- PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. SEC 2393(6-02) - -------------------------------------------------------------------------------- 5. Calculation of registration fee: (i) Aggregate sale price of securities sold during $ 99,703,509 the fiscal year pursuant to section 24(f): ------------ (ii) Aggregate price of securities redeemed $(128,579,517) or repurchased during the fiscal year: -------------- (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 $ 0 payable to the Commission: --- (iv) Total available redemption credits [add Items $(128,579,517) 5(ii) and 5(iii)]: -------------- (v) Net sales -- if Item 5(i) is greater than $ 0 Item 5(iv) [subtract Item 5(iv) from Item 5(i)]: --- ------------------------------------------------------------------- (vi) Redemption credits available for use in future $(28,876,008) years -- if Item 5(i) is less than Item 5(iv) ------------- [subtract Item 5(iv) from Item 5(i)]: ------------------------------------------------------------------- (vii) Multiplier for determining registration fee (See x.00012670 Instruction C.9): ---------- (viii) Registration fee due [multiply Item 5(v) by Item =$0 5(vii)] (enter "0" if no fee is due): === - -------------------------------------------------------------------------------- 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 fee due plus any interest due [line 5(viii) plus line 7]: = $ 0 ===== *The registration fee was paid with Rule 24f-2 Filing for Securities Act File Number 333-100567. This fee also covers Rule 24f-2 Filings for fiscal year ended December 31, 2003 for Securities Act File Number 333-71312 and 333-76160 - -------------------------------------------------------------------------------- 9. Date the registration fee and any interest payment was sent to the Commission's lockbox depository: N/A Method of Delivery: [ ] Wire Transfer [ ] Mail or other means - -------------------------------------------------------------------------------- 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 26, 2004 * Please print the name and title of the signing officer below the signature. -----END PRIVACY-ENHANCED MESSAGE-----