0000729522-19-000033.txt : 20190319 0000729522-19-000033.hdr.sgml : 20190319 20190319124746 ACCESSION NUMBER: 0000729522-19-000033 CONFORMED SUBMISSION TYPE: NTFNCEN PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190319 DATE AS OF CHANGE: 20190319 EFFECTIVENESS DATE: 20190319 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FS VARIABLE SEPARATE ACCOUNT CENTRAL INDEX KEY: 0000931344 IRS NUMBER: 000000000 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NTFNCEN SEC ACT: 1940 Act SEC FILE NUMBER: 811-08810 FILM NUMBER: 19690874 BUSINESS ADDRESS: STREET 1: ONE WORLD FINANCIAL CENTER STREET 2: 200 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 BUSINESS PHONE: 2125515440 MAIL ADDRESS: STREET 1: ONE WORLD FINANCIAL CENTER STREET 2: 200 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 0000931344 S000010609 FS VARIABLE SEPARATE ACCOUNT C000111545 Polaris Platinum III (EA) (NY) 333-178841 C000111547 Polaris Choice IV (NY) 333-178842 C000111549 Polaris Platinum O-Series (NY) 333-178843 C000111551 Polaris Advantage (NY) 333-178844 C000111553 Polaris Preferred Solution (NY) 333-178845 C000111558 Polaris II (NY) VA 333-178846 C000111559 Polaris II (Jones NY) 333-178846 C000111561 Polaris Choice III (NY) 333-178847 C000111564 Polaris Advantage II (W) NY 333-178848 C000111565 Polaris Advantage II (I) NY 333-178848 C000111567 Polaris Retirement Protector (NY) 333-178849 C000111569 Polaris Advantage (NY) (G) 333-178850 C000111571 Polaris II A-Class Platinum Series (NY) 333-178852 C000111574 Polaris Choice (NY) (G) 333-178853 C000111575 Polaris Choice III (NY) (G) 333-178853 C000111580 Polaris (NY) VA (G) 333-178854 C000111581 Polaris II (NY) (G) 333-178854 C000111582 Polaris II (Jones NY) (G) 333-178854 C000111583 Polaris II A-Class Platinum Series (NY) VA (G) 333-178855 C000111587 FSA Advisor (NY) VA (G) 333-178857 C000111591 WM Diversified Strategies III (NY) (G) 333-178859 C000134223 Polaris Preferred Solution Non Rew (NY) 333-178845 C000147989 Polaris Select Investor 333-198224 C000171412 Polaris Platinum III (NY) 333-178841 NT-NCEN 1 18FSVSA-931344-form12b-25.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ----------- FORM 12b-25 ----------- NOTIFICATION OF LATE FILING (Check one): [ ] Form 10-K [ ] Form 20-F [ ] Form 11-K [ ] Form 10-Q [ ] Form 10-D [X] Form N-CEN [ ] Form N-CSR For Period Ended: December 31, 2018 [ ] 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-CEN For the Transition Period Ended:________________ ------------------------------------------------------------------------------- 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 FS Variable Separate Account ------------------------------ Full Name of Registrant ------------------------- Former Name if Applicable 200 LIBERTY STREET --------------------------------------------------------- Address of Principal Executive Office (Street and Number) New York, NY 10281 ------------------------ 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) [X] (a) The reason 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, Form 11-K, Form N-CEN or Form N-CSR, 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 subject distribution report on Form 10-D, 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 why Forms 10-K, 20-F, 11-K, 10-Q, 10-D, N-CEN, N-CSR, or the transition report or portion thereof, could not be filed within the prescribed time period. Registrant is unable to timely file Form N-CEN by the date required due to extensive efforts involved in extracting the data. (Attach extra Sheets if Needed) PART IV - OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification Craig Anderson 713 552-1111 ----------------------------- ----------- ------------------- (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 answer is no, identify report(s). Yes[X] No[ ] (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be refrected by the earnings statements to be included in the subject report or portion thereof? Yes[ ] No[X] 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. FS Variable Separate Account -------------------------------------------- (Name of Registrant as Specified in Charter) has caused this notification to be signed on its behalf by the undersigned hereunto duly authorized. Date: March 18, 2019 By: /s/ Craig A. Anderson -------------------------- Craig A. Anderson Senior Vice President and Life Controller