UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934
Date of report (Date of earliest event reported): November 29, 2004
COTTON STATES LIFE INSURANCE COMPANY
| Georgia (State or other jurisdiction of incorporation) |
002-39729 (Commission File Number) |
58-0830929 (IRS Employer Identification No.) |
244 Perimeter Center Parkway, N.E.
Atlanta, Georgia
(Address of principal executive offices)
30346
(Zip Code)
Registrant’s telephone number, including area code: (770) 391-8600
Not Applicable
(Former name or address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
| Signature | ||||||||
| Exhibit Index | ||||||||
| EX-99.1 PRESS RELEASE DATED NOVEMBER 24, 2004 | ||||||||
Item 7.01 Regulation FD Disclosure
On November 24, 2004, Cotton States Life Insurance Company (the “Company”) issued a press release announcing the approval by the Georgia Insurance Department of the previously announced merger of the Company with a subsidiary of COUNTRY Life Insurance Company. A copy of the press release is attached as Exhibit 99.1
Item 9.01 Financial Information and Exhibits
(c) Exhibits
99.1 Press Release dated November 24, 2004.
Signature
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Dated: November 29, 2004
| COTTON STATES LIFE INSURANCE COMPANY |
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| By: | /s/ J. Ridley Howard | |||
| Name: | J. Ridley Howard | |||
| Title: | Chairman, President and Chief Executive Officer | |||
| By: | /s/ William J. Barlow | |||
| Name: | William J. Barlow | |||
| Title: | Vice President of Finance | |||