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 | November 12, 2003 |
COTTON STATES LIFE INSURANCE COMPANY
(Exact name of registrant as specified in its charter)
| GEORGIA | 002-39729 | 58-0830929 | ||
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| (State or other jurisdiction of incorporation or organization) |
(Commission File Number) |
(I.R.S. 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 | (404) 39l-8600 |
| SIGNATURES | ||||||||
| Exhibit Index | ||||||||
| PRESS RELEASE | ||||||||
ITEM 7. Financial Statements, Proforma Financial Information and Exhibits
(c) Exhibits
99.1 Press Release issued November 12, 2003.
ITEM 9. Regulation FD Disclosure
The information contained in this Item 9 is being furnished to the Securities and Exchange Commission (the “Commission”) pursuant to Item 12 of Form 8-K, “Disclosures of Results of Operations and Financial Condition,” as directed by the Commission in Release No. 23-47583.
On November 12, 2003, Cotton States Life Insurance Company (the “Company”) issued a press release containing information about the Company’s financial condition or results of operations for the three month and nine month periods ended September 30, 2003. A copy of the press release is attached hereto as Exhibit 99.1.
SIGNATURES
Pursuant to the requirements of the Securities and Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| November 12, 2003 | ||||
| COTTON STATES LIFE INSURANCE COMPANY | ||||
| BY: | /s/ J. Ridley Howard | |||
| J. Ridley Howard, Chairman President and Chief Executive Officer | ||||
| BY: | /s/ William J. Barlow | |||
| Vice President of Finance and Assistant Treasurer | ||||
Exhibit Index
| Number | Descriptions | |
| 99.1 | Press Release issued November 12, 2003 |