# EDGAR Filing Document

**Accession Number:** 0001021148
**File Stem:** 0001104659-23-038455
**Filing Date:** 2023-3
**Character Count:** 3644
**Document Hash:** faaa3f8b9f6aa792cf1bfd8f8b9f39c8
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001104659-23-038455.hdr.sgml**: 20230330

**ACCESSION NUMBER**: 0001104659-23-038455

**CONFORMED SUBMISSION TYPE**: 24F-2NT

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230330

**DATE AS OF CHANGE**: 20230329

**EFFECTIVENESS DATE**: 20230330

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** FULCRUM SEPARATE ACCOUNT OF FIRST ALLMERICA FINANCIAL LIFE INSURANCE CO
- **CENTRAL INDEX KEY:** 0001021148
- **IRS NUMBER:** 041867050
- **STATE OF INCORPORATION:** CT
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-16929
- **FILM NUMBER:** 23776580

**BUSINESS ADDRESS:**
- **STREET 1:** 20 GUEST STREET
- **STREET 2:** SUITE 210
- **CITY:** BRIGHTON
- **STATE:** MA
- **ZIP:** 02135
- **BUSINESS PHONE:** 508-855-1000

**MAIL ADDRESS:**
- **STREET 1:** 20 GUEST STREET
- **STREET 2:** SUITE 210
- **CITY:** BRIGHTON
- **STATE:** MA
- **ZIP:** 02135

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** FULCRUM SEPARATE ACCOUNT OF FIRST ALLMERICA FIN LIFE INS CO
- **DATE OF NAME CHANGE:** 19960819

## Series and Classes Contracts Data

### FULCRUM SEPARATE ACCOUNT OF FIRST ALLMERICA FINANCIAL LIFE INSURANCE CO (Series ID: S000010746)

---

|  |  |
|:---|:---|
| Class Name          | Class ID   |
| Fulcrum (333-16929) | C000029689 |

---

## Series and Classes Contracts Data

### FULCRUM SEPARATE ACCOUNT OF FIRST ALLMERICA FINANCIAL LIFE INSURANCE CO (Series ID: S000010746)

| Class ID   | Class Name          | Ticker Symbol   |
|:---|:---|:---|
| C000029689 | Fulcrum (333-16929) |  |

## FORM 24F-2NT: Annual Notice of Securities Sold Pursuant to Rule 24f-2

### 24F-2NT: Filer Information

**Filer CIK:** 0001021148

**Is this a LIVE or TEST Filing?:** LIVE

**Filer Investment Company Type:** N-4

### 24F-2NT: Annual Filing Information

**1. Name and address of issuer:**

- **Name of Issuer:** FULCRUM SEPARATE ACCOUNT OF FIRST ALLMERICA FINANCIAL LIFE INSURANCE CO

- **Address:** 20 Guest Street, Brighton, MA 02135

**2. The Name and EDGAR Identifier of each series or class of securities for which this Form is filed:**

- [ ] Check box if the Form is being filed for all series and classes of the issuer.

**3. Investment Company Act File Number:** 811-07947

   **Securities Act File Number:** 333-16929

**4(a). Last day of fiscal year for which this Form is filed:** 12/31/2022

**4(b). Check box if this Form is being filed late:** [ ]

**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:** $3372.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $30.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $2644775.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $2644805.00

- **(v) Net sales:** $0.00

- **(vi) Redemption credits available for use in future years:** $-2641433.00

- **(vii) Multiplier for determining registration fee:** 0.000110200

- **(viii) Registration fee due:** $0.00

- **7. Interest due -- if this Form is being filed more than 90 days after the end of the issuer's fiscal year:** $0.00

- **8. Total of the amount of the registration fee due plus any interest due:** $0.00

**Explanatory Notes (if any):**
Not applicable

**Signatures**

**Name and Title:** Frank Robertson - Senior Vice President

**Date:** 03/30/2023

**Signature:** /s/ Frank Robertson