UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
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NOTIFICATION OF LATE FILING
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(Check One): [X] Form 10-K [ ] Form 20-F [ ] Form 11-K [ ] Form 10-Q
[ ] Form N-SAR
For Period Ended: December 31, 2003
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[ ] 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-SAR
For the Transition Period Ended:
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Read Instruction (on back page) Before Preparing Form. Please Print or Type.
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 1--REGISTRANT INFORMATION (Official Text)
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Cumberland Technologies, Inc.
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Full Name of Registrant
N/A
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Former Name if Applicable
4311 West Waters Avenue, Suite 401
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Address of Principal Executive Office (Street and Number)
Tampa, Florida 33614
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City, State and Zip Code
PART II--RULES 12b-25(b) AND (c) (Official Text)
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If the subject report could not be filed without reasonable 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 reasons described in reasonable detail in Part III of this form
--- could not be eliminated without reasonable effort or expense;
(b) The subject annual report, semi-annual report, transition report on
Form 10-K, Form 20-F, 11-K, Form N-SAR, or portion thereof, will be
filed on or before the fifteenth calendar day following the prescribed
due date; or the subject quarterly report of transition report on Form
10-Q, or portion thereof, will be filed on or before the fifth
calendar day following the prescribed due date; and
(c) The accountants statement or other exhibit required by Rule 12b-25(c)
has been attached if applicable.
PART III--NARRATIVE (Official Text)
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State below in reasonable detail the reasons why the Form 10-K, 11-K, 10-Q,
N-SAR, or the transition report or portion thereof, could not be filed within
the prescribed time period. (Attach extra sheets if needed)
As reported in its Current Report on Form 8-K filed on March 5, 2004 ("Form
8-K"), on February 26, 2004, Cumberland Casualty & Surety Company ("CCS"), a
wholly-owned subsidiary of Cumberland Technologies, Inc., a Florida corporation
(the "Company"), began insolvency proceedings for rehabilitation for CCS under
Chapter 631, Part 1 of the Florida Statutes (the "Rehabilitation Statute") with
the Florida Department of Financial Services (the "Department"). Under the
Rehabilitation Statute, the Department became the receiver for CCS, and the
authority of the officers and directors of CCS has been suspended until any such
authority should be redelegated by the Department. Based upon the foregoing, the
Company is unable to complete its Form 10-K for the quarter ended December 31,
2003 within the prescribed time period without unreasonable expense.
PART IV--OTHER INFORMATION (Official Text)
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(1) Name and telephone number of person to contact in regard to this
notification:
Carol S. Black (813) 889-4019
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(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).
X Yes No
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(3) Is it anticipated that any significant change in results of operations from
the corresponding period for the last fiscal year will be reflected by the
earnings statement to be included in the subject report or portion thereof?
X Yes No
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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.
It is anticipated that significant changes in the results of operations for
the Registrant's year ended December 31, 2003, as compared to prior year's
results, will be reflected in the financial statements of the Registrant.
The significant changes relate to the receivership of CCS, and charges
related to CCS' reinsurance recoverables, as disclosed in the Form 8-K.
Cumberland Technologies, Inc.
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(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 29, 2004 By:/S/: CAROL S. BLACK
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Carol S. Black, Secretary
INSTRUCTION: This form may be signed by an executive officer of the registrant
or by any other duly authorized representative. The name and title of the person
signing the form shall be typed or printed beneath the signature. If the
statement is signed on behalf of the registrant by an authorized representative
(other than an executive officer), evidence of the representative's authority to
sign on behalf of the registrant shall be filed with the form.
ATTENTION:
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Intentional misstatements or omissions of fact constitute
Federal Criminal Violations (See 18 U.S.C. 1001).