0001005477-01-003763 Sample Contracts

GROUP IMMEDIATE VARIABLE ANNUITY CONTRACT NON - PARTICIPATING SINGLE PREMIUM PURCHASE PAYMENT TABLE OF CONTENTS

Variable Account a American Intl Life Assur Co of New York • June 20th, 2001 • New York

• Company
  Variable Account a American Intl Life Assur Co of New York
• Filed
  June 20th, 2001
• Jurisdiction
  New York

This Group Immediate Variable Annuity Contract is issued by American International Life Assurance Company of New York (the "Company") to the Contractholder, its successors and assigns, as their interests may appear ("Contractholder").