0001209191-14-042538.txt : 20140619 0001209191-14-042538.hdr.sgml : 20140619 20140619144422 ACCESSION NUMBER: 0001209191-14-042538 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20140619 DATE AS OF CHANGE: 20140619 EFFECTIVENESS DATE: 20140619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFIC LIFE INSURANCE CO CENTRAL INDEX KEY: 0001080429 IRS NUMBER: 951079000 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-155490 FILM NUMBER: 14930315 BUSINESS ADDRESS: STREET 1: 700 NEWPORT CENTER DRIVE CITY: NEWPORT BEACH STATE: CA ZIP: 92660-6397 BUSINESS PHONE: 9492193754 MAIL ADDRESS: STREET 1: 700 NEWPORT CENTER DRIVE CITY: NEWPORT BEACH STATE: CA ZIP: 92660 FORMER COMPANY: FORMER CONFORMED NAME: PACIFIC LIFE INSURANCE CO/CA DATE OF NAME CHANGE: 19990428 D/A 1 primary_doc.xml X0707 D/A LIVE 0001080429 PACIFIC LIFE INSURANCE CO 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 949-219-7286 NEBRASKA None PACIFIC LIFE INSURANCE CO/CA Other Stock Life Insruance Company true James T. Morris Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Khanh T. Tran Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Mary Ann Brown Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Dewey P. Bushaw Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Adrian S. Griggs Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Richard J. Schindler Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Sharon A. Cheever Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Director Jane M. Guon Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Director Lawrence F. Harr Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Director Thomas Gibbons Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Carol R. Sudbeck Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Insurance Decline to Disclose 06c true 0001209191-12-028184 2007-10-10 true true Interests in Separate Account XII of Pacific Life Insurance Company under Private Placement Variable Life Insurance Products false 50 Milton H. Cohn Jr. 840000 M Holdings Securities 43285 1125 NW Couch St., Suite 900 Portland OR OREGON 97209 AZ ARIZONA IL ILLINOIS TX TEXAS Donald E. Morris Jr. 1076088 M Holdings Securities 43285 1125 NW Couch St., Suite 900 Portland OR OREGON 97209 AZ ARIZONA Michael Liebeskind 1219051 M Holdings Securities 43285 1125 NW Couch St., Suite 900 Portland OR OREGON 97209 AK ALASKA MO MISSOURI Edward C. Houghton IV 735581 M Holding s Securities 43285 1125 NW Couch St., Suite 900 Portland OR OREGON 97209 TX TEXAS Indefinite 6021711 Indefinite false 4 171198 0 Sales Commissions reflect commissions paid on total premium payments paid on the life insurance policy. 0 false PACIFIC LIFE INSURANCE CO /s/ Charlene Grant Charlene Grant Vice President and Counsel 2014-06-19