0001209191-15-011588.txt : 20150211 0001209191-15-011588.hdr.sgml : 20150211 20150210181828 ACCESSION NUMBER: 0001209191-15-011588 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(6) ITEM INFORMATION: 4a5 FILED AS OF DATE: 20150211 DATE AS OF CHANGE: 20150210 EFFECTIVENESS DATE: 20150211 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-233856 FILM NUMBER: 15595474 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 1 primary_doc.xml X0707 D 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 Insurance 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 06b 4a5 3C.6 3C false true true true Interests in Separate Account XVII of Pacific Life Insurance Company under Private Placement Variable Life Insurance Products false 50 Indefinite 0 Indefinite false 0 0 0 0 false PACIFIC LIFE INSURANCE CO /s/ Charlene Grant Charlene Grant Vice President and Counsel 2015-02-10