0001209191-11-044908.txt : 20110818 0001209191-11-044908.hdr.sgml : 20110818 20110818170457 ACCESSION NUMBER: 0001209191-11-044908 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20110818 DATE AS OF CHANGE: 20110818 EFFECTIVENESS DATE: 20110818 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFIC LIFE & ANNUITY CO CENTRAL INDEX KEY: 0001094010 IRS NUMBER: 000000000 STATE OF INCORPORATION: AZ FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-164693 FILM NUMBER: 111045500 BUSINESS ADDRESS: STREET 1: 1775 EYE STREET N.W. CITY: WASHINGTON STATE: DC ZIP: 20006 BUSINESS PHONE: 949-219-7286 MAIL ADDRESS: STREET 1: 700 NEWPORT CENTER DRIVE CITY: NEWPORT BEACH STATE: CA ZIP: 92660 D 1 primary_doc.xml X0704 D LIVE 0001094010 PACIFIC LIFE & ANNUITY CO 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 949-219-7286 ARIZONA None None Other Stock Life Insurance Company true James T. Morris Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Khanh T. Tran Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Mary Ann Brown Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Michael A. Bell Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Dewey P. Bushaw Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Sharon A. Cheever Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Jane M. Guon Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Director Michael S. Robb Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Denis P. Kalscheur Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Edward R. Byrd Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Joseph E. Celentano Pacific Life & Annuity Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Insurance Decline to Disclose 06 3C.1 3C.7 3C false true true true Interests in Separate Account IV of Pacific Life & Annuity Company under Private Placement Variable Life Insurance Products false 50 Indefinite 0 Indefinite false 0 0 0 0 false PACIFIC LIFE & ANNUITY CO /s/ Charlene Grant Charlene Grant Assistant Vice President and Counsel 2011-08-18