0001209191-11-044923.txt : 20110818 0001209191-11-044923.hdr.sgml : 20110818 20110818171847 ACCESSION NUMBER: 0001209191-11-044923 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: 021-164701 FILM NUMBER: 111045630 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 Joseph E. Celentano 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 Insurance Decline to Disclose 06 3C.1 3C.7 3C false true true true Interests in Separate Account X 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