0001209191-12-025690.txt : 20120503
0001209191-12-025690.hdr.sgml : 20120503
20120503135119
ACCESSION NUMBER: 0001209191-12-025690
CONFORMED SUBMISSION TYPE: D/A
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: 20120503
DATE AS OF CHANGE: 20120503
EFFECTIVENESS DATE: 20120503
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-164699
FILM NUMBER: 12808842
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/A
1
primary_doc.xml
X0705
D/A
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
Michael
A.
Bell
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
Mary Ann
Brown
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
Director
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
Adrian
S.
Griggs
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
Jane
M.
Guon
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
Director
Denis
P.
Kalscheur
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
James
T.
Morris
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
Khanh
T.
Tran
Pacific Life & Annuity Company
700 Newport Center Drive
Newport Beach
CA
CALIFORNIA
92660
Executive Officer
Director
Insurance
Decline to Disclose
- 06
- 3C.1
- 3C.7
- 3C
true
0001209191-11-044917
true
true
true
true
Interests in Separate Account VI of Pacific Life & Annuity Company under Private Placement Variable Life Insurance Products
false
50
Milton H Cohn Jr
84000
M Holdings Securities
43285
1125 NW Couch St. Ste 900
Portland
OR
OREGON
97209
SD
SOUTH DAKOTA
Indefinite
7820903
Indefinite
Sales Commissions reflect commissions paid on total premium payments paid on the life insurance policy.
false
0
306032
0
0
false
PACIFIC LIFE & ANNUITY CO
/s/ Charlene Grant
Charlene Grant
Assistant Vice President and Counsel
2012-05-03