0001209191-13-036309.txt : 20130712 0001209191-13-036309.hdr.sgml : 20130712 20130711175647 ACCESSION NUMBER: 0001209191-13-036309 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: 20130712 DATE AS OF CHANGE: 20130711 EFFECTIVENESS DATE: 20130712 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: 021-199487 FILM NUMBER: 13964646 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 X0706 D LIVE 0001094010 PACIFIC LIFE & ANNUITY CO 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 800-800-7646 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 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 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 Adrian S. Griggs 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 XV of oPacific 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 Vice President and Counsel 2013-07-11