0001209191-16-132371.txt : 20160712 0001209191-16-132371.hdr.sgml : 20160712 20160712131930 ACCESSION NUMBER: 0001209191-16-132371 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: 20160712 DATE AS OF CHANGE: 20160712 EFFECTIVENESS DATE: 20160712 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: 021-266788 FILM NUMBER: 161763645 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 X0707 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 Adrian S. Griggs 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 Director Dewey P. Bushaw Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Sharon A. Cheever Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Director Richard J. Schindler Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Executive Officer Jane M. Guon Pacific Life Insurance Company 700 Newport Center Drive Newport Beach CA CALIFORNIA 92660 Director Insurance Decline to Disclose 06b 4a5 3C.6 3C false true true true Interests in Separate Account XX 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 Vice President and Counsel 2016-07-12