0001315742-16-000003.txt : 20160614 0001315742-16-000003.hdr.sgml : 20160614 20160613174442 ACCESSION NUMBER: 0001315742-16-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20160614 DATE AS OF CHANGE: 20160613 EFFECTIVENESS DATE: 20160614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account GVA 5 CENTRAL INDEX KEY: 0001315742 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-73489 FILM NUMBER: 161711602 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET STREET, 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 484-530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET STREET, 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: AGL Life Assurance Co Separate Account GVA 5 DATE OF NAME CHANGE: 20050127 D/A 1 primary_doc.xml X0707 D/A LIVE 0001315742 Lombard International Life Assurance Co Separate Account GVA 5 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA AGL Life Assurance Co Separate Account GVA 5 Other insurance company separate account true LILAC Lombard International Life Assurance Company One Liberty Place 1650 Market St., 54th Floor Philadelphia PA PENNSYLVANIA 19103 Promoter Issuer is an insurance company separate account formed under Pennsylvania insurance law. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 9999999997-05-003287 2005-01-13 true true true group variable annuity contracts false 20000000 Indefinite 514977638 Indefinite false 1 0 0 0 false Lombard International Life Assurance Co Separate Account GVA 5 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2016-06-13