0001315742-24-000002.txt : 20240820 0001315742-24-000002.hdr.sgml : 20240820 20240820124756 ACCESSION NUMBER: 0001315742-24-000002 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: 20240820 DATE AS OF CHANGE: 20240820 EFFECTIVENESS DATE: 20240820 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Axcelus Financial Life Insurance Co Separate Account GVA 5 CENTRAL INDEX KEY: 0001315742 ORGANIZATION NAME: 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: 241223955 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET STREET, 8TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 484-530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET STREET, 8TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: Lombard International Life Assurance Co Separate Account GVA 5 DATE OF NAME CHANGE: 20160610 FORMER COMPANY: FORMER CONFORMED NAME: AGL Life Assurance Co Separate Account GVA 5 DATE OF NAME CHANGE: 20050127 D/A 1 primary_doc.xml X0708 D/A LIVE 0001315742 Axcelus Financial Life Insurance Co Separate Account GVA 5 ONE LIBERTY PLACE 1650 MARKET STREET, 8TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA Lombard International Life Assurance Co Separate Account GVA 5 AGL Life Assurance Co Separate Account GVA 5 Other insurance company separate account true Axcelus Financial Axcelus Financial Life Insurance Company One Liberty Place 1650 Market St., 8th 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 0001315742-18-000002 2005-01-13 true true true group variable annuity contracts false 20000000 Indefinite 769663951 Indefinite false 1 0 0 0 false Axcelus Financial Life Insurance Co Separate Account GVA 5 /s/ Paul Ryan Henry Paul Ryan Henry SVP & Deputy General Counsel 2024-08-20