0001343394-17-000001.txt : 20170202 0001343394-17-000001.hdr.sgml : 20170202 20170202132126 ACCESSION NUMBER: 0001343394-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20170202 DATE AS OF CHANGE: 20170202 EFFECTIVENESS DATE: 20170202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Nationwide BOLI Private Placement Variable Account CENTRAL INDEX KEY: 0001343394 IRS NUMBER: 000000000 STATE OF INCORPORATION: OH FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-279899 FILM NUMBER: 17567641 BUSINESS ADDRESS: STREET 1: ONE NATIONWIDE PLAZA CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 614-677-7567 MAIL ADDRESS: STREET 1: ONE NATIONWIDE PLAZA CITY: COLUMBUS STATE: OH ZIP: 43215 D 1 primary_doc.xml X0707 D LIVE 0001343394 Nationwide BOLI Private Placement Variable Account ONE NATIONWIDE PLAZA COLUMBUS OH OHIO 43215 614-677-7567 OHIO None None Other Nationwide BOLI Private Placement VA true Stephen S. Rasmussen One Nationwide Plaza Columbus OH OHIO 43215 Executive Officer Timothy G. Frommeyer One Nationwide Plaza Columbus OH OHIO 43215 Director Eric S. Henderson One Nationwide Plaza Columbus OH OHIO 43215 Director Kirt A. Walker One Nationwide Plaza Columbus OH OHIO 43215 Executive Officer Director Mark R. Thresher One Nationwide Plaza Columbus OH OHIO 43215 Director John L. Carter One Nationwide Plaza Columbus OH OHIO 43215 Director Insurance Not Applicable 06b 3C 3C.1 3C.7 false 2017-01-31 true true true BOLI PPB3558 false 0 Bennett Meyer 1495939 J. Alden Associates 40002 261 Old York Road Ste 837 Jenkintown PA PENNSYLVANIA 19046 TX TEXAS false David Soto 5633608 J. Alden Associates 40002 261 Old York Road Ste 837 Jenkintown PA PENNSYLVANIA 19046 TX TEXAS false 24000000 20000000 4000000 false 1 200000 0 0 false Nationwide BOLI Private Placement Variable Account /s/JAMES RABENSTINE James Rabenstine VP & Chief Compliance Officer 2017-02-02