0001343394-17-000013.txt : 20171004 0001343394-17-000013.hdr.sgml : 20171004 20171004100840 ACCESSION NUMBER: 0001343394-17-000013 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: 20171004 DATE AS OF CHANGE: 20171004 EFFECTIVENESS DATE: 20171004 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: 021-295956 FILM NUMBER: 171120600 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 X0708 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 2007-10-11 true true true BOLI PPB1672 false 0 Andrew Lang 4714507 Clark Securities, Inc. 43803 2100 Ross Ave Ste 2200 Dallas TX TEXAS 75201 OH OHIO false 115511444 96259537 19251907 false 1 624979 0 0 false Nationwide BOLI Private Placement Variable Account /s/JAMES RABENSTINE James Rabenstine VP & Chief Compliance Officer 2017-10-04