0001348248-16-000003.txt : 20160609 0001348248-16-000003.hdr.sgml : 20160609 20160609164422 ACCESSION NUMBER: 0001348248-16-000003 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: 20160609 DATE AS OF CHANGE: 20160609 EFFECTIVENESS DATE: 20160609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 69 CENTRAL INDEX KEY: 0001348248 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-84481 FILM NUMBER: 161706459 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 VL 69 DATE OF NAME CHANGE: 20051229 D/A 1 primary_doc.xml X0707 D/A LIVE 0001348248 Lombard International Life Assurance Co Separate Account VL 69 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA AGL Life Assurance Co Separate Account VL 69 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 9999999997-09-013651 2005-12-13 true true true variable life insurance contracts false 250000 M Holdings Securities, Inc 43285 Peter M. Williams 872807 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 AK ALASKA SD SOUTH DAKOTA false Innovation Partners, LLC 146344 Gerald R. Nowotny 1761926 5950 Fairview Rd. Suite 806 Charlotte NC NORTH CAROLINA 28210 AK ALASKA false United Securities Alliance, Inc. 36487 Gerald R. Nowotny 1761926 7720 E. Belleview Ave. Suite B103 Greenwood Village CO COLORADO 80111 AK ALASKA false Royal Alliance Associates, Inc. 23131 Gerald R. Nowotny 1761926 One World Financial Center 15th Floor New York NY NEW YORK 10281 AK ALASKA false Indefinite 4565000 Indefinite false 2 98799 0 Issuer pays sales commissions which are equal to a percentage of the premium received by the Issuer. LILAC also pays sales commissions from its corporate resources. 69882 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 69 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2016-06-09