0001465205-16-000002.txt : 20160330 0001465205-16-000002.hdr.sgml : 20160330 20160330163824 ACCESSION NUMBER: 0001465205-16-000002 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: 20160330 DATE AS OF CHANGE: 20160330 EFFECTIVENESS DATE: 20160330 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 109 CENTRAL INDEX KEY: 0001465205 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-131809 FILM NUMBER: 161540183 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 109 DATE OF NAME CHANGE: 20090529 D/A 1 primary_doc.xml X0707 D/A LIVE 0001465205 Lombard International Life Assurance Co Separate Account VL 109 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA AGL Life Assurance Co Separate Account VL 109 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 0001465205-09-000001 2009-06-01 true true true variable life insurance contracts false 1000000 M Holdings Securities, Inc 43285 David J. Coyle 2265371 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 FL FLORIDA false Securities America, Inc. 10205 Glenn A. Fishman 2692826 12325 Port Grace Blvd. Lavista NE NEBRASKA 68128 FL FLORIDA false Indefinite 14656212 Indefinite false 8 836356 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. 443511 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 109 /s/ John F Reilly John F. Reilly Senior Vice President and Deputy General Counsel 2016-03-30