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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 TPHb9ASl98HMTf7gclGIxExjZprcy+n3pen4mlyO/xDXgSmsLS25QPMpLGdRemv4
 RO6FlrYYHbcDJUwGyI6qfQ==

<SEC-DOCUMENT>0001250853-09-000064.txt : 20090825
<SEC-HEADER>0001250853-09-000064.hdr.sgml : 20090825
<ACCEPTANCE-DATETIME>20090825143649
ACCESSION NUMBER:		0001250853-09-000064
CONFORMED SUBMISSION TYPE:	D
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20090825
DATE AS OF CHANGE:		20090825
EFFECTIVENESS DATE:		20090825

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Survival Insurance, Inc.
		CENTRAL INDEX KEY:			0001470752
		IRS NUMBER:				953994835
		STATE OF INCORPORATION:			CA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		D
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-133916
		FILM NUMBER:		091033796

	BUSINESS ADDRESS:	
		STREET 1:		700 NORTH CENTRAL AVENUE
		STREET 2:		6TH FLOOR
		CITY:			GLENDALE
		STATE:			CA
		ZIP:			91203
		BUSINESS PHONE:		818-546-8300

	MAIL ADDRESS:	
		STREET 1:		700 NORTH CENTRAL AVENUE
		STREET 2:		6TH FLOOR
		CITY:			GLENDALE
		STATE:			CA
		ZIP:			91203
</SEC-HEADER>
<DOCUMENT>
<TYPE>D
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0502</schemaVersion>

    <submissionType>D</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001470752</cik>
        <entityName>Survival Insurance, Inc.</entityName>
        <issuerAddress>
            <street1>700 NORTH CENTRAL AVENUE</street1>
            <street2>6TH FLOOR</street2>
            <city>GLENDALE</city>
            <stateOrCountry>CA</stateOrCountry>
            <zipCode>91203</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>818-546-8300</issuerPhoneNumber>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <jurisdictionOfInc>CALIFORNIA</jurisdictionOfInc>
        <entityType>Corporation</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Richard</firstName>
                <middleName>J.</middleName>
                <lastName>Acunto</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>700 North Central Avenue, 6th Floor</street1>
                <street2></street2>
                <city>Glendale</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>91203</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Susan</firstName>
                <middleName></middleName>
                <lastName>McFarlane</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>700 North Central Avenue, 6th Floor</street1>
                <street2></street2>
                <city>Glendale</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>91203</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Majid</firstName>
                <middleName></middleName>
                <lastName>Tabibzadeh</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>700 North Central Avenue, 6th Floor</street1>
                <street2></street2>
                <city>Glendale</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>91203</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Noshir</firstName>
                <middleName></middleName>
                <lastName>Lakdawalla</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>700 North Central Avenue, 6th Floor</street1>
                <street2></street2>
                <city>Glendale</city>
                <stateOrCountry>CA</stateOrCountry>
                <zipCode>91203</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Insurance</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$5,000,001 - $25,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>false</isAmendment>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-08-10</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>7624584</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>7624685</totalOfferingAmount>
            <totalAmountSold>7624584</totalAmountSold>
            <totalRemaining>101</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>1</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>300000</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse>Up to $300,000 of proceeds may be used to pay certain debts owed by the issuer to the Chief Executive Officer.</clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Survival Insurance, Inc.</issuerName>
                <signatureName>/s/ Richard J. Acunto</signatureName>
                <nameOfSigner>Richard J. Acunto</nameOfSigner>
                <signatureTitle>Chief Executive Officer</signatureTitle>
                <signatureDate>2009-08-24</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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