0001534406-17-000003.txt : 20171011 0001534406-17-000003.hdr.sgml : 20171011 20171011100941 ACCESSION NUMBER: 0001534406-17-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171011 DATE AS OF CHANGE: 20171011 EFFECTIVENESS DATE: 20171011 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pruco Life Variable Contract Account M CENTRAL INDEX KEY: 0001534406 IRS NUMBER: 221944557 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-249360 FILM NUMBER: 171131941 BUSINESS ADDRESS: STREET 1: 213 WASHINGTON STREET CITY: NEWARK STATE: NJ ZIP: 07102 BUSINESS PHONE: 800-778-2255 MAIL ADDRESS: STREET 1: 213 WASHINGTON STREET CITY: NEWARK STATE: NJ ZIP: 07102 D/A 1 primary_doc.xml X0708 D/A LIVE 0001534406 Pruco Life Variable Contract Account M 213 WASHINGTON STREET NEWARK NJ NEW JERSEY 07102 800-778-2255 ARIZONA None None Other Separate Account true John Chieffo 213 Washington Street Newark NJ NEW JERSEY 07102 Director Wallace C. Arthur 1 Corporate dr Shelton CT CONNECTICUT 06484 Director Richard F. Lambert 751 Broad Street Newark NJ NEW JERSEY 07102 Director Lori D. Fouche 751 Broad Street Newark NJ NEW JERSEY 07102 Executive Officer Kent D. Sluyter 213 Washington Street Newark NJ NEW JERSEY 07102 Director Kenneth Y. Tanji 751 Broad Street Newark NJ NEW JERSEY 07102 Director Jordan K. Thomsen 213 Washington Street Newark NJ NEW JERSEY 07102 Executive Officer Lynn K. Stone 1 Corporate Drive Shelton CT CONNECTICUT 06484 Executive Officer Theresa M. Dziedzic 751 Broad Street Newark NJ NEW JERSEY 07102 Executive Officer William J Evers 213 Washington Street Newark NJ NEW JERSEY 07102 Executive Officer James M O'Connor 751 Broad Street Newark NJ NEW JERSEY 07102 Executive Officer Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b true 0001140361-16-082661 2001-01-03 true true true Separate Account interests that support variable life insurance contracts. false 0 Various Agents None Pruco Securities LLC 5685 751 Broad Street Newark NJ NEW JERSEY 07102 All States false Indefinite 2224341211 Indefinite true 2 192 40725721 0 0 false Pruco Life Variable Contract Account M Jordan K. Thomsen Jordan K. Thomsen Vice President and Corporate Counsel 2017-10-11