0001549081-16-000002.txt : 20160310 0001549081-16-000002.hdr.sgml : 20160310 20160310114940 ACCESSION NUMBER: 0001549081-16-000002 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: 20160310 DATE AS OF CHANGE: 20160310 EFFECTIVENESS DATE: 20160310 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 99 CENTRAL INDEX KEY: 0001549081 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-182484 FILM NUMBER: 161496854 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: Philadelphia Financial Life Assurance Co Separate Account VA 99 DATE OF NAME CHANGE: 20120503 D/A 1 primary_doc.xml X0707 D/A LIVE 0001549081 Lombard International Life Assurance Co Separate Account VA 99 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA Philadelphia Financial Life Assurance Co Separate Account VA 99 Other insurance company separate account true 2012 LILAC Lombard International Life Assurance Company One Liberty Place 1650 Market Street - 54th Floor Philadelphia PA PENNSYLVANIA 19103 Promoter Issuer is an insurance company separate account authorized by Pennsylvania insurance statutes. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 0001549081-12-000001 2012-07-30 true true true Variable Annuity Contracts. false 500000 Summit Equities, Inc 11039 Lawrence Bell 2227247 4 Campus Drive Parsippany NJ NEW JERSEY 07054 CT CONNECTICUT MD MARYLAND NJ NEW JERSEY false Summit Equities, Inc 11039 Donald Gross 1913749 4 Campus Drive Parsippany NJ NEW JERSEY 07054 CT CONNECTICUT MD MARYLAND NJ NEW JERSEY false Indefinite 13859767 Indefinite false 8 191408 0 Issuer pays sales commissions which are equal to a percentage of premium received by the Issuer. LILAC also pays sales commissions from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA 99 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2016-03-10