0001580565-22-000001.txt : 20220419 0001580565-22-000001.hdr.sgml : 20220419 20220419114410 ACCESSION NUMBER: 0001580565-22-000001 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: 20220419 DATE AS OF CHANGE: 20220419 EFFECTIVENESS DATE: 20220419 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA107 CENTRAL INDEX KEY: 0001580565 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-235446 FILM NUMBER: 22833936 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 4845304800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: Philadelphia Financial Life Assurance Co Separate Account VA107 DATE OF NAME CHANGE: 20130701 D/A 1 primary_doc.xml X0708 D/A LIVE 0001580565 Lombard International Life Assurance Co Separate Account VA107 ONE LIBERTY PLACE 1650 MARKET ST., 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 4845304800 PENNSYLVANIA Philadelphia Financial Life Assurance Co Separate Account VA107 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 0001580565-16-000003 2015-02-26 true true true variable annuity contracts false 0 Purshe Kaplan Sterling Investments 35747 Lawrence M. Bell 2227247 18 Corporate Woods Blvd. Albany NY NEW YORK 12211 NJ NEW JERSEY false Purshe Kaplan Sterling Investments 35747 Robert Armstrong 2256775 18 Corporate Woods Blvd. Albany NY NEW YORK 12211 NJ NEW JERSEY false M Holdings Securities, Inc. 43285 Brian T. Corley 2735235 1125 N.W. Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false M Financial Securities Marketing, Inc. 139304 Brian T. Corley 2735235 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false UBS Financial Services, Inc. 8174 Brian T. Corley 2735235 1200 Harbor Boulevard Weehawken NJ NEW JERSEY 07086 CA CALIFORNIA false UBS Financial Services, Inc. 8174 Daniel Grover 2666954 1200 Harbor Boulevard Weehawken NJ NEW JERSEY 07086 CA CALIFORNIA false Summit Equities, Inc. 11039 Donald Gross 1913749 4 Campus Drive Parsippany NJ NEW JERSEY 07054 CA CALIFORNIA false UBS Financial Services, Inc. 8174 Ross Gaudoin 5500976 1200 Harbor Boulevard Weehawken NJ NEW JERSEY 07086 NJ NEW JERSEY false Indefinite 5000000 Indefinite false 3 127567 0 Issuer pays no sales commissions or finders' fees. LILAC pays all sales commissions or finders' fees from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA107 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2022-04-19