0001602209-14-000001.txt : 20140529 0001602209-14-000001.hdr.sgml : 20140529 20140529162152 ACCESSION NUMBER: 0001602209-14-000001 CONFORMED SUBMISSION TYPE: D 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: 20140529 DATE AS OF CHANGE: 20140529 EFFECTIVENESS DATE: 20140529 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Philadelphia Financial Life Assurance Co Separate Account VA 111 CENTRAL INDEX KEY: 0001602209 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-218223 FILM NUMBER: 14876337 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 D 1 primary_doc.xml X0707 D LIVE 0001602209 Philadelphia Financial Life Assurance Co Separate Account VA 111 ONE LIBERTY PLACE 1650 MARKET STREET - 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2014 PFLAC Philadelphia Financial Life Assurance Company One Liberty Place 1650 Market St., 54th Floor Philadelphia PA PENNSYLVANIA 19103 Promoter Issuer is insurance company separate account authorized by Pennsylvania insurance statute. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false 2014-05-14 true true true variable annuity contract false 0 Summit Equities 11039 Lawrence Bell 2227247 4 Campus Drive Parsippany NJ NEW JERSEY 07054 IL ILLINOIS false Indefinite 1500000 Indefinite false 1 15000 0 Issuer pays no Sales Commissions or Finders' Fees. PFLAC pays all Sales Commissions or Finders' Fees from its corporate resources. 0 false Philadelphia Financial Life Assurance Co Separate Account VA 111 /s/ John F. Reilly John F. Reilly Vice President and Senior Counsel 2014-05-29