0001602209-16-000002.txt : 20160318 0001602209-16-000002.hdr.sgml : 20160318 20160318164029 ACCESSION NUMBER: 0001602209-16-000002 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: 20160318 DATE AS OF CHANGE: 20160318 EFFECTIVENESS DATE: 20160318 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-218223 FILM NUMBER: 161516529 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 111 DATE OF NAME CHANGE: 20140310 D/A 1 primary_doc.xml X0707 D/A LIVE 0001602209 Lombard International Life Assurance Co Separate Account VA 111 ONE LIBERTY PLACE 1650 MARKET STREET - 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA Philadelphia Financial Life Assurance Co Separate Account VA 111 Other insurance company separate account true 2014 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 authorized by Pennsylvania insurance statute. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 0001602209-14-000001 2014-05-14 true true true variable annuity contracts false 0 Summit Equities 11039 Lawrence Bell 2227247 4 Campus Drive Parsippany NJ NEW JERSEY 07054 IL ILLINOIS false Indefinite 2000000 Indefinite false 1 43787 0 Issuer pays sales commissions which are equal to a percentage of the premium received by the Issuer. LILAC pays all sales commissions from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA 111 /s/ John F Reilly John F. Reilly Senior Vice President and Deputy General Counsel 2016-03-18