0001610286-14-000002.txt : 20140707 0001610286-14-000002.hdr.sgml : 20140704 20140707163643 ACCESSION NUMBER: 0001610286-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20140707 DATE AS OF CHANGE: 20140707 EFFECTIVENESS DATE: 20140707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ZALICONY HNW PPVA Series Account - 1 CENTRAL INDEX KEY: 0001610286 IRS NUMBER: 274746162 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-220492 FILM NUMBER: 14963340 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLAZA STREET 2: 165 BROADWAY, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 BUSINESS PHONE: 877-301-5376 MAIL ADDRESS: STREET 1: ONE LIBERTY PLAZA STREET 2: 165 BROADWAY, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 FORMER COMPANY: FORMER CONFORMED NAME: Zurich American Life Insurance Co of New York DATE OF NAME CHANGE: 20140609 D 1 primary_doc.xml X0707 D LIVE 0001610286 ZALICONY HNW PPVA Series Account - 1 ONE LIBERTY PLAZA 165 BROADWAY, 21ST FLOOR NEW YORK NY NEW YORK 10006 877-301-5376 NEW YORK Zurich American Life Insurance Co of New York Other Insurance Company Separate Account true David Dietz One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer President, Chief Executive Officer and Chairman of Zurich American Life Insurance Company of New York (ZALICONY) Simon Lodge One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Chief Financial Officer of ZALICONY Juanita Thomas 1114 Georgia Street Louisiana MO MISSOURI 63353 Executive Officer Corporate Secretary of ZALICONY Cathy Ehrlich One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Chief Actuary of ZALICONY Patrick Carty One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Director Director, Vice President and General Counsel of ZALICONY Kenneth Carroll One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Ira Kleinman One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Audrey Martin One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Elizabeth McInerney One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Director Vice President, Chief Operations Officer and Director of ZALICONY Louis Pietroluongo One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Dennis Roberts 2000 West Sam Houston Parkway South Houston TX TEXAS 77042 Executive Officer Vice President of ZALICONY Diane Davis 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President and Chief Risk Officer of ZALICONY Michael Rohwetter One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Chief Investment Officer of ZALICONY Jon Nagel One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Corporate Secretary of ZALICONY Lisa Baltazar One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Corporate Secretary of ZALICONY Eric Chandler 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Assistant Corporate Secretary of ZALICONY Dave Dampman 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Assistant Vice President and Regulation 60 Officer of ZALICONY Dawn Cummings-Fritz 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President - Tax of ZALICONY Ryan Gibbons 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President - Tax of ZALICONY Richard Hauser 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President - Tax of ZALICONY Margaret Labno 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President - Tax of ZALICONY Mary Denig One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Vice President, Actuary of ZALICONY Matt Wolf One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Vice President, Actuary of ZALICONY Leann Badgett 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Assistant Vice President and Controller of ZALICONY Eileen Ehlers 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Assistant Vice President, Underwriting of ZALICONY Jeffrey Horton One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Treasurer of ZALICONY Richard Grilli One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Treasurer of ZALICONY Cathy Hall 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President and Chief Compliance Officer of ZALICONY John Patton 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President, Claims of ZALICONY Insurance Decline to Disclose 06c 3C 3C.7 false 2014-04-28 true true Interests in ZALICONY HNW PPVA Series Account - 1 pursuant to variable life insurance policies false 1000000 Morgan Stanley Smith Barney 149777 None None 2000 Westchester Ave 2nd Floor Purchase NY NEW YORK 10577 NY NEW YORK false Deborah Montaperto 1669425 Morgan Stanley 149777 399 Park Avenue 12th Floor New York NY NEW YORK 10022 NY NEW YORK false Indefinite 20000000 Indefinite false 1 388600 0 0 ZALICONY deducts charges from premium and policy values per terms of applicable insurance contract. false ZALICONY HNW PPVA Series Account - 1 Richard Grilli Richard Grilli Assistant Treasurer 2014-07-07