0001632699-15-000001.txt : 20150924 0001632699-15-000001.hdr.sgml : 20150924 20150924115316 ACCESSION NUMBER: 0001632699-15-000001 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: 20150924 DATE AS OF CHANGE: 20150924 EFFECTIVENESS DATE: 20150924 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Philadelphia Financial Life Assurance Co Separate Account VA 122 CENTRAL INDEX KEY: 0001632699 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-248165 FILM NUMBER: 151122469 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 0001632699 Philadelphia Financial Life Assurance Co Separate Account VA 122 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA None None Other insurance company separate account true 2015 PFLAC Philadelphia Financial 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 false 2015-09-18 true true true variable annuity contracts false 0 J. Alden Associates, Inc. 40002 Bennett S. Meyer 1495939 261 Old York Road Suite 837 Jenkintown PA PENNSYLVANIA 19046 TX TEXAS false Indefinite 21246667 Indefinite false 2 42493 0 Issuer pays sales commissions which are equal to a percentage of the premium received by the Issuer. PFLAC also pays sales commissions from its corporate resources. 0 false Philadelphia Financial Life Assurance Co Separate Account VA 122 /s/ John F Reilly John F Reilly Vice President and Deputy General Counsel 2015-09-24