0001632737-16-000003.txt : 20160309 0001632737-16-000003.hdr.sgml : 20160309 20160308175836 ACCESSION NUMBER: 0001632737-16-000003 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: 20160309 DATE AS OF CHANGE: 20160308 EFFECTIVENESS DATE: 20160309 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 123 CENTRAL INDEX KEY: 0001632737 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-233464 FILM NUMBER: 161492745 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 123 DATE OF NAME CHANGE: 20150204 D/A 1 primary_doc.xml X0707 D/A LIVE 0001632737 Lombard International Life Assurance Co Separate Account VA 123 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA Philadelphia Financial Life Assurance Co Separate Account VA 123 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 formed under Pennsylvania insurance law. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 0001632737-15-000001 2015-01-27 true true true variable annuity contracts false 0 M Holdings Securities, Inc 43285 Michael B. Liebeskind 1219051 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 IL ILLINOIS NJ NEW JERSEY false Indefinite 1850000 Indefinite false 2 3301 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 VA 123 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2016-03-08