0001633950-15-000001.txt : 20150501 0001633950-15-000001.hdr.sgml : 20150501 20150501155954 ACCESSION NUMBER: 0001633950-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20150501 DATE AS OF CHANGE: 20150501 EFFECTIVENESS DATE: 20150501 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Union Labor Life Insurance Co Separate Account R CENTRAL INDEX KEY: 0001633950 IRS NUMBER: 131423090 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-239037 FILM NUMBER: 15824227 BUSINESS ADDRESS: STREET 1: 8403 COLESVILLE ROAD STREET 2: 13TH FLOOR CITY: SILVER SPRING STATE: MD ZIP: 20910 BUSINESS PHONE: 202-682-7927 MAIL ADDRESS: STREET 1: 8403 COLESVILLE ROAD STREET 2: 13TH FLOOR CITY: SILVER SPRING STATE: MD ZIP: 20910 D 1 primary_doc.xml X0707 D LIVE 0001633950 Union Labor Life Insurance Co Separate Account R 8403 COLESVILLE ROAD 13TH FLOOR SILVER SPRING MD MARYLAND 20910 202-682-7927 MARYLAND None None Other Insurance company comingled account true David Barra 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Edward Smith 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Herbert Kolben 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Damon Gasque 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Adam Fried 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director John Hoffen 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Director Cathy Humphrey 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Joseph Linehan 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Director Daniel Wolak 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Director Pooled Investment Fund Other Investment Fund false $5,000,001 - $25,000,000 06b 3C 3C.1 false true true true false 500000 Pistner, Michael 2932182 ULLICO Investment Company, Inc. 135195 8403 Colesville Rd Silver Spring MD MARYLAND 20910 All States false Nisson, Deborah 5764373 ULLICO Investment Company, Inc. 135195 8403 Colesville Rd Silver Spring MD MARYLAND 20910 All States false Goetz, Griffin 5830895 ULLICO Investment Company, Inc. 135195 8403 Colesville Rd Silver Spring MD MARYLAND 20910 All States false Norkus, Michael 5964441 ULLICO Investment Company, Inc. 135195 8403 Colesville Rd Silver Spring MD MARYLAND 20910 All States false Howe, Luke 5779141 Ullico Investment Company, Inc. 135195 111 S. Wacker Dr Suite 3925 Chicago IL ILLINOIS 60606 All States false Indefinite 0 Indefinite true 0 0 0 0 0 false Union Labor Life Insurance Co Separate Account R Cathy Humphrey Cathy Humphrey VP, Investment Operations 2015-05-01