0001633950-16-000002.txt : 20160721 0001633950-16-000002.hdr.sgml : 20160721 20160721155719 ACCESSION NUMBER: 0001633950-16-000002 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)(1) FILED AS OF DATE: 20160721 DATE AS OF CHANGE: 20160721 EFFECTIVENESS DATE: 20160721 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-239037 FILM NUMBER: 161777430 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/A 1 primary_doc.xml X0707 D/A 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 Patrick McGlone 8403 Colesville Rd Silver Spring MD MARYLAND 20910 Executive Officer Pooled Investment Fund Other Investment Fund false $5,000,001 - $25,000,000 06b 3C 3C.1 true 0001633950-15-000001 true true true false 500000 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 2016-07-21