0001636677-17-000002.txt : 20170330 0001636677-17-000002.hdr.sgml : 20170330 20170330112918 ACCESSION NUMBER: 0001636677-17-000002 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)(7) FILED AS OF DATE: 20170330 DATE AS OF CHANGE: 20170330 EFFECTIVENESS DATE: 20170330 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 128 CENTRAL INDEX KEY: 0001636677 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-240897 FILM NUMBER: 17724347 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 128 DATE OF NAME CHANGE: 20150316 D/A 1 primary_doc.xml X0707 D/A LIVE 0001636677 Lombard International Life Assurance Co Separate Account VA 128 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 484-530-4800 PENNSYLVANIA Philadelphia Financial Life Assurance Co Separate Account VA 128 Other insurance company separate account true 2015 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 0001636677-16-000003 2015-05-28 true true true variable annuity contracts false 0 M Holdings Securities, Inc 43285 Brian T. Corley 2735235 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false M Financial Securities Marketing, Inc 139304 Brian T Corley 2735235 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false Indefinite 11054533 Indefinite false 2 122377 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 128 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2017-03-30