0001638903-15-000001.txt : 20150422 0001638903-15-000001.hdr.sgml : 20150422 20150422110342 ACCESSION NUMBER: 0001638903-15-000001 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: 20150422 DATE AS OF CHANGE: 20150422 EFFECTIVENESS DATE: 20150422 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Crown Global Insurance Co of America - Separate Account 103 CENTRAL INDEX KEY: 0001638903 IRS NUMBER: 990374622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-238436 FILM NUMBER: 15784815 BUSINESS ADDRESS: STREET 1: 1000 N. WEST STREET STREET 2: SUITE 1200 CITY: WILMINGTON STATE: DE ZIP: 19801 BUSINESS PHONE: 302-357-9581 MAIL ADDRESS: STREET 1: 1000 N. WEST STREET STREET 2: SUITE 1200 CITY: WILMINGTON STATE: DE ZIP: 19801 D 1 primary_doc.xml X0707 D LIVE 0001638903 Crown Global Insurance Co of America - Separate Account 103 1000 N. WEST STREET SUITE 1200 WILMINGTON DE DELAWARE 19801 302-357-9581 DELAWARE None None Corporation true 2012 Alex Seldin 156 West 56th Street Suite 702 New York NY NEW YORK 10019 Executive Officer Vice President and Secretary Perry Lerner 156 West 56th Street Suite 702 New York NY NEW YORK 10019 Executive Officer Chairman and Chief Executive Officer Christopher Calise 156 West 56th Street Suite 702 New York NY NEW YORK 10019 Executive Officer President and Chief Financial Officer Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 false 2015-03-09 true true false 250000 Indefinite 250000 Indefinite false 1 0 0 0 false Crown Global Insurance Co of America - Separate Account 103 /s/ Alex Seldin Alex Seldin Vice President & General Counsel 2015-04-22