0001659791-15-000001.txt : 20151203 0001659791-15-000001.hdr.sgml : 20151203 20151203151821 ACCESSION NUMBER: 0001659791-15-000001 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: 20151203 DATE AS OF CHANGE: 20151203 EFFECTIVENESS DATE: 20151203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 136 CENTRAL INDEX KEY: 0001659791 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-252363 FILM NUMBER: 151267246 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 D 1 primary_doc.xml X0707 D LIVE 0001659791 Lombard International Life Assurance Co Separate Account VA 136 ONE LIBERTY PLACE 1650 MARKET STREET, 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None 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 false 2015-11-24 true true true variable annuity contracts false 0 M Holdings Securities, Inc 43285 Kevin Murphy 2765775 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false M Holdings Securities, Inc 43285 Michael Moorhead 2999676 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false Indefinite 1116418 Indefinite false 1 2791 0 Issuer pays sales commissions which are equal to a percentage of the premium received by the Issuer. LILAC also pays sales commissions from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA 136 /s/ John F Reilly John F Reilly Senior Vice President and Deputy General Counsel 2015-12-03