0001708677-19-000001.txt : 20190416 0001708677-19-000001.hdr.sgml : 20190416 20190416135436 ACCESSION NUMBER: 0001708677-19-000001 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: 20190416 DATE AS OF CHANGE: 20190416 EFFECTIVENESS DATE: 20190416 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 176 CENTRAL INDEX KEY: 0001708677 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-288256 FILM NUMBER: 19750645 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE, 1650 MARKET STREET STREET 2: 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: (484) 530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE, 1650 MARKET STREET STREET 2: 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 D/A 1 primary_doc.xml X0708 D/A LIVE 0001708677 Lombard International Life Assurance Co Separate Account VA 176 ONE LIBERTY PLACE, 1650 MARKET STREET 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2017 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 0001708677-18-000002 2017-06-05 true true true variable annuity contracts false 0 M Holdings Securities, Inc 43285 David D. Ehlert 1181878 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false M Financial Securities Marketing, Inc. 139304 David D. Ehlert 1181878 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 CA CALIFORNIA false Indefinite 40666718 Indefinite false 3 129129 0 Issuer pays no sales commissions or finders' fees. LILAC pays all sales commissions from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA 176 /s/ Paul Ryan Henry Paul Ryan Henry Senior Director & Counsel 2019-04-16