0001726772-19-000002.txt : 20190510 0001726772-19-000002.hdr.sgml : 20190510 20190510105535 ACCESSION NUMBER: 0001726772-19-000002 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: 20190510 DATE AS OF CHANGE: 20190510 EFFECTIVENESS DATE: 20190510 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 195 CENTRAL INDEX KEY: 0001726772 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-302273 FILM NUMBER: 19813411 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 0001726772 Lombard International Life Assurance Co Separate Account VA 195 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 0001726772-18-000001 2017-12-20 true true true variable annuity contracts false 0 Innovation Partners, LLC 146344 Gerald R. Nowotny 1761926 5950 Fairview Road Suite 806 Charlotte NC NORTH CAROLINA 28210 NC NORTH CAROLINA false Indefinite 5000000 Indefinite false 1 15290 0 Issuer pays no sales commissions or finders' fees. LILAC will pay sales commissions from its corporate resources. 0 false Lombard International Life Assurance Co Separate Account VA 195 /s/ Paul Ryan Henry Paul Ryan Henry Senior Director & Counsel 2019-05-10