0001738509-18-000001.txt : 20180426 0001738509-18-000001.hdr.sgml : 20180426 20180426164309 ACCESSION NUMBER: 0001738509-18-000001 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: 20180426 DATE AS OF CHANGE: 20180426 EFFECTIVENESS DATE: 20180426 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 204 CENTRAL INDEX KEY: 0001738509 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-311100 FILM NUMBER: 18779222 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 1 primary_doc.xml X0708 D LIVE 0001738509 Lombard International Life Assurance Co Separate Account VA 204 ONE LIBERTY PLACE, 1650 MARKET STREET 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2018 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 2018-04-20 true true true variable annuity contracts false 0 M Holdings Securities, Inc 43285 Eric Naison-Phillips 5155539 1125 NW Couch Street Suite 900 Portland OR OREGON 97209 NJ NEW JERSEY false M Financial Securities Marketing, Inc. 139304 Eric Naison-Phillips 5155539 1125 NW Couch Street Suite 900 Portland PA PENNSYLVANIA 97209 NJ NEW JERSEY false Indefinite 2000000 Indefinite false 1 0 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 204 /s/ P. Ryan Henry P. Ryan Henry Director and Counsel 2018-04-26