0001738509-23-000001.txt : 20230524 0001738509-23-000001.hdr.sgml : 20230524 20230524095425 ACCESSION NUMBER: 0001738509-23-000001 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: 20230524 DATE AS OF CHANGE: 20230524 EFFECTIVENESS DATE: 20230524 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-311100 FILM NUMBER: 23951467 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 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 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 0001738509-18-000001 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 First Liberties Financial 14432 Thomas J Carstens 2141430 15150 Preston Road Suite 300 Dallas TX TEXAS 75248 CT CONNECTICUT false Indefinite 3000000 Indefinite false 2 27769 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 204 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2023-05-24