0001760348-22-000001.txt : 20220505 0001760348-22-000001.hdr.sgml : 20220505 20220505085437 ACCESSION NUMBER: 0001760348-22-000001 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: 20220505 DATE AS OF CHANGE: 20220505 EFFECTIVENESS DATE: 20220505 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 204 CENTRAL INDEX KEY: 0001760348 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-327230 FILM NUMBER: 22894310 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 0001760348 Lombard International Life Assurance Co Separate Account VL 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 true 0001760348-20-000001 2018-11-20 true true true variable life insurance contracts false 0 Woodbury Financial Services, Inc. 421 David H. Greenspahn 2710039 7755 3rd Street North Oakdale MN MINNESOTA 55128 AK ALASKA false Indefinite 19476733 Indefinite false 4 163927 0 Issuer pays no sales commissions or finders' fees. LILAC pays sales commissions from its corporate resources. 51848 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 204 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2022-05-05