0001804251-20-000001.txt : 20200227 0001804251-20-000001.hdr.sgml : 20200227 20200227093838 ACCESSION NUMBER: 0001804251-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20200227 DATE AS OF CHANGE: 20200227 EFFECTIVENESS DATE: 20200227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 258 CENTRAL INDEX KEY: 0001804251 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-361446 FILM NUMBER: 20658795 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: (484) 530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 D 1 primary_doc.xml X0708 D LIVE 0001804251 Lombard International Life Assurance Co Separate Account VL 258 ONE LIBERTY PLACE 1650 MARKET ST., 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2020 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.1 false 2020-02-13 true true true variable life insurance contracts false 0 Lombard International Distribution Company 38383 Timothy G. McCarty 6230730 One Liberty Place 1650 Market St., 54th Floor Philadelphia PA PENNSYLVANIA 19103 WV WEST VIRGINIA false Indefinite 1000000 Indefinite false 1 5000 0 Issuer pays a sales commission which is equal to a percentage of premium received by the Issuer. 43000 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 258 /s/ Paul Ryan Henry Paul Ryan Henry Senior Director & Counsel 2020-02-27