0001817613-22-000001.txt : 20220413 0001817613-22-000001.hdr.sgml : 20220413 20220413155523 ACCESSION NUMBER: 0001817613-22-000001 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: 20220413 DATE AS OF CHANGE: 20220413 EFFECTIVENESS DATE: 20220413 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VA 269 CENTRAL INDEX KEY: 0001817613 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-370664 FILM NUMBER: 22824672 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/A 1 primary_doc.xml X0708 D/A LIVE 0001817613 Lombard International Life Assurance Co Separate Account VA 269 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 Street, 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 0001817613-20-000001 2020-06-25 true true true Variable Annuity Contracts false 0 Indefinite 91545695 Indefinite false 2 0 0 0 false Lombard International Life Assurance Co Separate Account VA 269 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2022-04-13