0001867784-21-000002.txt : 20211004
0001867784-21-000002.hdr.sgml : 20211004
20211004120758
ACCESSION NUMBER: 0001867784-21-000002
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: 20211004
DATE AS OF CHANGE: 20211004
EFFECTIVENESS DATE: 20211004
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pruco Life Variable Contract Account MSA 005
CENTRAL INDEX KEY: 0001867784
IRS NUMBER: 221944557
STATE OF INCORPORATION: AZ
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-410715
FILM NUMBER: 211301584
BUSINESS ADDRESS:
STREET 1: 213 WASHINGTON STREET
CITY: NEWARK
STATE: NJ
ZIP: 07102
BUSINESS PHONE: 8007782255
MAIL ADDRESS:
STREET 1: 213 WASHINGTON STREET
CITY: NEWARK
STATE: NJ
ZIP: 07102
D/A
1
primary_doc.xml
X0708
D/A
LIVE
0001867784
Pruco Life Variable Contract Account MSA 005
213 WASHINGTON STREET
NEWARK
NJ
NEW JERSEY
07102
8007782255
ARIZONA
None
None
Other
Separate Account
true
2021
Markus
Coombs
213 Washington St
Newark
NJ
NEW JERSEY
07102
Director
Caroline
A.
Feeney
213 Washington St
Newark
NJ
NEW JERSEY
07102
Director
Salene
Hitchcock-Gear
213 Washington St
Newark
NJ
NEW JERSEY
07102
Director
Susan
M.
Mann
213 Washington St
Newark
NJ
NEW JERSEY
07102
Director
Nandini
Mongia
751 Broad St.
Newark
NJ
NEW JERSEY
07102
Director
Dylan
J.
Tyson
1 Corporate Dr.
Shelton
CT
CONNECTICUT
06484
Director
Candace
J.
Woods
751 Broad Street
Newark
NJ
NEW JERSEY
07102
Director
Todd
Bryden
280 Trumbull St
Hartford
CT
CONNECTICUT
06103
Executive Officer
William
J.
Evers
213 Washington St
Newark
NJ
NEW JERSEY
07102
Executive Officer
Lynn
K.
Stone
1 Corporate Dr.
Shelton
CT
CONNECTICUT
06484
Executive Officer
Jordan
K.
Thomsen
213 Washington St
Newark
NJ
NEW JERSEY
07102
Executive Officer
Pooled Investment Fund
Other Investment Fund
false
Decline to Disclose
- 06b
- 3C
- 3C.7
true
0001867784-21-000001
2021-08-02
true
true
true
Separate Account interests that support
variable life insurance contracts.
false
5000000
Various Agents
None
Pruco Securities LLC
5685
751 Broad St.
Newark
NJ
NEW JERSEY
07102
AL
ALABAMA
AK
ALASKA
AZ
ARIZONA
AR
ARKANSAS
CA
CALIFORNIA
CO
COLORADO
CT
CONNECTICUT
DE
DELAWARE
DC
DISTRICT OF COLUMBIA
FL
FLORIDA
GA
GEORGIA
HI
HAWAII
ID
IDAHO
IL
ILLINOIS
IN
INDIANA
IA
IOWA
KS
KANSAS
KY
KENTUCKY
LA
LOUISIANA
ME
MAINE
MD
MARYLAND
MA
MASSACHUSETTS
MI
MICHIGAN
MN
MINNESOTA
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MISSISSIPPI
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MISSOURI
MT
MONTANA
NE
NEBRASKA
NV
NEVADA
NH
NEW HAMPSHIRE
NJ
NEW JERSEY
NM
NEW MEXICO
NC
NORTH CAROLINA
ND
NORTH DAKOTA
OH
OHIO
OK
OKLAHOMA
OR
OREGON
PA
PENNSYLVANIA
PR
PUERTO RICO
RI
RHODE ISLAND
SC
SOUTH CAROLINA
SD
SOUTH DAKOTA
TN
TENNESSEE
TX
TEXAS
UT
UTAH
VT
VERMONT
VA
VIRGINIA
WA
WASHINGTON
WV
WEST VIRGINIA
WI
WISCONSIN
WY
WYOMING
false
Indefinite
7468000
Indefinite
false
1
13529
0
0
false
Pruco Life Variable Contract Account MSA 005
Jordan K. Thomsen
Jordan K. Thomsen
Vice President and Corporate Counsel
2021-10-04