0001892111-21-000001.txt : 20211104 0001892111-21-000001.hdr.sgml : 20211104 20211104121929 ACCESSION NUMBER: 0001892111-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211104 DATE AS OF CHANGE: 20211104 EFFECTIVENESS DATE: 20211104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Life Insurance Co CENTRAL INDEX KEY: 0001892111 IRS NUMBER: 843176396 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419837 FILM NUMBER: 211379014 BUSINESS ADDRESS: STREET 1: 240 N DELAWARE STREET CITY: SAN MATEO STATE: CA ZIP: 94401 BUSINESS PHONE: 415-340-5088 MAIL ADDRESS: STREET 1: 240 N DELAWARE STREET CITY: SAN MATEO STATE: CA ZIP: 94401 D 1 primary_doc.xml X0708 D LIVE 0001892111 Amplify Life Insurance Co 240 N DELAWARE STREET SAN MATEO CA CALIFORNIA 94401 415-340-5088 DELAWARE None None Corporation true 2019 Hanna Wu 240 N Delaware Street San Mateo CA CALIFORNIA 94401 Executive Officer Director Promoter Cai Qiyun 240 N Delaware Street San Mateo CA CALIFORNIA 94401 Director Ruth Foxe-Blader 240 N Delaware Street San Mateo CA CALIFORNIA 94401 Director Ian Sigalow 240 N Delaware San Mateo CA CALIFORNIA 94401 Director Other Decline to Disclose 06b false 2021-10-19 false true false 0 11999988 11999988 0 false 8 0 0 0 false Amplify Life Insurance Co /s/ Hanna Wu Hanna Wu CEO 2021-11-04