0001941372-22-000001.txt : 20221101 0001941372-22-000001.hdr.sgml : 20221101 20221101125920 ACCESSION NUMBER: 0001941372-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20221101 DATE AS OF CHANGE: 20221101 EFFECTIVENESS DATE: 20221101 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 403 CENTRAL INDEX KEY: 0001941372 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-463462 FILM NUMBER: 221349371 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 0001941372 Lombard International Life Assurance Co Separate Account VL 403 ONE LIBERTY PLACE 1650 MARKET ST., 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2022 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 false 2022-10-27 true true true variable life insurance contracts false 0 Innovation Partners, LLC 146344 Danielle R. Sonnenberg 5884061 5950 Fairview Road Suite 140 Charlotte NC NORTH CAROLINA 28210 DE DELAWARE false Indefinite 1666666 Indefinite false 1 1667 0 Issuer pays sales commissions equal to a percentage of premium received by the Issuer. LILAC will also pay sales commissions from its corporate resources. 20667 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 403 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2022-11-01