0001941373-22-000001.txt : 20220922 0001941373-22-000001.hdr.sgml : 20220922 20220922094142 ACCESSION NUMBER: 0001941373-22-000001 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: 20220922 DATE AS OF CHANGE: 20220922 EFFECTIVENESS DATE: 20220922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 404 CENTRAL INDEX KEY: 0001941373 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-459545 FILM NUMBER: 221258071 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 0001941373 Lombard International Life Assurance Co Separate Account VL 404 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 2022-09-13 true true true variable life insurance contracts false 0 Lockton Investment Securities, LLC 137476 Suzette M. Clark 3153620 444 N 47th Street Suite 900 Kansas City MO MISSOURI 64112 SD SOUTH DAKOTA false The Leaders Group, Inc. 37157 Scott G. Whitehead 2400533 26 W. Dry Creek Circle Suite 800 Littleton CO COLORADO 80120 SD SOUTH DAKOTA false The Leaders Group, Inc. 37157 Jonathan M. Donfeld 5845355 26 W. Dry Creek Circle Suite 800 Littleton CO COLORADO 80120 SD SOUTH DAKOTA false Indefinite 40000 Indefinite false 4 0 0 Issuer pays no sales commissions or finders' fees. LILAC will pay sales commissions from its corporate resources. 4700 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 404 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2022-09-22