0001941373-23-000001.txt : 20230420 0001941373-23-000001.hdr.sgml : 20230420 20230420111408 ACCESSION NUMBER: 0001941373-23-000001 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: 20230420 DATE AS OF CHANGE: 20230420 EFFECTIVENESS DATE: 20230420 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-459545 FILM NUMBER: 23831927 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 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 true 0001941373-22-000001 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 IL ILLINOIS SD SOUTH DAKOTA false The Leaders Group, Inc. 37157 Scott G. Whitehead 2400533 26 W. Dry Creek Circle Suite 800 Littleton CO COLORADO 80120 IL ILLINOIS SD SOUTH DAKOTA false The Leaders Group, Inc. 37157 Jonathan M. Donfeld 5845355 26 W. Dry Creek Circle Suite 800 Littleton CO COLORADO 80120 IL ILLINOIS SD SOUTH DAKOTA false Indefinite 35589711 Indefinite false 62 7981 0 Issuer pays no sales commissions or finders' fees. LILAC pays all sales commissions from its corporate resources. 651945 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 2023-04-20