0001958257-24-000002.txt : 20240819 0001958257-24-000002.hdr.sgml : 20240819 20240819112525 ACCESSION NUMBER: 0001958257-24-000002 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: 20240819 DATE AS OF CHANGE: 20240819 EFFECTIVENESS DATE: 20240819 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Axcelus Financial Life Insurance Co Separate Account VL 412 CENTRAL INDEX KEY: 0001958257 ORGANIZATION NAME: IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-472419 FILM NUMBER: 241218977 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 8TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: (484) 530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE STREET 2: 1650 MARKET ST., 8TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 412 DATE OF NAME CHANGE: 20221214 D/A 1 primary_doc.xml X0708 D/A LIVE 0001958257 Axcelus Financial Life Insurance Co Separate Account VL 412 ONE LIBERTY PLACE 1650 MARKET ST., 8TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA Lombard International Life Assurance Co Separate Account VL 412 Other insurance company separate account true 2022 Axcelus Financial Axcelus Financial Life Insurance Company One Liberty Place 1650 Market St., 8th Floor Philadelphia PA PENNSYLVANIA 19103 Promoter Issuer is an insurance company separate account formed under Pennsylvania law. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 0001958257-23-000001 2023-01-31 true true true variable life insurance contracts false 0 M Holdings Securities, Inc. 43285 Michael A. Mingolelli 4744404 1125 N.W. Couch Street Suite 900 Portland OR OREGON 97209 SD SOUTH DAKOTA false Indefinite 15888369 Indefinite false 3 25303 0 Issuer pays no sales commissions or finders' fees. Axcelus Financial will pay sales commissions from its corporate resources. 212734 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Axcelus Financial Life Insurance Co Separate Account VL 412 /s/ Paul Ryan Henry Paul Ryan Henry SVP & Deputy General Counsel 2024-08-19