0001971437-23-000001.txt : 20230627 0001971437-23-000001.hdr.sgml : 20230627 20230627101012 ACCESSION NUMBER: 0001971437-23-000001 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: 20230627 DATE AS OF CHANGE: 20230627 EFFECTIVENESS DATE: 20230627 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 421 CENTRAL INDEX KEY: 0001971437 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-485211 FILM NUMBER: 231044712 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 0001971437 Lombard International Life Assurance Co Separate Account VL 421 ONE LIBERTY PLACE 1650 MARKET ST., 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2023 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 2023-06-16 true true true variable life insurance contracts false 0 M Holdings Securities, Inc. 43285 Eric Naison-Phillips 5155539 1125 N.W. Couch Street Suite 900 Portland OR OREGON 97209 DE DELAWARE false Indefinite 200000 Indefinite false 1 0 0 Issuer pays no sales commissions or finders' fees. LILAC will pay all sales commissions from its corporate resources. 10000 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 421 /s/ Paul Ryan Henry Paul Ryan Henry VP & Associate General Counsel 2023-06-27