FORM D
Notice of Exempt Offering of Securities

UNITED STATES SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C.

OMB APPROVAL
OMB Number: 3235-0076
Estimated Average burden hours per response: 4.0
1. Issuer's Identity
CIK (Filer ID Number)Previous Name(s)Checkbox checkedNoneEntity Type
0001537090
Radio button not checkedCorporation
Radio button not checked Limited Partnership
Radio button not checked Limited Liability Company
Radio button not checked General Partnership
Radio button not checked Business Trust
Radio button checkedOther
Insurance Company Separate Account
 
Name of Issuer
 HNW PPVUL Series Account - 1
Jurisdiction of Incorporation/Organization
ILLINOIS 
Year of Incorporation/Organization
Radio button checkedOver Five Years Ago
Radio button not checkedWithin Last Five Years (Specify Year)
 
Radio button not checkedYet to Be Formed
 
  
  
 
2. Principal Place of Business and Contact Information
Name of Issuer
 HNW PPVUL Series Account - 1
Street Address 1Street Address 2
 1299 Zurich Way
 
CityState/Province/CountryZIP/Postal CodePhone No. of Issuer
 SCHAUMBURG
 ILLINOIS
 
 60196
 425-577-5100 




1. Issuer's Identity
CIK (Filer ID Number)Previous Name(s)Checkbox not checkedNoneEntity Type
0000351754
KEMPER INVESTORS LIFE INSURANCE CO
Radio button checkedCorporation
Radio button not checked Limited Partnership
Radio button not checked Limited Liability Company
Radio button not checked General Partnership
Radio button not checked Business Trust
Radio button not checkedOther 
Name of Issuer
Zurich American Life Insurance Co
Jurisdiction of Incorporation/Organization
ILLINOIS
Year of Incorporation/Organization
Radio button checkedOver Five Years Ago
Radio button not checkedWithin Last Five Years (Specify Year)
 
Radio button not checkedYet to Be Formed
  
  
 
2. Principal Place of Business and Contact Information
Name of Issuer
Zurich American Life Insurance Co
Street Address 1Street Address 2
 1299 Zurich Way
 
CityState/Province/CountryZIP/Postal CodePhone No. of Issuer
SCHAUMBURG
ILLINOIS
60196
425-577-5100



3. Related Persons

Last NameFirst NameMiddle Name
Zurich American Life Insurance Company
n/a
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox not checkedDirectorCheckbox checkedPromoter
Clarification of Response (if Necessary)
Zurich American Life Insurance Company is responsible for organizing the business of HNW PPVUL Series Account - 1



Last NameFirst NameMiddle Name
Fike
David
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director, President and Chief Executive Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Broek
Debra
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Tengtio
Oscar
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President, Chief Financial Officer and Treasurer of Zurich American Life Insurance Company ad interim



Last NameFirst NameMiddle Name
Lazarczyk
Laura
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director, Vice President, General Counsel and Corporate Secretary of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Hauser
Richard
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director and Assistant Secretary of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Ehrlich
Cathy
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Illustration Actuary of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Rohwetter
Michael
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President and Chief Investment Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Rehman
Farah
Street Address 1Street Address 2
 2000 West Sam Houston Parkway South 
 
CityState/Province/CountryZIP/Postal Code
 Houston
 TEXAS
 77042
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President and Responsible Officer, Illustrations of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Hirs
Peter
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Chairman and Director of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Dampman
Dave
Street Address 1Street Address 2
 7045 College Boulevard 
 
CityState/Province/CountryZIP/Postal Code
 Overland Park
 KANSAS
 66211
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President, Operations of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Thomas
Juanita
Street Address 1Street Address 2
 4962 Cross Pointe Drive 
 
CityState/Province/CountryZIP/Postal Code
 Oldsmar
 FLORIDA
 34677
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President and 38a-1 Chief Compliance Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
McNamara
Eoin
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President and Chief Risk Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Pietroluongo
Louis
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Adam
Page
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Chief Information Security Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Dunajewski
Stefan
Street Address 1Street Address 2
 4 World Trade Center 
 
CityState/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10007
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Vice President and Chief Actuary of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Kniper
Mark
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Daniel
Bob
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Controller of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Larson
Jane
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Chief Compliance Officer of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Junus
Novian
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox checkedExecutive OfficerCheckbox not checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Appointed Actuary of Zurich American Life Insurance Company



Last NameFirst NameMiddle Name
Kleinman
Ira
Street Address 1Street Address 2
 1299 Zurich Way 
 
CityState/Province/CountryZIP/Postal Code
 Schaumburg
 ILLINOIS
 60196
 
Relationship:Checkbox not checkedExecutive OfficerCheckbox checkedDirectorCheckbox not checkedPromoter
Clarification of Response (if Necessary)
Director of ZALICO





4. Industry Group
 Radio button not checkedAgriculture
Banking & Financial Services
 Radio button not checked Commercial Banking
 Radio button checked Insurance
 Radio button not checkedInvesting
 Radio button not checked Investment Banking
 Radio button not checked Pooled Investment Fund

 Radio button not checkedOther Banking & Financial Services
Radio button not checked Business Services
Energy
 Radio button not checked Coal Mining
 Radio button not checked Electric Utilities
 Radio button not checked Energy Conservation
 Radio button not checked Environmental Services
 Radio button not checked Oil & Gas
 Radio button not checked Other Energy
Health Care
 Radio button not checked Biotechnology
 Radio button not checked Health Insurance
 Radio button not checked Hospitals & Physicians
 Radio button not checked Pharmaceuticals
 Radio button not checked Other Health Care
   
   
   
  
Radio button not checked Manufacturing
Real Estate
 Radio button not checkedCommercial
 Radio button not checkedConstruction
 Radio button not checkedREITS & Finance
 Radio button not checkedResidential
Radio button not checkedOther Real Estate
Radio button not checked Retailing
Radio button not checkedRestaurants
Technology
Radio button not checked Computers
Radio button not checked Telecommunications
Radio button not checked Other Technology
Travel
Radio button not checked Airlines & Airports
Radio button not checked Lodging & Conventions
Radio button not checked Tourism & Travel Services
Radio button not checked Other Travel
Radio button not checkedOther

  
   
5. Issuer Size
Revenue RangeAggregate Net Asset Value Range
Radio button not checkedNo RevenuesRadio button not checked No Aggregate Net Asset Value
Radio button not checked $1 - $1,000,000Radio button not checked$1 - $5,000,000
Radio button not checked $1,000,001 - $5,000,000Radio button not checked $5,000,001 - $25,000,000
Radio button not checked$5,000,001 - $25,000,000Radio button not checked $25,000,001 - $50,000,000
Radio button not checked$25,000,001 - $100,000,000Radio button not checked $50,000,001 - $100,000,000
Radio button not checked Over $100,000,000Radio button not checked Over $100,000,000
Radio button checked Decline to Disclose Radio button not checkedDecline to Disclose
Radio button not checked Not ApplicableRadio button not checked Not Applicable

 
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
Checkbox not checkedRule 504(b)(1) (not (i), (ii)
or (iii))
Checkbox not checkedRule 506(b)      
Checkbox not checkedRule 504 (b)(1)(i) Checkbox checkedRule 506(c)
Checkbox not checkedRule 504 (b)(1)(ii) Checkbox not checkedSecurities Act Section 4(a)(5)
Checkbox not checkedRule 504 (b)(1)(iii)Checkbox checkedInvestment Company Act Section 3(c)
Checkbox not checkedSection 3(c)(1)Checkbox not checkedSection 3(c)(9)
Checkbox not checkedSection 3(c)(2)Checkbox not checkedSection 3(c)(10)
Checkbox not checkedSection 3(c)(3)Checkbox not checkedSection 3(c)(11)
Checkbox not checkedSection 3(c)(4)Checkbox not checkedSection 3(c)(12)
Checkbox not checkedSection 3(c)(5)Checkbox not checkedSection 3(c)(13)
Checkbox not checkedSection 3(c)(6)Checkbox not checkedSection 3(c)(14)
Checkbox checkedSection 3(c)(7)
 
 

7. Type of Filing
Checkbox not checked New Notice Date of First Sale 
2012-02-08
Checkbox not checked First Sale Yet to Occur
Checkbox checked Amendment


 
 
8. Duration of Offering
Does the Issuer intend this offering to last more than one year? Radio button checked Yes Radio button not checked No
 
 
9. Type(s) of Securities Offered (select all that apply)
Checkbox not checkedPooled Investment Fund InterestsCheckbox not checkedEquity
Checkbox not checkedTenant-in-Common Securities Checkbox not checkedDebt
Checkbox not checkedMineral Property SecuritiesCheckbox not checkedOption, Warrant or Other Right to Acquire Another Security
Checkbox not checkedSecurity to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire SecurityCheckbox checkedOther (describe)
Interests in ZALICO's HNW PPVUL Series Account-1 issued pursuant to variable life insurance policies.
 
 
10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? Radio button not checked Yes Radio button checked No
Clarification of Response (if Necessary)
 
 
 
11. Minimum Investment
Minimum investment accepted from any outside investor$
 100000
USD

12. Sales Compensation
Recipient Recipient CRD NumberCheckbox not checkedNone
 M Holdings Securities, Inc.
 43285
(Associated) Broker or DealerCheckbox checkedNone(Associated) Broker or Dealer CRD Number Checkbox checkedNone
  
  
Street Address 1      Street Address 2
1125 NW Couch Street #900
 
City State/Province/CountryZIP/Postal Code
 Portland
 OREGON
 97209
State(s) of SolicitationCheckbox checkedAll StatesCheckbox not checkedForeign/Non-US
 

Recipient Recipient CRD NumberCheckbox checkedNone
 Winged Keel Group, Inc.
  
(Associated) Broker or DealerCheckbox not checkedNone(Associated) Broker or Dealer CRD Number Checkbox not checkedNone
 M Holdings Securities, Inc.
 43285
Street Address 1      Street Address 2
1700 Broadway
34th Floor
City State/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10019
State(s) of SolicitationCheckbox checkedAll StatesCheckbox not checkedForeign/Non-US
 

Recipient Recipient CRD NumberCheckbox not checkedNone
 Michael B. Liebeskind
 1219051
(Associated) Broker or DealerCheckbox not checkedNone(Associated) Broker or Dealer CRD Number Checkbox not checkedNone
 M Holdings Securities, Inc.
 43285
Street Address 1      Street Address 2
1700 Broadway
34th Floor
City State/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10019
State(s) of SolicitationCheckbox checkedAll StatesCheckbox not checkedForeign/Non-US
 

Recipient Recipient CRD NumberCheckbox not checkedNone
 Eric Naison-Phillips
 5155539
(Associated) Broker or DealerCheckbox not checkedNone(Associated) Broker or Dealer CRD Number Checkbox not checkedNone
 M Holdings Securities, Inc.
 43285
Street Address 1      Street Address 2
1700 Broadway
34th Floor
City State/Province/CountryZIP/Postal Code
 New York
 NEW YORK
 10019
State(s) of SolicitationCheckbox checkedAll StatesCheckbox not checkedForeign/Non-US
 




13. Offering and Sales Amounts
 
Total Offering Amount $
 
USDCheckbox checkedIndefinite
Total Amount Sold $
418994005
USD
Total Remaining to be Sold $
 
USDCheckbox checkedIndefinite
Clarification of Response (if Necessary)
$418,994,005 is total amount of premium received
 
14. Investors

Checkbox not checkedSelect if securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of such non-accredited investors who already have invested in the offering
   
  Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering:
115
 
15. Sales Commissions & Finders’ Fees Expenses
Provide separately the amounts of sales commissions and finders' fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions$
2403853
USDCheckbox checkedEstimate
Finders' Fees$
0
USDCheckbox not checkedEstimate
Clarification of Response (if Necessary)
 
 

16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
 $ 
0
USDCheckbox not checkedEstimate
Clarification of Response (if Necessary)
Zurich American Life Insurance Company deducts charges from premium and policy values per terms of applicable insurance contract.

Signature and Submission
 
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission 
 In submitting this notice, each Issuer named above is: 
 
  • Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, the information furnished to offerees.
  • Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the Issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against it in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of:  (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
  • Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Rule 504 or Rule 506 for one of the reasons stated in Rule 504(b)(3) or Rule 506(d).
 
Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
Checkbox checkedI also am a duly authorized representative of the other identified issuer(s) in Item 1 above and authorized to sign on their behalf.
 
All IssuersSignatureName of SignerTitleDate
HNW PPVUL Series Account - 1Dave DampmanDave DampmanVice President, Operations2021-08-09