0001605628-16-000002.txt : 20160314 0001605628-16-000002.hdr.sgml : 20160314 20160314145752 ACCESSION NUMBER: 0001605628-16-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20160314 DATE AS OF CHANGE: 20160314 EFFECTIVENESS DATE: 20160314 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ZALICONY HNW PPVA Series Account - 1 CENTRAL INDEX KEY: 0001610286 IRS NUMBER: 274746162 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-220492 FILM NUMBER: 161503517 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLAZA STREET 2: 165 BROADWAY, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 BUSINESS PHONE: 877-301-5376 MAIL ADDRESS: STREET 1: ONE LIBERTY PLAZA STREET 2: 165 BROADWAY, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 FORMER COMPANY: FORMER CONFORMED NAME: Zurich American Life Insurance Co of New York DATE OF NAME CHANGE: 20140609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Zurich American Life Insurance Co CENTRAL INDEX KEY: 0000351754 IRS NUMBER: 363050975 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-220492-01 FILM NUMBER: 161503518 BUSINESS ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60196 BUSINESS PHONE: 425-577-5100 MAIL ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60196 FORMER COMPANY: FORMER CONFORMED NAME: KEMPER INVESTORS LIFE INSURANCE CO DATE OF NAME CHANGE: 19920703 D/A 1 primary_doc.xml X0707 D/A LIVE 0001610286 ZALICONY HNW PPVA Series Account - 1 ONE LIBERTY PLAZA 165 BROADWAY, 21ST FLOOR NEW YORK NY NEW YORK 10006 877-301-5376 NEW YORK Zurich American Life Insurance Co of New York Other Insurance Company Separate Account true 0000351754 Zurich American Life Insurance Co 1400 AMERICAN LANE SCHAUMBURG IL ILLINOIS 60196 877-301-5376 ILLINOIS KEMPER INVESTORS LIFE INSURANCE CO Corporation true David Dietz One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Director President, Chief Executive Officer, Chairperson and Director of Zurich American Life Insurance Company of New York (ZALICONY) Simon Lodge One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Chief Financial Officer of ZALICONY Juanita Thomas 1114 Georgia Street Louisiana MO MISSOURI 63353 Executive Officer Corporate Secretary of ZALICONY Cathy Ehrlich One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President, Chief Actuary and Illustration Actuary of ZALICONY Patrick Carty One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Director Director, Vice President and General Counsel of ZALICONY Kenneth Carroll One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Ira Kleinman One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Audrey Martin One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Elizabeth McInerney One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Director Vice President, Chief Operating Officer and Director of ZALICONY Louis Pietroluongo One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Director Director of ZALICONY Dennis Roberts 2000 West Sam Houston Parkway South Houston TX TEXAS 77042 Executive Officer Vice President and Responsible Officer, Illustrations of ZALICONY Diane Davis 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President and Chief Risk Officer of ZALICONY Michael Rohwetter One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Chief Investment Officer of ZALICONY Jon Nagel One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Corporate Secretary of ZALICONY Lisa Baltazar One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Corporate Secretary and NYS Workers' Compensation Board Qualifying Officer of ZALICONY Eric Chandler 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Assistant Corporate Secretary of ZALICONY Dave Dampman 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Assistant Vice President and Regulation 60 Officer of ZALICONY Dawn Cummings-Fritz 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President-Tax of ZALICONY Ryan Gibbons 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President-Tax of ZALICONY Richard Hauser 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President-Tax of ZALICONY Margaret Labno 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President-Tax of ZALICONY Mary Dening One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Vice President, Actuary of ZALICONY Matt Wolf One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Vice President, Actuary of ZALICONY Leann Badgett 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Assistant Vice President and Controller of ZALICONY Eileen Ehlers 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Assistant Vice President, Underwriting of ZALICONY Jeffrey Horton One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Vice President and Treasurer of ZALICONY Richard Grilli One Liberty Plaza 165 Broadway New York NY NEW YORK 10006 Executive Officer Assistant Treasurer of ZALICONY Cathy Hall 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President and Chief Compliance Officer of ZALICONY John Patton 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President, Claims of ZALICONY Debra Broek One Liberty Plaza New York NY NEW YORK 10006 Director Director of ZALICONY John Miskel One Liberty Plaza New York NY NEW YORK 10006 Executive Officer Vice President of Zurich American Life Insurance Company Judith Henderson 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Vice President, IT Operations of ZALICONY Rion Groves 3003 77th Ave SE Mercer Island WA WASHINGTON 98040 Executive Officer Responsible Officer for Farmers Agent Channel of ZALICONY Gary Rose 11225 College Park Blvd Overland Park KS KANSAS 66210 Executive Officer Qualified Actuary of ZALICONY Ryan Gibbons 1400 American Lane Schaumburg IL ILLINOIS 60196 Executive Officer Assistant Vice President-Tax of Zurich American Life Insurance Company Insurance Decline to Disclose 06c 3C 3C.7 true 0001610286-14-000002 2014-04-28 true true Interests in ZALICONY HNW PPVA Series Account - 1 pursuant to variable life insurance policies false 1000000 Morgan Stanley Smith Barney 149777 None None 2000 Westchester Ave 2nd Floor Purchase NY NEW YORK 10577 NY NEW YORK false Deborah Montaperto 1669425 Morgan Stanley 149777 399 Park Avenue 12th Floor New York NY NEW YORK 10022 NY NEW YORK false M Holdings Securities 43285 None None 1125 NW Couch Street #900 Portland OR OREGON 97209 NY NEW YORK false American Portfolios 18487 None None 4250 Veterans Memorial Hwy, Suite 420E Holbrook NY NEW YORK 11741 NY NEW YORK false First Liberties Financial 14432 None None 99 Park Avenue, Suite 1920 New York NY NEW YORK 10016 NY NEW YORK false NFP Advisor Services 42046 None None 1250 Capital of Texas Hwy, Suite 125 Austin TX TEXAS 78746 NY NEW YORK false Indefinite 31760851 Indefinite false 7 836150 true 0 0 ZALICONY deducts charges from premium and policy values per terms of applicable insurance contract. true ZALICONY HNW PPVA Series Account - 1 Richard Grilli Richard Grilli Assistant Treasurer 2016-03-14