0001780188-21-000001.txt : 20210809 0001780188-21-000001.hdr.sgml : 20210809 20210809131424 ACCESSION NUMBER: 0001780188-21-000001 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: 20210809 DATE AS OF CHANGE: 20210809 EFFECTIVENESS DATE: 20210809 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Group Variable Annuity Series I Separate Account CENTRAL INDEX KEY: 0001780188 IRS NUMBER: 363050975 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-342497 FILM NUMBER: 211155723 BUSINESS ADDRESS: STREET 1: 1299 ZURICH WAY CITY: SCHAUMBURG STATE: IL ZIP: 60196 BUSINESS PHONE: 425-577-5100 MAIL ADDRESS: STREET 1: 1299 ZURICH WAY CITY: SCHAUMBURG STATE: IL ZIP: 60196 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: 021-342497-01 FILM NUMBER: 211155724 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 X0708 D/A LIVE 0001780188 Group Variable Annuity Series I Separate Account 1299 ZURICH WAY SCHAUMBURG IL ILLINOIS 60196 425-577-5100 ILLINOIS None None Other Insurance Company Separate Account true 2019 0000351754 Zurich American Life Insurance Co 1299 Zurich Way SCHAUMBURG IL ILLINOIS 60196 425-577-5100 ILLINOIS KEMPER INVESTORS LIFE INSURANCE CO Corporation true David Fike 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Director President & Chief Executive Officer of Zurich American Life Insurance Company (ZALICO) Oscar Tengtio 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Vice President, Treasurer and Chief Financial Officer of ZALICO Laura Lazarczyk 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Director Director, Vice President, General Counsel and Corporate Secretary of ZALICO Richard Hauser 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Director and Assistant Secretary of ZALICO Cathy Ehrlich 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Illustration Actuary of ZALICO Michael Rohwetter 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President and Chief Investment Officer of ZALICO Mark Knipfer 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Director of ZALICO Dave Dampman 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Vice President, Operations of ZALICO Juanita Thomas 5962 Cross Pointe Drive Oldsmar FL FLORIDA 34677 Executive Officer Vice President and 38a-1 Chief Compliance Officer of ZALICO Ira Kleinman 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Director of ZALICO Debra Broek 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Director of ZALICO David Fike 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Executive Vice President of ZALICO Farah Rehman 200 Sam Houston Parkway Houston TX TEXAS 77042 Executive Officer Vice President and Responsible Officer, Illustrations of ZALICO Louis Pietroluongo 4 World Trade Center New York NY NEW YORK 10007 Director Director of ZALICO Adam Page 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Chief Information Security Officer of ZALICO Peter Hirs 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Chairman of the Board of Directors of ZALICO Bob Daniel 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Controller of ZALICO Stefan Dunajewski 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President and Chief Actuary of ZALICO Eoin McNamara 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President and Chief Risk Officer of ZALICO Jane Larson 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Chief Compliance Officer of ZALICO Novian Junus 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Appointed Actuary of ZALICO Rita Falco 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Secretary of ZALICO Insurance Decline to Disclose 06c 3C 3C.7 true 0001780188-19-000001 2019-08-29 true true Interests in ZALICO's Group Variable Annuity Series I Separate Account issued pursuant to group variable annuities. false 3000000 Meyer-Chatfield None J. Alden Associates, Inc. 40002 261 Old York Road Jenkintown PA PENNSYLVANIA 19046 All States false Indefinite 128000000 Indefinite false 5 1280000 true 0 0 Zurich American Life Insurance Company deducts charges from premium and contract values per terms of applicable annuity contract. true Group Variable Annuity Series I Separate Account Dave Dampman Dave Dampman Vice President 2021-08-09