0000931788-17-000002.txt : 20170120 0000931788-17-000002.hdr.sgml : 20170120 20170120103128 ACCESSION NUMBER: 0000931788-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170120 DATE AS OF CHANGE: 20170120 EFFECTIVENESS DATE: 20170120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON NATIONAL LIFE INSURANCE CO CENTRAL INDEX KEY: 0000931788 IRS NUMBER: 000000000 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-278852 FILM NUMBER: 17537782 BUSINESS ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 BUSINESS PHONE: 517-381-5500 MAIL ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 FORMER COMPANY: FORMER CONFORMED NAME: JACKSON NATIONAL LIFE INSURANCE CO /MI DATE OF NAME CHANGE: 19941021 D 1 primary_doc.xml X0707 D LIVE 0000931788 JACKSON NATIONAL LIFE INSURANCE CO 1 CORPORATE WAY LANSING MI MICHIGAN 48951 517-381-5500 MICHIGAN JACKSON NATIONAL LIFE INSURANCE CO /MI Corporation true Dennis J. Manning 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Director Morten N. Friis 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Director Bradley O. Harris 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Director Paul C. Myers 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Director James J. Scanlan 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Director James R. Sopha 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Director Barry L. Stowe 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Director Gregory P. Cicotte 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Andrew J. Bowden 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Michael A. Costello 1 CORPORATE WAY LANSING MI MICHIGAN 48951 Executive Officer Insurance Decline to Disclose 06b false true false true Deferred Commission Plan false 0 Indefinite 0 Indefinite Amount to be deferred is not yet available and will be determined based upon a specified % of commissions and/or other compensation that the participant elects to defer in 2017. false 0 0 0 0 false JACKSON NATIONAL LIFE INSURANCE CO Scott Forbush Scott Forbush Assistant Vice President 2017-01-20