0000931788-21-000001.txt : 20210119 0000931788-21-000001.hdr.sgml : 20210119 20210119140119 ACCESSION NUMBER: 0000931788-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 EFFECTIVENESS DATE: 20210119 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-357929 FILM NUMBER: 21535026 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/A 1 primary_doc.xml X0708 D/A 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 Edward Morrissey 1 Corporate Way Lansing MI MICHIGAN 48951 Director Kenneth H. Stewart 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Michael A. Falcon 1 Corporate Way Lansing MI MICHIGAN 48951 Director Aimee S. DeCamillo 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Andrew J. Bowden 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Axel Andre 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Laura Prieskorn 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Insurance Decline to Disclose 06b true 0000931788-20-000001 2020-01-01 false true Deferred Commission Plan false 0 685809 685809 0 false 52 0 0 0 false JACKSON NATIONAL LIFE INSURANCE CO Thomas P. Hyatte Thomas P. Hyatte Senior Vice President 2021-01-19