Form D · Other Investment Fund

Lombard International Life Assurance Co Separate Account VA104

Philadelphia, PA · CIK 0001568166

Offering snapshot reported Mar 22, 2016 · SEC filing

Reported sold
$2.13M
Indefinite offering
Investors reported
2
Form D · investor count
Minimum accepted
$0
Reported outside-investor minimum
First sale
Oct 9, 2013
As reported in this filing

Fundraising history

Reported sold
Reported amount sold by Form D filing date$0$1.06M$2.13MOct 15, 2013: $1,232,971.00Oct 15, 2013Jan 23, 2015: $1,932,971.00Jan 23, 2015Mar 22, 2016: $2,126,406.00Mar 22, 2016

Dates are filing dates, not cash receipt dates. Decreases are reported revisions, not evidence of withdrawals. Separate offering histories are not added together.

What changed?

Latest filing versus its linked predecessor, where available.

  • Reported sold$1,932,971 → $2,126,406

Filing history

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FiledFiling typeReported soldChange vs linked filingInvestorsSource
Mar 22, 2016Amendment$2,126,406$193,435vs Jan 23, 20152SEC filing
Jan 23, 2015Amendment$1,932,971$700,000vs Oct 15, 20132SEC filing
Oct 15, 2013Initial$1,232,971No comparison1SEC filing

Offering details

Securities
Pooled investment fund, Other
Exemptions
06b, 3C, 3C.7
Duration over one year
Yes
Business combination
No
Sales commissions
$23.2K
Finders' fees
$0
Form D file number
021-204495
variable annuity contracts
Issuer pays sales commissions which are equal to a percentage of premium received by the issuer. LILAC also pays sales commissions from its corporate resources.

Sales compensation recipients

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RecipientCRDAssociated broker-dealer
M Holdings Securities, Inc.43285Edward Houghton · CRD 735581
Summit Equities, Inc.11039Lawrence Bell · CRD 2227247
Winklevoss Insurance Agency, LLC39081Brian F. Burke · CRD 1024635

Source: Form D, filed Mar 22, 2016. Minimum accepted may differ from a standard advertised minimum.

Fund connections

No confirmed ADV fund connection is available for this issuer.

People & organizations

Current and past Form D appearances. These existing records do not establish a person's current role or uniquely identify them across issuers.

People and organizations reported in Form D filings
NameReported role
Lilac Lombard International Life Assurance Company Promoter
Pflac Philadelphia Financial Life Assurance Company Promoter

Issuer details

Industry: Pooled Investment Fund (See others in industry)

Address:
One Liberty Place 1650 Market Street 54 Th Floor
Philadelphia, PA, 19103