0001713935-21-000021.txt : 20210305 0001713935-21-000021.hdr.sgml : 20210305 20210305115307 ACCESSION NUMBER: 0001713935-21-000021 CONFORMED SUBMISSION TYPE: N-CEN PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 EFFECTIVENESS DATE: 20210305 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFIC SELECT EXEC SEPARATE ACCOUNT OF PACIFIC LIFE & ANNUI CENTRAL INDEX KEY: 0001074487 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: N-CEN SEC ACT: 1940 Act SEC FILE NUMBER: 811-09389 FILM NUMBER: 21717254 BUSINESS ADDRESS: STREET 1: 700 NEWPORT CTR DR STREET 2: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 7146403326 FORMER COMPANY: FORMER CONFORMED NAME: PACIFIC SELECT EXEC SEPARATE ACCT OF PM GP LIFE INSURANCE CO DATE OF NAME CHANGE: 19981201 0001074487 S000007947 Pacific Select Exec Separate Account of Pacific Life & Annuity (811-09389) C000021546 Pacific Select Exec II-NY (333-80825) C000021547 Pacific Select Exec III-NY (333-106721) C000021548 Pacific Select Estate Preserver-NY (333-62446) C000043257 PACIFIC SELECT EXEC IV-NY C000069992 Pacific Select Exec V NY N-CEN 1 primary_doc.xml X0303 N-CEN LIVE 0001074487 XXXXXXXX N-6 C000021548 C000021546 C000021547 C000043257 C000069992 Pacific Select Exec Separate Account of Pacific Life & Annuity Company 811-09389 0001074487 EJAWRQHYRQLCCBMTNO27 700 Newport Center Drive Newport Beach 92660 US-CA US (949) 219-3943 Pacific Life Insurance Company 700 Newport Center Drive Newport Beach 92660 (949) 219-3943 All journals containing an itemized daily record of all sales and redemptions of subaccount units, and all receipts and disbursement of cash and all other debits and credits. All general and auxiliary ledgers reflecting all assets, liability, reserve, capital and income and expense accounts, as applicable, and any dividends or interest received. A record of each order for the purchase and/or sale of underlying mutual fund shares. N N N-6 Y Sharon E. Pacheco 002767271 700 Newport Center Drive Newport Beach 92660 XXXXXX N N N N N N Pacific Select Distributors, LLC 008-15264 000004452 549300HPQW7GVIDSB758 Y N Deloitte & Touche LLP 34 549300FJV7IV1ZHGAV28 N N N N Pacific Life Insurance Company N/A 8WC3XYHE06SQFW7CQK10 Pacific Mutual Holding Company Pacific Life Insurance Company 8WC3XYHE06SQFW7CQK10 Y N N 1175 N N false false false false false