0001343394-16-000004.txt : 20161122 0001343394-16-000004.hdr.sgml : 20161122 20161122135818 ACCESSION NUMBER: 0001343394-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 EFFECTIVENESS DATE: 20161122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Nationwide BOLI Private Placement Variable Account CENTRAL INDEX KEY: 0001343394 IRS NUMBER: 000000000 STATE OF INCORPORATION: OH FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274981 FILM NUMBER: 162012726 BUSINESS ADDRESS: STREET 1: ONE NATIONWIDE PLAZA CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 614-677-7567 MAIL ADDRESS: STREET 1: ONE NATIONWIDE PLAZA CITY: COLUMBUS STATE: OH ZIP: 43215 D 1 primary_doc.xml X0707 D LIVE 0001343394 Nationwide BOLI Private Placement Variable Account ONE NATIONWIDE PLAZA COLUMBUS OH OHIO 43215 614-677-7567 OHIO None None Other Nationwide BOLI Private Placement VA true Stephen S. Rasmussen One Nationwide Plaza Columbus OH OHIO 43215 Executive Officer Timothy G. Frommeyer One Nationwide Plaza Columbus OH OHIO 43215 Director Eric S. Henderson One Nationwide Plaza Columbus OH OHIO 43215 Director Kirt A. Walker One Nationwide Plaza Columbus OH OHIO 43215 Executive Officer Director Mark R. Thresher One Nationwide Plaza Columbus OH OHIO 43215 Director John L. Carter One Nationwide Plaza Columbus OH OHIO 43215 Director Insurance Not Applicable 06b 3C 3C.1 3C.7 false 2007-12-11 true true true BOLI PPB1684 false 0 Clark Securities, Inc. 43803 Clark Securities, Inc. 43803 706 Green Valley Rd. Ste 500 Greensboro NC NORTH CAROLINA 27408 WI WISCONSIN false 10514154 8761795 1752359 false 1 0 0 0 false Nationwide BOLI Private Placement Variable Account /s/JAMES RABENSTINE James Rabenstine VP & Chief Compliance Officer 2016-11-22