0001343394-17-000002.txt : 20170210 0001343394-17-000002.hdr.sgml : 20170210 20170210085946 ACCESSION NUMBER: 0001343394-17-000002 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: 20170210 DATE AS OF CHANGE: 20170210 EFFECTIVENESS DATE: 20170210 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: 021-280464 FILM NUMBER: 17589800 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 2005-02-28 true true true BOLI PPL1392 false 0 William Lynch 1060714 Lynch & Associates 140762 200 Clarendon St 50th Floor Boston MA MASSACHUSETTS 02116 DE DELAWARE false Donald Tippett 1039831 M Holdings Securities, Inc. 43285 100 N Sepulveda Blvd Ste 500 El Segundo CA CALIFORNIA 90245 DE DELAWARE false 2644255885 2203546571 440709314 false 1 11368807 0 0 false Nationwide BOLI Private Placement Variable Account /s/JAMES RABENSTINE James Rabenstine VP & Chief Compliance Officer 2017-02-10