0001343394-17-000004.txt : 20170404
0001343394-17-000004.hdr.sgml : 20170404
20170404081255
ACCESSION NUMBER: 0001343394-17-000004
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: 20170404
DATE AS OF CHANGE: 20170404
EFFECTIVENESS DATE: 20170404
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: 021-283966
FILM NUMBER: 17736221
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
2017-03-31
true
true
true
BOLI PPL3420
false
0
Matt Henebry
2711438
FAS Corp
43536
4747 West 135th St
Ste 100
Leawood
KS
KANSAS
66224
NY
NEW YORK
false
James McKeone
2921833
FAS Corp
43536
4747 West 135th St
Ste 100
Leawood
KS
KANSAS
66224
NY
NEW YORK
false
Bryant Kirk
1049653
Newport Group Securities, Inc.
29722
300 International Pkwy
Ste 270
Heathrow
FL
FLORIDA
32746
NY
NEW YORK
false
12000000
10000000
2000000
false
1
200000
0
0
false
Nationwide BOLI Private Placement Variable Account
/s/JAMES RABENSTINE
James Rabenstine
VP & Chief Compliance Officer
2017-04-04