0001343394-17-000006.txt : 20170606 0001343394-17-000006.hdr.sgml : 20170606 20170606073430 ACCESSION NUMBER: 0001343394-17-000006 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: 20170606 DATE AS OF CHANGE: 20170606 EFFECTIVENESS DATE: 20170606 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: 021-288096 FILM NUMBER: 17893038 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 2017-06-01 true true true BOLI PPB3729 false 0 James McKeone 2921833 FAS Corp 43536 4747 West 135th St Ste 100 Leawood KS KANSAS 66224 MI MICHIGAN false William Scott Bethune 4726564 NGS 29722 101 Centreport Drive Ste 250 Greensboro NC NORTH CAROLINA 27409 MI MICHIGAN false 18000000 15000000 3000000 false 1 225000 0 0 false Nationwide BOLI Private Placement Variable Account /s/JAMES RABENSTINE James Rabenstine VP & Chief Compliance Officer 2017-06-06