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