0001343394-17-000009.txt : 20170712
0001343394-17-000009.hdr.sgml : 20170712
20170712075109
ACCESSION NUMBER: 0001343394-17-000009
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: 20170712
DATE AS OF CHANGE: 20170712
EFFECTIVENESS DATE: 20170712
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: 021-290479
FILM NUMBER: 17961041
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
2007-07-27
true
true
true
BOLI PPB1677
false
0
Rob Galbreath
4172267
Northwest Mutual
2881
1 Hidden Lane
Abington
PA
PENNSYLVANIA
19001
PA
PENNSYLVANIA
false
12974794
10812330
2162464
false
1
426539
0
0
false
Nationwide BOLI Private Placement Variable Account
/s/JAMES RABENSTINE
James Rabenstine
VP & Chief Compliance Officer
2017-07-12