0001780188-19-000001.txt : 20190621 0001780188-19-000001.hdr.sgml : 20190621 20190621144842 ACCESSION NUMBER: 0001780188-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20190621 DATE AS OF CHANGE: 20190621 EFFECTIVENESS DATE: 20190621 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Group Variable Annuity Series I Separate Account CENTRAL INDEX KEY: 0001780188 IRS NUMBER: 363050975 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-342497 FILM NUMBER: 19911173 BUSINESS ADDRESS: STREET 1: 1299 ZURICH WAY CITY: SCHAUMBURG STATE: IL ZIP: 60196 BUSINESS PHONE: 425-577-5100 MAIL ADDRESS: STREET 1: 1299 ZURICH WAY CITY: SCHAUMBURG STATE: IL ZIP: 60196 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Zurich American Life Insurance Co CENTRAL INDEX KEY: 0000351754 IRS NUMBER: 363050975 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-342497-01 FILM NUMBER: 19911174 BUSINESS ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60196 BUSINESS PHONE: 425-577-5100 MAIL ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60196 FORMER COMPANY: FORMER CONFORMED NAME: KEMPER INVESTORS LIFE INSURANCE CO DATE OF NAME CHANGE: 19920703 D 1 primary_doc.xml X0708 D LIVE 0001780188 Group Variable Annuity Series I Separate Account 1299 ZURICH WAY SCHAUMBURG IL ILLINOIS 60196 425-577-5100 ILLINOIS None None Other Insurance Company Separate Account true 2019 0000351754 Zurich American Life Insurance Co 1299 Zurich Way SCHAUMBURG IL ILLINOIS 60196 425-577-5100 ILLINOIS KEMPER INVESTORS LIFE INSURANCE CO Corporation true David Dietz 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Director President & Chief Executive Officer of Zurich American Life Insurance Company (ZALICO) Vinay Awati 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Vice President, Treasurer and Chief Financial Officer of ZALICO ad interim Patrick Carty 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President, General Counsel and Corporate Secretary of ZALICO Richard Hauser 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Chairman of the Board of Directors and Assistant Secretary of ZALICO Cathy Ehrlich 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President, Chief Actuary, Appointed Actuary and Illustration Actuary of ZALICO Michael Rohwetter 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President and Chief Investment Officer of ZALICO Stuart Berman 4 World Trade Center New York NY NEW YORK 10007 Director Director of ZALICO David Dampman 7045 College Boulevard Overland Park KS KANSAS 66211 Executive Officer Vice President, Operations of ZALICO Juanita Thomas 5962 Cross Pointe Drive Oldsmar FL FLORIDA 34677 Executive Officer Vice President, Chief Compliance Officer and 38a-1 Chief Compliance Officer of ZALICO Ira Kleinman 4 World Trade Center New York NY NEW YORK 10007 Director Director of ZALICO Audrey Martin 4 World Trade Center New York NY NEW YORK 10007 Executive Officer Vice President of ZALICO Debra Broek 4 World Trade Center New York NY NEW YORK 10007 Director Director of ZALICO Feng Zhao 199 Scott Swamp Road Farmington CT CONNECTICUT 06032 Executive Officer Vice President of ZALICO Farah Rehman 200 Sam Houston Parkway Houston TX TEXAS 77042 Executive Officer Responsible Officer, Illustrations of ZALICO Louis Pietrolugo 4 World Trade Center New York NY NEW YORK 10007 Director Director of ZALICO Adam Page 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Chief Information Security Officer of ZALICO Bob Burne 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Director Director of ZALICO Colleen Zitt 1299 Zurich Way Schaumburg IL ILLINOIS 60196 Executive Officer Director Director and Controller of ZALICO Insurance Decline to Disclose 06c 3C 3C.7 false true true true Interests in ZALICO's Group Variable Annuity Series I Separate Account issued pursuant to group variable annuities. false 3000000 Meyer-Chatfield None J. Alden Associates, Inc. 40002 261 Old York Road Jenkintown PA PENNSYLVANIA 19046 All States false Indefinite 0 Indefinite First sale has yet to occur. false 0 0 0 First sale has yet to occur 0 Zurich American Life Insurance Company deducts charges from premium and contract values per terms of applicable annuity contract. true Group Variable Annuity Series I Separate Account Audrey Martin Audrey Martin Vice President 2019-06-21