0001713935-22-000046.txt : 20220307 0001713935-22-000046.hdr.sgml : 20220307 20220307095803 ACCESSION NUMBER: 0001713935-22-000046 CONFORMED SUBMISSION TYPE: N-CEN PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220307 DATE AS OF CHANGE: 20220307 EFFECTIVENESS DATE: 20220307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MAXIM SERIES ACCOUNT OF GREAT WEST LIFE & ANNUITY INS CO CENTRAL INDEX KEY: 0000355316 IRS NUMBER: 000000000 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: N-CEN SEC ACT: 1940 Act SEC FILE NUMBER: 811-03249 FILM NUMBER: 22716585 BUSINESS ADDRESS: STREET 1: 8515 E. ORCHARD ROAD CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: 303-737-3000 MAIL ADDRESS: STREET 1: 8515 E. ORCHARD ROAD CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 FORMER COMPANY: FORMER CONFORMED NAME: INSURAMERICA CORP MAXIM SERIES ACCOUNT DATE OF NAME CHANGE: 19820613 0000355316 S000011491 MAXIM SERIES ACCOUNT OF GREAT WEST LIFE & ANNUITY INS CO C000031730 MAXIM SERIES ACCOUNT OF GREAT WEST LIFE & ANNUITY INS CO N-CEN 1 primary_doc.xml X0404 N-CEN LIVE 0000355316 XXXXXXXX N-4 C000031730 Maxim Series Account of Great West Life & Annuity Ins Co 811-03249 0000355316 00000000000000000000 8515 East Orchard Road Greenwood Village 80111 US-CO US 303-737-3000 Great-West Life & Annuity Insurance Company 8515 East Orchard Road Greenwood Village 80111 303-737-3000 All accounts, books, or other documents required to be maintained by Section 31(a) of the Investment Company Act of 1940 and the rules promulgated thereunder. Protective Life Insurance Company 2801 Highway 280 South Birmingham 35223 205-236-1000 Records maintained include customer account information, transactions, daily account values, accumulation unit value calculations and general and auxiliary ledgers. N N N-4 Y SCOTT E. CREUTZMANN 005351383 2801 Highway 280 South Birmingham 35223-2488 XXXXXX Y N N N N N Investment Distributors, Inc. 008-46802 000035490 N/A Y N KPMG 00185 5493003PVCIGA21K0K42 Y N N N Great-West Life & Annuity Insurance Company N/A 3RSQVO2VE8DJVKEF6G11 Power Corporation of Canada Protective Life Insurance Company 41W01VBG8F2D0X56VL51 N N N 195 N N N N