0000837332-24-000007.txt : 20240321
0000837332-24-000007.hdr.sgml : 20240321
20240321172540
ACCESSION NUMBER: 0000837332-24-000007
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20240321
DATE AS OF CHANGE: 20240321
EFFECTIVENESS DATE: 20240321
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Athene PPVA Separate Account
CENTRAL INDEX KEY: 0001972788
ORGANIZATION NAME:
IRS NUMBER: 000000000
STATE OF INCORPORATION: IA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-478250
FILM NUMBER: 24772433
BUSINESS ADDRESS:
STREET 1: 7700 MILLS CIVIC PARKWAY
CITY: WEST DES MOINES
STATE: IA
ZIP: 50266
BUSINESS PHONE: 8882668489
MAIL ADDRESS:
STREET 1: 7700 MILLS CIVIC PARKWAY
CITY: WEST DES MOINES
STATE: IA
ZIP: 50266
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Athene Annuity & Life Co
CENTRAL INDEX KEY: 0000837332
ORGANIZATION NAME:
IRS NUMBER: 420175020
STATE OF INCORPORATION: IA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-478250-01
FILM NUMBER: 24772434
BUSINESS ADDRESS:
STREET 1: 7700 MILLS CIVIC PARKWAY
CITY: WEST DES MOINES
STATE: IA
ZIP: 50266
BUSINESS PHONE: 1-888-266-8489
MAIL ADDRESS:
STREET 1: 7700 MILLS CIVIC PARKWAY
CITY: WEST DES MOINES
STATE: IA
ZIP: 50266
FORMER COMPANY:
FORMER CONFORMED NAME: Aviva Life & Annuity Co
DATE OF NAME CHANGE: 20131023
FORMER COMPANY:
FORMER CONFORMED NAME: AMERUS LIFE INSURANCE CO
DATE OF NAME CHANGE: 19960726
FORMER COMPANY:
FORMER CONFORMED NAME: AMERICAN MUTUAL LIFE INSURANCE CO
DATE OF NAME CHANGE: 19950227
D/A
1
primary_doc.xml
X0708
D/A
LIVE
0001972788
Athene PPVA Separate Account
7700 MILLS CIVIC PARKWAY
WEST DES MOINES
IA
IOWA
50266
8882668489
IOWA
None
None
Other
Insurance Company Separate Account
true
2022
0000837332
Athene Annuity & Life Co
7700 MILLS CIVIC PARKWAY
WEST DES MOINES
IA
IOWA
50266
1-888-266-8489
IOWA
Aviva Life & Annuity Co
AMERUS LIFE INSURANCE CO
AMERICAN MUTUAL LIFE INSURANCE CO
Corporation
true
Grant
Kvalheim
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Director
Chief Executive Officer and Director of Athene Annuity and Life Company
Michael
S.
Downing
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Chief Operating Officer and President of Athene Annuity and Life Company
Martin
P
Klein
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Director
Director of of Athene Annuity and Life Company
John
Golden
2121 Rosecrans Avenue
Suite 5150
El Segundo
CA
CALIFORNIA
90245
Executive Officer
Executive Vice President and Global Head of Insurance Regulatory of Athene Annuity and Life Company
Douglas
Neimann
100 West Putnam Avenue
Greenwich
CT
CONNECTICUT
06830
Executive Officer
Executive Vice President and Chief Risk Officer of Athene Annuity and Life Company
Tyler
Goode
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Vice President, Controller and Treasurer of Athene Annuity and Life Company
Christopher
R.
Welp
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Director
Executive Vice President, Insurance Operations and Director of Athene Annuity and Life Company
Blaine
Doerrfeld
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Senior Vice President, Legal and Corporate Secretary of Athene Annuity and Life Company
Joseph
Cohen
450 Lexington Avenue
39th Floor Ste E
New York
NY
NEW YORK
10017
Executive Officer
Executive Vice President, Legal & Compliance of Athene Annuity and Life Company
Adam
Polizer
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Senior Vice President, Actuary and Chief Product Officer of Athene Annuity and Life Company
Amy
Piepmeier
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Executive Officer
Vice President, Legal of Athene Annuity and Life Company
Kent
Keim
1 Fayette Street
Ste 450
Conshohocken
PA
PENNSYLVANIA
19428
Executive Officer
Senior Vice President, Operations Global Wealth of Athene Annuity and Life Company
Joseph
Fillip
1 Fayette Street
Conshohocken
PA
PENNSYLVANIA
19428
Executive Officer
Senior Vice President, Legal Global Wealth of Athene Annuity and Life Company
Mitra
Hormozi
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Director
Director of Athene Annuity and Life Company
Francis
P.
Sabatini
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Director
Director of Athene Annuity and Life Company
Hope
S.
Taitz
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Director
Director of Athene Annuity and Life Company
Laurence
J.
Ruisi
7700 Mills Civic Parkway
West Des Moines
IA
IOWA
50266
Director
Director of Athene Annuity and Life Company
Pooled Investment Fund
Other Investment Fund
false
Decline to Disclose
- 06b
true
0001972788-23-000001
2023-03-22
true
true
true
Interests in PPVA Separate Account issued pursuant to variable annuity contracts
false
Athene Annuity and Life Company is responsible for organizing the business of PPVA Separate Account
250000
The Leaders Group
37157
The Leaders Group
37157
26 W. Dry Creek Circle
Suite 800
Littleton
CO
COLORADO
80120-4475
CA
CALIFORNIA
false
Indefinite
1000000
Indefinite
false
1
10000
0
0
false
Athene PPVA Separate Account
Amy Piepmeier
Amy Piepmeier
VP, Legal
2024-03-21
Athene Annuity & Life Co
Blaine Doerrfeld
Blaine Doerrfeld
SVP, Legal & Corporate Secretary
2024-03-21