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