0001193125-12-400147.txt : 20120924 0001193125-12-400147.hdr.sgml : 20120924 20120921174123 ACCESSION NUMBER: 0001193125-12-400147 CONFORMED SUBMISSION TYPE: NSAR-U/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120924 DATE AS OF CHANGE: 20120921 EFFECTIVENESS DATE: 20120924 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Trillium VARIABLE ANNUITY ACCOUNT CENTRAL INDEX KEY: 0000895360 IRS NUMBER: 382816473 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NSAR-U/A SEC ACT: 1940 Act SEC FILE NUMBER: 811-07350 FILM NUMBER: 121105068 BUSINESS ADDRESS: STREET 1: 8515 EAST ORCHARD ROAD STREET 2: 2T3 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: 303-737-3817 MAIL ADDRESS: STREET 1: 8515 EAST ORCHARD ROAD STREET 2: 2T3 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 FORMER COMPANY: FORMER CONFORMED NAME: CANADA LIFE of AMERICA VARIABLE ANNUITY ACCOUNT 2 DATE OF NAME CHANGE: 20060110 FORMER COMPANY: FORMER CONFORMED NAME: VARIABLE ANNUITY-3 SERIES ACCOUNT DATE OF NAME CHANGE: 20060109 FORMER COMPANY: FORMER CONFORMED NAME: CANADA LIFE OF AMERICA VARIABLE ANNUITY ACCOUNT 2 DATE OF NAME CHANGE: 19930328 NSAR-U/A 1 d412848dnsarua.htm TRILLIUM VARIABLE ANNUITY SERIES ACCOUNT Trillium Variable Annuity Series Account

FORM N-SAR

SEMI-ANNUAL REPORT

FOR REGISTERED INVESTMENT COMPANIES

 

Report for twelve month period ending:   12/31/2011
Is this a transition report?   N
Is this an amendment to a previous filing?   Y
Those items or sub-items with a box “[/]” after the item number should be completed only if the answer has changed from the previous filing on this form.
1.      A.      Registrant Name: TRILLIUM VARIABLE ANNUITY ACCOUNT
     B.      File Number: 811-07350
     C.      Telephone Number: 303-737-3000
2.      A.      Street: 8515 EAST ORCHARD ROAD
     B.      City: GREENWOOD VILLAGE
     C.      State COLORADO
     D.      Zip Code: 80111
     E.      Foreign Country:
3.      Is this the first filing on this form by Registrant?   N
4.      Is this the last filing on this form by Registrant?   N
5.      Is Registrant a small a business investment

company (SBIC)? (If yes, complete only 89-110)

   N
6.      Is Registrant a unit investment trust (UIT)? (If

yes, complete only 111 through 133)

   Y
111.          
112.          
113.          
114.          
115.          
116.          
117.          
118.            
119.          

120.   
121.   
122.   
123.      $20,855
124.   
125.   
126.      $0
127.      A.      
     B.      
     C.      
     D.      
     E.      
     F.      
     G.      
     H.      
     I.      
     J.       1                  $33,574                  $0
     K.      
     L.       1                  $33,574                  $0
128.   
131.      $521
132.      
133.      None      

Signature Page

The following form or signature shall follow items 79, 85, 88, 104, 110 or 132 as appropriate. This report is signed on behalf of the registrant (or depositor or trustee).

 

    City of:       Greenwood Village               State of:         Colorado       Date:       September 24, 2012    

Name of Registrant, Depositor, or Trustee:

 

    TRILLIUM VARIABLE ANNUITY ACCOUNT  
  By:     /s/ Brian Stallworth                 Witness     /s/ Jacqueline N. Drake      
    Brian Stallworth         Jacqueline N. Drake  
    Counsel         Assistant Manager, Legal & Compliance