0001193125-16-561835.txt : 20160428 0001193125-16-561835.hdr.sgml : 20160428 20160428111533 ACCESSION NUMBER: 0001193125-16-561835 CONFORMED SUBMISSION TYPE: NSAR-U/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160428 DATE AS OF CHANGE: 20160428 EFFECTIVENESS DATE: 20160428 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: 161598024 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 d158926dnsarua.htm NSAR-U/A NSAR-U/A

FORM N-SAR

SEMI-ANNUAL REPORT

FOR REGISTERED INVESTMENT COMPANIES

 

Report for twelve month period ending:    12/31/2015
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.         A.  
     B.  
     C.  
  112.          
  113.          
  114.         A.  
     B.  
     C.  
  115.         A.  
     B.  
  116.         A.  
     B.  
  117.         A.  
     B.  
     C.  
     D.  
     E.  

  118.          
  119.          
  120.          
  121.          
  122.          
  123.      $580     
  124.          
  125.          
  126.      $0     
  127.      A.     
  B.     
  C.     
  D.     
  E.     
  F.     
  G.     
  H.     
  I.     
  J.        1            $32,877        $0  
  K.     
  L.        1            $32,877        $0  
  128.          
  131.      $479     
  132.          
  133.      None     

Signature Page

The following form of 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:     April 27, 2016            

Name of Registrant, Depositor, or Trustee:

 

        TRILLIUM VARIABLE ANNUITY ACCOUNT

  By:

    /s/ Brian Stallworth       Witness    /s/ Sarah Shimabukuro   
   Brian Stallworth          Sarah Shimabukuro   
   Counsel          Senior Business Support