0001193125-17-058212.txt : 20170227 0001193125-17-058212.hdr.sgml : 20170227 20170227115833 ACCESSION NUMBER: 0001193125-17-058212 CONFORMED SUBMISSION TYPE: NSAR-U PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170227 DATE AS OF CHANGE: 20170227 EFFECTIVENESS DATE: 20170227 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 SEC ACT: 1940 Act SEC FILE NUMBER: 811-07350 FILM NUMBER: 17640351 BUSINESS ADDRESS: STREET 1: 8515 EAST ORCHARD ROAD CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: 303-737-3000 MAIL ADDRESS: STREET 1: 8515 EAST ORCHARD ROAD 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 1 d318295dnsaru.htm TRILLIUM VARIABLE ANNUITY ACCOUNT Trillium Variable Annuity Account

FORM N-SAR

SEMI-ANNUAL REPORT

FOR REGISTERED INVESTMENT COMPANIES

 

Report for twelve month period ending:    12/31/2016
Is this a transition report?    N   
Is this an amendment to a previous filing?    N   
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.   $472        
124.          
125.          
126.   $0        
127.   A.          
  B.          
  C.          
  D.          
  E.          
  F.          
  G.          
  H.          
  I.          
  J.     1          $34,618                    $0
  K.          
  L.     1          $34,618                    $0
128.          
131.   $456        
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:         February 27, 2017          
 

 

    

 

    

 

  

Name of Registrant, Depositor, or Trustee:

 

  

TRILLIUM VARIABLE ANNUITY ACCOUNT

  By:   

  /s/ Brian Stallworth

      Witness  

  /s/ Karyn Green

   
     Brian Stallworth          Karyn Green   
     Counsel          Paralegal