-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OSHkewjgBpHE44tQXa34/W1xr8inKA5OOKlYa/w2vqMl2t61EnSnOM+GYdhEf2dY I9D5ivYjaWA4WIpTq+9sMg== 0000914836-96-000003.txt : 19960604 0000914836-96-000003.hdr.sgml : 19960604 ACCESSION NUMBER: 0000914836-96-000003 CONFORMED SUBMISSION TYPE: NSAR-B PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 19951231 FILED AS OF DATE: 19960226 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT VA-5 OF TRANSAMERICA OCCIDENTAL LIFE INSURA CENTRAL INDEX KEY: 0000914836 STANDARD INDUSTRIAL CLASSIFICATION: IRS NUMBER: 951060502 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NSAR-B SEC ACT: 1940 Act SEC FILE NUMBER: 811-08158 FILM NUMBER: 96525288 BUSINESS ADDRESS: STREET 1: 1150 SOUTH OLIVE CITY: LOS ANGELES STATE: CA ZIP: 90015 BUSINESS PHONE: 2137424454 MAIL ADDRESS: STREET 1: 1150 S OLIVE ST CITY: LOS ANGELES STATE: CA ZIP: 90015 NSAR-B 1 NSAR FILING FORM N-SAR SEMI-ANNUAL REPORT FOR REGISTERED INVESTMENT COMPANIES Report for six month period ending: / / (a) or fiscal year ending: 12/31/95 (b) Is this a transition report? (Y/N) N Is this an amendment to a previous filing? (Y/N) N Those items or sub-items with a box "/" after the item number should be completed only if the answer ha changed from the previous filing on this form. 1. A. Registrant Name: Separate Account VA-5 of Transamerica Occidental Life Insurance Company B. File Number: 811-8158 C. Telephone Number:213-742-4454 2. A. Street:1150 South Olive Street B. City: Los Angeles C. State: CA D. Zip Code: 90015 Zip Ext:2211 E. Foreign Country: Foreign Postal Code: 3. Is this the first filing on this form by Registrant? (Y/N) N 4. Is this the last filing on this form by Registrant? (Y/N) N 5. Is Registrant a small business investment company (SBIC)? (Y/N) N [If answer is "Y" (Yes) complete only items 89 through 110.] 6. Is Registrant a unit investment trust (UIT)? (Y/N) Y [If answer is "Y" (Yes) complete only items 111-132.] 7. A. Is Registrant a series or multiple portfolio company? (Y/N) N [If answer is "N" (No), go to item 8.] B. How many separate series or portfolios did Registrant have at the end of the period?___________________________ C. List the name of each series or portfolio and give a consecutive number to each series or portfolio starting with the number 1. USE THIS SAME NUMERICAL DESIGNATION FOR EACH SERIES OR PORTFOLIO IN THE SERIES INFORMATION BLOCK IN THE TOP RIGHT CORNER OF THE SCREENS SUBMITTED IN THIS FILING AND IN ALL SUBSEQUENT FILINGS ON THIS FORM. THIS INFORMATION IS REQUIRED EACH TIME THE FORM IS FILED. Is this the last Series filing for this Number Series series? - - ------------------------------------------------------------------------------ 1 (Y/N) UNIT INVESTMENT TRUSTS 111. A. Depositor Name: B. File Number (If any): C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 111. A. Depositor Name: B. File Number (If any): C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 112. A. Sponsor Name: B. File Number (If any): C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 112. A. Sponsor Name: B. File Number (If any): C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 113. A. Trustee Name: B. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 113. A. Trustee Name: B. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 114. A. Principal Underwriter Name: B. File Number: C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 114. A. Principal Underwriter Name: B. File Number: 8- C. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 115. A. Independent Public Account Name: B. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 115. A. Independent Public Account Name: B. City: State: Zip Code: Zip Ext.: Foreign Country: Foreign Postal Code: 116. Family of investment companies information: A. Is Registrant part of family of investment companies? (Y/N)______ B. Identify the family in 10 letters: (NOTE: In filing this form, use this identification consistently for all investment companies in family. This designation is for purposes of this form only.) 117. A. Is Registrant a separate account of an insurance company (Y/N) If answer is "Y" (Yes), are any of the following types of contracts funded by the Registrant?: B. Variable annuity contract? (Y/N) C. Scheduled premium variable life contracts? (Y/N) D. Flexible premium variable life contracts? (Y/N) E. Other types of insurance products registered under the Securities Act of 1933? (Y/N) 118. State the number of series existing at the end of the period that had securities registered under the Securities Act of 1933________________ 119. State the number of new series for which registration statements under the Securities Act of 1933 became effective during the period___________ 120. State the total value of the portfolio securities on the date of deposit for the new series included in item 119 ($000's omitted)_________ $____ 121. State the number of series for which a current prospectus was in existence at the end of the period ________ _______ 122. State the number of existing series for which additional units were registered under the Securities Act of 1933 during the current period 123. State the total value of the additional units considered in answering item 122 ($000's omitted) $NA 124. State the total value of units of prior series that were placed in the portfolios of subsequent series during the current period (the value of these units is to be measured on the date they were placed in the subsequent series ($000's omitted)$NA 125. State the total dollar amount of sales loads collected (before reallowances to other brokers or dealers) by Registrant's principal underwriter and any underwriter which is an affiliated person of the principal underwriter during the current period solely from the sale of units of all series of Registrant ($000's omitted)_______ $0 126. Of the amount shown in item 125, state the total dollar amount of sales loads collected from secondary market operations in Registrant's units (include the sales loads, if any, collected on units of a prior series placed in the portfolio of a subsequent series.) ($000's omitted)NA 127. Life opposite the appropriate description below the number of series whose portfolios are invested primarily (based upon a percentage of NAV) in each type of security shown, the aggregate total assets at market value as of a date at or neat the end of the current period of each such group of series and the total income distributions made by each such group of series during the current period (excluding distributions of realized gains, if any): Number of Total Assest Total Income Series ($000's Distributions Investing omitted) ($000's omitted) A. U.S. Treasury direct issue__________ B. U.S. Government agency____________ C. State and municipal tax-free___________ D. Public utility debt_____________ E. Brokers or dealers debt or debt of brokers' or dealers' parent_____________ F. All other corporate intermed. & long-term debt_________________ G. All other corporate short-term debt________ H. Equity securities of brokers or dealers or parents of brokers or dealers_______ I. Investment company equity securities________ J. All other equity securities___________ NA 66,137 0 K. Other securities_______ L. Total assets of all series of registrant_________ NA 66,439 0 128. Is the timely payment of principal and interest on any of the portfolio securities held by any of Registrant's series at the end of the current period insured or guaranteed by an entity other than the issuer? (Y/N) NA [If answer is "N" (No), go to item 131.] 129. Is the issuer of any instrument covered in item 128 delinquent or in default as to payment of principal or interest at the end of the current period? (Y/N) NA [If answer is "N" (No), go to item 131.] 130. In computations of NAV or offering price per unit, is any part of the value attributed to instruments identified in item 129 derived from insurance or guarantees? (Y/N) NA 131. Total expenses incurred by all series of Registrant during the current reporting period ($000's omitted) $329 132. List the "811 (Investment Company Act of 1940) registration number for all Series of Registrant that are being included in this filing: 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- 811- EX-99 2 SIGNATURE PAGE This report is signed on behalf of the registrant (or depositor or trustee). City of Los Angeles State of California Date: Name of Registrant, Depositor, or Trustee:Separate Account VA-5 of Transamerica Occidental Life Insurance Company By: James B. Roszak President, Life Insurance Division and Chief Marketing Officer Witness: Susan Vivino Paralegal -----END PRIVACY-ENHANCED MESSAGE-----