-----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, ADFP3WZTlDKogh5P/0d7HzpgaM6Wi5IAv17FeJuc9/YLantJfC1GHRbHHs2+l40c GDdfNuDk92o/vUfOy2uhnA== 0000928385-03-000382.txt : 20030224 0000928385-03-000382.hdr.sgml : 20030224 20030224131137 ACCESSION NUMBER: 0000928385-03-000382 CONFORMED SUBMISSION TYPE: NSAR-U PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030224 EFFECTIVENESS DATE: 20030224 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT VA-5 OF TRANSAMERICA OCCIDENTAL LIFE INSURA CENTRAL INDEX KEY: 0000914836 IRS NUMBER: 951060502 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NSAR-U SEC ACT: 1940 Act SEC FILE NUMBER: 811-08158 FILM NUMBER: 03577175 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-U 1 dnsaru.txt NSAR-U FORM N-SAR ANNUAL REPORT FOR REGISTERED INVESTMENT COMPANIES Report for six month period ending: (a) or fiscal year ending: 12/31/2002 (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 has 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: California D. Zip Code: 90015 Zip Ext: 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 through 132.] 7. A. Is Registrant a series or multiple portfolio company? (Y/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? 01 For period ending 12/31/2002 If filing more than one File number 811-8158 Page 50, "X" box: [_] 123. [/] State the total value of the additional units considered in answering item 122 ($000's omitted) $103 124. [/] 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) $ 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) $ 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) $0 127. List 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 near 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 Assets 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 broker's or dealer's 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 N/A $13,857 $211 J. All other equity securities $ $ K. Other securities $ $ L. Total assets of all series of registrant N/A $13,857 $211
50 For period ending 12/31/2002 If filing more than one File number 811-8158 Page 51, "X" box: [_] 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) [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) [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) 131. Total expenses incurred by all series of Registrant during the current reporting period ($000's omitted) $137 132. [/] 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-__________ 811-__________ 51 This report is signed on behalf of the registrant (or depositor or trustee). City of: Cedar Rapids State of: Iowa Date: February 24, 2003 Name of Registrant, Depositor, or Trustee: Separate Account VA-5 of Transamerica Occidental Life Insurance Company Witness: /s/ Frank A. Camp By: /s/ Ronald L. Ziegler ---------------------------- --------------------------- Vice President -----END PRIVACY-ENHANCED MESSAGE-----