0001193125-20-066492.txt : 20200309 0001193125-20-066492.hdr.sgml : 20200309 20200309095430 ACCESSION NUMBER: 0001193125-20-066492 CONFORMED SUBMISSION TYPE: 24F-2NT PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200309 DATE AS OF CHANGE: 20200309 EFFECTIVENESS DATE: 20200309 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT VA-5 CENTRAL INDEX KEY: 0000914836 IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 24F-2NT SEC ACT: 1933 Act SEC FILE NUMBER: 333-153776 FILM NUMBER: 20696791 BUSINESS ADDRESS: STREET 1: 4333 EDGEWOOD ROAD NE CITY: CEDAR RAPIDS STATE: IA ZIP: 52406-3183 BUSINESS PHONE: 319-355-8427 MAIL ADDRESS: STREET 1: 4333 EDGEWOOD ROAD NE CITY: CEDAR RAPIDS STATE: IA ZIP: 52406-3183 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT VA-5 OF TRANSAMERICA OCCIDENTAL LIFE INSURA DATE OF NAME CHANGE: 19931117 0000914836 S000006782 SEPARATE ACCOUNT VA-5 C000018385 Distinct Asset Variable Annuity 24F-2NT 1 d871661d24f2nt.htm 24F-2NT 24F-2NT

 

 

U.S. SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

 

FORM 24F-2

 

 

Annual Notice of Securities Sold

Pursuant to Rule 24f-2

 

  1.

   

Name and address of issuer:

 

Separate Account VA-5

(a separate account of Transamerica Life Insurance Company)

 

4333 Edgewood Road, NE

Cedar Rapids, Iowa 52499

 

  2.

   

Name of each series or class of funds for which this notice is filed (If the Form is being filed for all series and classes of securities of the issuer, check the box but do not list series or classes):     ☒

 

  3.

   

Investment Company Act File Number: 811-08158

 

  

Securities Act File Number: 333-153776

 

  4(a).

   

Last date of fiscal year for which this Form is filed:

 

December 31, 2019

 

  4(b).

    ☐   

Check box if this Form is being filed late (i.e., more than 90 calendar days after the end of the issuer’s fiscal year). (See Instruction A.2)

 

  Note: If the Form is being filed late, interest must be paid on the registration fee due.

 

  4(c).    ☐   

Check box if this is the last time the issuer will be filing this Form.

 

    5.         Calculation of registration fee:

 

           
             (i)

 

    Aggregate sale price of securities sold during the fiscal year pursuant to section 24(f):            $ 0.00  
                   

 

 

  
             (ii)

 

    Aggregate price of securities redeemed or repurchased during the fiscal year:       $ 292,967.95       
              

 

 

       
      (iii)

 

    Aggregate price of securities redeemed or repurchased during any prior fiscal year ending no earlier than October 11, 1995 that were not previously used to reduce registration fees payable to the Commission:       $ 23,782,602.00       
              

 

 

       
      (iv)    Total available redemption credit [add Items 5(ii) and 5(iii)]:            $     24,075,569.95  
                

 

 

  
      (v)    Net sales—if Item 5(i) is greater than Item 5(iv) [subtract Item 5(iv) from Item 5(i)]            $ 0  
                   

 

 

  
             (vi)    Redemption credits available for use in future years—if Item 5(i) is less than Item 5(iv) [subtract Item 5(iv) from Item 5(i)]:         $ (24,075,569.95 )      
              

 

 

       
                    

 

 

       
             (vii)    Multiplier for determining registration fee (See Instruction C.9):         ×        .0001298  
                   

 

 

  
      (viii)   

Registration fee due [multiply Item 5(v) by Item 5(vii)] (enter “0” if no fee is due):

 

           =      $ 0  
                   

 

 

  
                
  6.               Prepaid Shares

 

                               
      If the response to Item 5(i) was determined by deducting an amount of securities that were registered under the Securities Act of 1993 pursuant to rule 24e-2 as in effect before October 11, 1997, then report the amount of securities (number of shares or other units) deducted here:                     . If there is a number of shares or other units that were registered pursuant to rule 24e-2 remaining unsold at the end of the fiscal year for which this form is filed that are available for use by the issuer in future fiscal years, then state the number here:                      .

 

          

 

  7.               Interest due—if this Form is being filed more than 90 days after the end of the issuer’s fiscal year (See Instruction D):                     
                +      $    
                   

 

 

  
        
  8.               Total of the amount of the registration fee due plus any interest due [line 5(viii) plus Line 7]:           
             =      $ 0  
                   

 

 

  
                
  9.               Date the registration fee and any interest payment were sent to the Commission’s lockbox depository:

 

    

 

                 
         Method of delivery:           
        

 

                    ☐  Wire Transfer

           
                             ☐   Mail or other means           

SIGNATURES

This report has been signed below by the following persons on behalf of the issuer and in the capacities and on the dates indicated.

 

   Transamerica Life Insurance Company   
By:    /s/ Fred Gingerich   
   Fred Gingerich   
   Controller   
Date: March 9, 2020