0000931788-12-000004.txt : 20120203 0000931788-12-000004.hdr.sgml : 20120203 20120203113852 ACCESSION NUMBER: 0000931788-12-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120203 DATE AS OF CHANGE: 20120203 EFFECTIVENESS DATE: 20120203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON NATIONAL LIFE INSURANCE CO CENTRAL INDEX KEY: 0000931788 IRS NUMBER: 000000000 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-85824 FILM NUMBER: 12568522 BUSINESS ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 BUSINESS PHONE: 517-381-5500 MAIL ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 FORMER COMPANY: FORMER CONFORMED NAME: JACKSON NATIONAL LIFE INSURANCE CO /MI DATE OF NAME CHANGE: 19941021 D/A 1 primary_doc.xml X0704 D/A LIVE 0000931788 JACKSON NATIONAL LIFE INSURANCE CO 1 CORPORATE WAY LANSING MI MICHIGAN 48951 517-381-5500 MICHIGAN JACKSON NATIONAL LIFE INSURANCE CO /MI Corporation true Leandra R. Knes 1 Corporate Way Lansing MI MICHIGAN 48951 Director Michael A. Wells 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Thomas J. Meyer 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Clifford J. Jack 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Paul C. Myers 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director James R. Sopha 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Insurance $25,000,001 - $100,000,000 06 true 0000931788-10-000002 2011-01-31 false true Deferred Commission Plan false 0 1352821 1352821 0 false 75 0 0 0 false JACKSON NATIONAL LIFE INSURANCE CO Thomas J. Meyer Thomas J. Meyer Secretary 2012-02-03