0000931788-16-000003.txt : 20160120 0000931788-16-000003.hdr.sgml : 20160120 20160120140311 ACCESSION NUMBER: 0000931788-16-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160120 DATE AS OF CHANGE: 20160120 EFFECTIVENESS DATE: 20160120 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: 021-232868 FILM NUMBER: 161350537 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 X0707 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 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 Michael A. Costello 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Gregory P. Cicotte 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Barry L. Stowe 1 Corporate Way Lansing MI MICHIGAN 48951 Director Bradley O. Harris 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Director Mark B. Mandich 1 Corporate Way Lansing MI MICHIGAN 48951 Director Andrew J. Bowden 1 Corporate Way Lansing MI MICHIGAN 48951 Executive Officer Insurance Decline to Disclose 06b true 0000931788-15-000002 2015-01-31 false true Deferred Commission Plan false 0 1306247 1306247 0 false 65 0 0 0 false JACKSON NATIONAL LIFE INSURANCE CO Julia A. Goatley Julia A. Goatley Assistant Secretary 2016-01-20