0001465722-13-000001.txt : 20130328 0001465722-13-000001.hdr.sgml : 20130328 20130328131639 ACCESSION NUMBER: 0001465722-13-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130328 DATE AS OF CHANGE: 20130328 EFFECTIVENESS DATE: 20130328 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Union Labor Life Insurance Co CENTRAL INDEX KEY: 0001465722 IRS NUMBER: 131423090 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-132166 FILM NUMBER: 13722841 BUSINESS ADDRESS: STREET 1: 1625 EYE ST NW CITY: WASHINGTON STATE: DC ZIP: 20006 BUSINESS PHONE: 202-682-7927 MAIL ADDRESS: STREET 1: 1625 EYE ST NW CITY: WASHINGTON STATE: DC ZIP: 20006 FORMER COMPANY: FORMER CONFORMED NAME: Union Labor Life Insurance Co Separate Account W1 DATE OF NAME CHANGE: 20090605 D/A 1 primary_doc.xml X0706 D/A LIVE 0001465722 Union Labor Life Insurance Co 1625 EYE ST NW WASHINGTON DC DISTRICT OF COLUMBIA 20006 202-682-7927 MARYLAND Union Labor Life Insurance Co Separate Account W1 Other Insurance company comingled account true 2009 David Barra 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Edward Smith 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Herbert Kolben 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Damon Gasque 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Adam Fried 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director John Hoffen 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Director Cathy Humphrey 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Joseph Linehan 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Executive Officer Director Daniel Wolak 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 Director Pooled Investment Fund Other Investment Fund false Over $100,000,000 06 true 0001465722-11-000003 2009-05-01 true true Group Annuity Contract false 500000 Pistner, Michael 2932182 ULLICO Investment Company, Inc. 135195 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 All States false Nisson, Deborah 5764373 ULLICO Investment Company, Inc. 135195 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 All States false Goetz, Griffin 5830895 Ullico Investment Company, Inc. 135195 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 All States false Howe, Luke 5779141 Ullico Investment Company, Inc. 135195 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 All States false Norkus, Michael 5964441 Ullico Investment Company, Inc. 135195 1625 Eye St NW Washington DC DISTRICT OF COLUMBIA 20006 All States false Indefinite 133981095 Indefinite true 1 18 350000 true 0 0 false Union Labor Life Insurance Co Cathy Humphrey Cathy Humphrey VP, Investment Operations 2013-03-20