0000777917-21-000013.txt : 20210625 0000777917-21-000013.hdr.sgml : 20210625 20210625102449 ACCESSION NUMBER: 0000777917-21-000013 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210625 DATE AS OF CHANGE: 20210625 EFFECTIVENESS DATE: 20210625 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PRUCO LIFE INSURANCE CO CENTRAL INDEX KEY: 0000777917 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 221944557 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-369786 FILM NUMBER: 211045218 BUSINESS ADDRESS: STREET 1: 213 WASHINGTON ST STREET 2: 111 DURHAM AVENUE CITY: NEWARK STATE: NJ ZIP: 07102 BUSINESS PHONE: 2018026000 MAIL ADDRESS: STREET 1: 213 WASHINGTON STREET CITY: NEWARK STATE: NJ ZIP: 07102 D/A 1 primary_doc.xml X0708 D/A LIVE 0000777917 PRUCO LIFE INSURANCE CO 213 WASHINGTON ST NEWARK NJ NEW JERSEY 07102 860-534-8057 ARIZONA None None Corporation true Dylan J. Tyson 1 Corporate Drive Shelton CT CONNECTICUT 06484 Executive Officer Director Director, President and Chief Executive Officer Nandini Mongia 3 Gateway Center Newark NJ NEW JERSEY 07102 Executive Officer Director Director and Treasurer Susan M. Mann 213 Washington Street Newark NJ NEW JERSEY 07102 Executive Officer Director Director, Vice President, Chief Accounting Officer and Chief Financial Officer Markus Coombs 213 Washington Street Newark NJ NEW JERSEY 07102 Executive Officer Director Director and Vice President Caroline A. Feeney 213 Washington Street Newark NJ NEW JERSEY 07102 Director Director Salene Hitchcock-Gear 213 Washington Street Newark NJ NEW JERSEY 07102 Director Director Candace J. Woods 751 Broad Street Newark NJ NEW JERSEY 07102 Director Director Todd Bryden 280 Trumbull Street Hartford CT CONNECTICUT 06103 Executive Officer Senior Vice President and Chief Actuary Judy R. Bartlett 1 Corporate Drive Shelton CT CONNECTICUT 06484 Executive Officer Vice President and Chief Compliance Officer Alfred Lerman 655 Broad Street Newark NJ NEW JERSEY 07102 Executive Officer Vice President and Chief Investment Officer Lynn Stone 1 Corporate Drive Shelton CT CONNECTICUT 06484 Executive Officer Vice President, Chief Legal Officer and Secretary Joseph Hsu 213 Washington Street Newark NJ NEW JERSEY 07102 Executive Officer Vice President and Controller Insurance Over $100,000,000 06b true 0000777917-20-000064 true true true Synthetic GICs issued to insurance carriers of BOLI/COLI policies. false 500000 Glenn K. O'Brien 2739672 Prudential Investment Management Services LLC 18353 655 Broad Street Newark NJ NEW JERSEY 07102 CT CONNECTICUT DE DELAWARE IA IOWA NJ NEW JERSEY false Indefinite 0 Indefinite false 0 100000 true 0 0 None of the gross proceeds received from the offering will be paid to or used for payments to the persons identified in Item 3; such persons receive a regular salary from The Prudential Insurance Company of America or an affiliate. false PRUCO LIFE INSURANCE CO /s/ Lacey A. Lockward Lacey A. Lockward Vice President 2021-06-25