-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NBz4DaGUqp0EokzO+ywlXN7tMC+folWf0OJktD2V//8dbv3bhMQ3S4OXk/FWFc40 0zNK6KyuPBDLBa5i69ahsQ== 9999999997-06-033472.txt : 20060804 9999999997-06-033472.hdr.sgml : 20060804 20060804141635 ACCESSION NUMBER: 9999999997-06-033472 CONFORMED SUBMISSION TYPE: 40-6C PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20060623 DATE AS OF CHANGE: 20060804 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON NATIONAL LIFE INSURANCE CO /MI CENTRAL INDEX KEY: 0000931788 IRS NUMBER: 000000000 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 40-6C SEC ACT: 1940 Act SEC FILE NUMBER: 812-13320 FILM NUMBER: 06041876 BUSINESS ADDRESS: STREET 1: 5901 EXECUTIVE DRIVE CITY: LANSING STATE: MI ZIP: 48911 BUSINESS PHONE: 5173943400 MAIL ADDRESS: STREET 1: C/O ANDERSON, KILL ET AL STREET 2: 1251 AVE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10020 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON NATIONAL SEPARATE ACCOUNT - I CENTRAL INDEX KEY: 0000927730 IRS NUMBER: 381659835 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 40-6C SEC ACT: 1940 Act SEC FILE NUMBER: 812-13320-01 FILM NUMBER: 06041877 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 SEPARATE ACCOUNT I DATE OF NAME CHANGE: 19940803 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSON NATIONAL LIFE DISTRIBUTORS INC CENTRAL INDEX KEY: 0001092359 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: 40-6C SEC ACT: 1940 Act SEC FILE NUMBER: 812-13320-02 FILM NUMBER: 06041878 BUSINESS ADDRESS: STREET 1: 5901 EXECUTIVE DRIVE CITY: LANSING STATE: MI ZIP: 48911-5389 40-6C 1 9999999997-06-033472.paper AUTO-GENERATED PAPER DOCUMENT This document was generated as part of a paper submission. Please reference the Document Control Number 06041878 for access to the original document. -----END PRIVACY-ENHANCED MESSAGE-----