-----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, CxxHly0k5/UE/cmTF8gnG9BnMZta8CC2DeN4Qhco1yPY8fHPwdR5qqcFObRJCMMM /Z8o/33mE8HoG5l02nIhhg== 0001017062-01-000424.txt : 20010228 0001017062-01-000424.hdr.sgml : 20010228 ACCESSION NUMBER: 0001017062-01-000424 CONFORMED SUBMISSION TYPE: NSAR-U PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010226 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC LIFE INSURANCE CO CENTRAL INDEX KEY: 0000935823 STANDARD INDUSTRIAL CLASSIFICATION: [] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NSAR-U SEC ACT: SEC FILE NUMBER: 811-08946 FILM NUMBER: 1554043 BUSINESS ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 BUSINESS PHONE: 7146403743 MAIL ADDRESS: STREET 1: P O BOX 7500 CITY: NEWPORT BEACH STATE: CA ZIP: 92658-7500 FORMER COMPANY: FORMER CONFORMED NAME: SEPARATE ACCOUNT A OF PACIFIC MUTUAL LIFE INS CO DATE OF NAME CHANGE: 19950119 NSAR-U 1 0001.txt FORM N-SAR OF FISCAL YEAR ENDING 12/31/2000 FORM N-SAR SEMI-ANNUAL REPORT FOR REGISTERED INVESTMENT COMPANIES Report For six month period ending: / / (a) of fiscal year ending: 12/31/00 (b) Is this a transition report?: (Y/N) N Is this an amendment to a previous filing? (Y/N) N Those items or sub-items with a box "[/]" after the item number should be completed only if the answer has changed from the previous filing on this form. 1. A. Registrant Name: Separate Account A B. File Number: 811-8946 C. Telephone Number: (949) 219-3743 2. A. Street: 700 Newport Center Drive B. City: Newport Beach C. State CA D. Zip Code: 92660 Zip Ext: E. Foreign Country: Foreign Postal Code: 3. Is this the first filing on this form by Registrant? (Y/N) N 4. Is this the last filing on this form by Registrant? (Y/N) N 5. Is Registrant a small business investment company (SBIC)? (Y/N) N [If answer is "Y" (Yes), complete only items 89 through 110.] 6. Is Registrant a unit investment trust (UIT)? (Y/N) Y [If answer is "Y" (Yes), complete only items 111 through 132.] 7. A. Is Registrant a series or multiple portfolio Company? (Y/N) ___________ _______________________________________________________________________ [If answer is "N" (No), go to item 8.] B. How many separate series or portfolios did Registrant have at the end of the period? ________________________________________________________ SCREEN NUMBER: 01 PAGE NUMBER: 01 SEC2100 (5/90) For period ending 12/31/00 If filing more than one Page 48, "X" box: [_] File number 811-8946 111. A.[/] Trustee Name: ______________________________________________________ B.[/] City: _____________ State: ______ Zip Code: ______ Zip Ext.: ______ [/] Foreign Country: __________________ Foreign Postal Code: ___________ 113. A.[/] Trustee Name: ______________________________________________________ B.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______ [/] Foreign Country: __________________ Foreign Postal Code: ___________ 114. A.[/] Principal Underwriter Name: Pacific Select Distributors, Inc. ----------------------------------------- B.[/] File Number: 8-15264 --------- C.[/] City: Newport Beach State: CA Zip Code: 92660 Zip Ext.: ______ -------------- ------ ------ [/] Foreign Country: __________________ Foreign Postal Code: ___________ 114. A.[/] Principal Underwriter Name: ________________________________________ B.[/] File Number: 8-_____________ C.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______ [/] Foreign Country: __________________ Foreign Postal Code: ___________ 115. A.[/] Independent Public Accountant Name: Deloitte & Touche LLP -------------------------------- B.[/] City: Costa Mesa State: CA Zip Code: 92626 Zip Ext.: ______ -------------- ------ ------ [/] Foreign Country: __________________ Foreign Postal Code: ___________ 115. A.[/] Independent Public Accountant Name:_________________________________ B.[/] City: ______________ State: ______ Zip Code: ______ Zip Ext.: ______ [/] Foreign Country: __________________ Foreign Postal Code: ___________ SCREEN NUMBER: 56 PAGE NUMBER: 48 SEC2100(5/90) For period ending 12/31/00 If filing more than one Page 49, "X" box: [_] File number 811-8946 116. Family of investment companies information: A.[/] Is Registrant part of a family of investment companies? (Y/N)______ ____________________________________________________________________N Y/N B.[/] Identify the family in 10 letters: _ _ _ _ _ _ _ _ _ _ (NOTE: In filing this form, use this identification consistently for all investment companies in family. This designation is for purposes of this form only.) 117. A.[/] Is Registrant a separate account of an insurance Company? (Y/N)_____ ____________________________________________________________________Y Y/N If answer is "Y" (Yes), are any of the following types of contracts funded by the Registrant?: B.[/] Variable Annuity contracts? (Y/N)_______________________________Y Y/N C.[/] Scheduled Premium variable life contracts? (Y/N)________________N Y/N D.[/] Flexible premium variable life contracts? (Y/N)_________________N Y/N E.[/] Other types of insurance products registered under the Securities Act of 1933? (Y/N) _____________________________________________N Y/N 118. [/] State the number of series existing at the end of the period that had securities registered under the Securities Act of 1933._______________ __________________________________________________________________1 119. [/] State the number of new series for which registration statements under the Securities Act of 1933 became effective during the period_________ __________________________________________________________________0 120. [/] State the total value of the portfolio securities on the date of deposit for the new series included in item 119 ($000's omitted)______ _________________________________________________________________$0 121. [/] State the number of series for which a current prospectus was in existence at the end of the period _______________________________1 122. [/] State the number of existing series for which additional units were registered under the Securities Act of 1933 during the current period. __________________________________________________________________1 SCREEN NUMBER: 56 PAGE NUMBER: 49 SEC2100(5/90) For period ending 12/31/00 If filing more than one Page 50, "X" box: [_] File number 811-8946 123. [/] State the total value of the additional units considered in answering item 122 ($000's omitted) $18,322,347 ----------- 124. [/] State the total value of units of prior series that were placed in the portfolios of subsequent series during the current period (the value of these units is to be measured on the date they were placed in the subsequent series) ($000's omitted) __________________________________ $ 0 ----- 125. [/] State the total dollar amount of sales loads collected (before reallowances to other brokers or dealers) by Registrant's principal underwriter and any underwriter which is an affiliated person of the principal underwriter during the current period solely from the sale of units of all series of Registrant ($000's omitted) ________________ $ 0 ----- 126. Of the amount shown in item 125, state the total dollar amount of sales loads collected from secondary market operations in Registrant's units (include the sales loads, if any, collected on units of a prior series placed in the portfolio of a subsequent series.) ($000's omitted) _________ __________________________________________________________ $ 0 ----- 127. List opposite the appropriate description below the number of series whose portfolios are invested primarily (based upon a percentage of NAV) in each type of security shown, the aggregate total assets at market value as of a date at or near the end of the current period of each such group of series and the total income distributions made by each such group of series during the current period (excluding distributions of realized gains, if any):
Number of Total Assets Total Income Series ($000's Distributions Investing omitted) ($000's omitted) --------- ------------ ---------------- A. U.S. Treasury direct issue ________________________ _________ $___________ $__________ B. U.S. Government agency ____________________________ _________ $___________ $__________ C. State and municipal tax-free ______________________ _________ $___________ $__________ D. Public utility debt _______________________________ _________ $___________ $__________ E. Brokers or dealers debt or debt of brokers' or dealers' parent ___________________________________ _________ $___________ $__________ F. All other corporate intermed. & long-term debt ____ _________ $___________ $__________ G. All other corporate short-term debt _______________ _________ $___________ $__________ H. Equity securities of brokers or dealers or parents of brokers or dealers _____________________________ _________ $___________ $__________ I. Investment company equity securities ______________ _________ $___________ $__________ J. All other equity securities _______________________ 1 $ 10,145,850 $__________ K. Other securities __________________________________ _________ $___________ $__________ L. Total assets of all series of registrant __________ _________ $___________ $__________
SCREEN NUMBER: 58 PAGE NUMBER: 50 SEC2100 (5/90) For period ending 12/31/00 If filing more than one Page 51, "X" box: [_] File number 811-8946 128. [/] Is the timely payment of principal and interest on any of the portfolio securities held by any of Registrant's series at the end of the current period insured or guaranteed by an entity other than the issuer? (Y/N) _______________________________________________ N --- Y/N [If answer is "N" (No), go to item 131.] 129. [/] Is the issuer of any instrument covered in item 128 delinquent or in default as to payment of principal or interest at the end of the current period? (Y/N) _______________________________________ N --- Y/N 130. [/] In computations of NAV or offering price per unit, is any part of the value attributed to instruments identified in item 129 derived from insurance or guarantees? (Y/N) ______________________________ N --- Y/N 131. Total expenses incurred by all series of Registrant during the current reporting period ($000's omitted) __________________________ $125,457 ------- 132. [/] List the "811" (Investment Company Act of 1940) registration number for all Series of Registrant that are being included in this filing:
811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________ 811-________
SCREEN NUMBER: 59 PAGE NUMBER: 51 SEC2100 (5/90) This report is signed on behalf of the registrant in the City of Newport Beach and State of California on the 26th day of February, 2001. SEPARATE ACCOUNT A OF PACIFIC LIFE INSURANCE COMPANY Witness /s/ Audrey L. Milfs By: /s/ Diane N. Ledger ----------------------------- --------------------------- Audrey L. Milfs Diane N. Ledger Vice President and Vice President Corporate Secretary -----END PRIVACY-ENHANCED MESSAGE-----