Form D Raw Data - Electronic Filing Depository

EFDID: 13258EFD: Raw Data

Issuer: ZALICO Variable Series I Separate Account (0001487417) - D/A

Accession: 0001487417-12-000001 () (EDGAR Files) (Form D)

Edgar Posted: May. 23, 2012
EFD Posted: Aug. 7, 2014

- < edgarSubmission >

< schemaVersion > X0705 </ schemaVersion >

< submissionType > D/A </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001487417 </ cik >

< entityName > ZALICO Variable Series I Separate Account </ entityName >

- < issuerAddress >

< street1 > 1400 AMERICAN LANE </ street1 >

< city > SCHAUMBURG </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 917-534-4500 </ issuerPhoneNumber >

< jurisdictionOfInc > ILLINOIS </ jurisdictionOfInc >

- < edgarPreviousNameList >

< previousName > KILICO Variable Series I Separate Account </ previousName >

</ edgarPreviousNameList >

< entityType > Other </ entityType >

< entityTypeOtherDesc > Insurance Company Separate Account. </ entityTypeOtherDesc >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ primaryIssuer >

- < issuerList >

- < issuer >

< cik > 0000351754 </ cik >

< entityName > Zurich American Life Insurance Co </ entityName >

- < issuerAddress >

< street1 > 1400 AMERICAN LANE </ street1 >

< city > SCHAUMBURG </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 917-534-4500 </ issuerPhoneNumber >

< jurisdictionOfInc > ILLINOIS </ jurisdictionOfInc >

- < edgarPreviousNameList >

< previousName > KEMPER INVESTORS LIFE INSURANCE CO </ previousName >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ issuer >

</ issuerList >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > David </ firstName >

< lastName > Dietz </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > President, Chief Executive Officer and Director of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Dawn </ firstName >

< lastName > Fritz-Cummings </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1400 American Lane </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Richard </ firstName >

< lastName > Hauser </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1400 American Lane </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Nicolas </ firstName >

< lastName > Burnet </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > Mythenquai 2 </ street1 >

< city > Zurich </ city >

< stateOrCountry > V8 </ stateOrCountry >

< stateOrCountryDescription > SWITZERLAND </ stateOrCountryDescription >

< zipCode > 8022 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Patrick </ firstName >

< lastName > Carty </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, General Counsel and Corporate Secretary of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Simon </ firstName >

< lastName > Lodge </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Senior Vice President and Chief Financial Officer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Richard </ firstName >

< lastName > Grilli </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Senior Vice President and Chief Operating Officer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Jeffrey </ firstName >

< lastName > Horton </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Senior Vice President, Finance and Treasurer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< lastName > Rohwetter </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Chief Investment Officer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Cathy </ firstName >

< lastName > Hall </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 15375 SE 30th Place </ street1 >

< city > Bellevue </ city >

< stateOrCountry > WA </ stateOrCountry >

< stateOrCountryDescription > WASHINGTON </ stateOrCountryDescription >

< zipCode > 98007 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Chief Compliance Officer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Cathy </ firstName >

< lastName > Ehrlich </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Chief Actuary of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Elizabeth </ firstName >

< lastName > McInerney </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Chief Operations Officer of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Dennis </ firstName >

< lastName > Roberts </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Sherif </ firstName >

< lastName > Zakhary </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 105 East 17th Street </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10003 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Insurance </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06 </ item >

< item > 3C </ item >

< item > 3C.7 </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > true </ isAmendment >

< previousAccessionNumber > 0001140361-11-010053 </ previousAccessionNumber >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 1997-06-06 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > true </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > Interests in ZALICO Series I Separate Account pursuant to variable life insurance policies </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 0 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > Wells Fargo Advisors, LLC </ recipientName >

< recipientCRDNumber > 19616 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > One North Jefferson Avenue </ street1 >

< city > St. Louis </ city >

< stateOrCountry > MO </ stateOrCountry >

< stateOrCountryDescription > MISSOURI </ stateOrCountryDescription >

< zipCode > 63103 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > NM </ state >

< description > NEW MEXICO </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Benefit Finance Securities </ recipientName >

< recipientCRDNumber > 45113 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 6 Cityplace Drive, Suite 400 </ street1 >

< city > St. Louis </ city >

< stateOrCountry > MO </ stateOrCountry >

< stateOrCountryDescription > MISSOURI </ stateOrCountryDescription >

< zipCode > 63141 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > NM </ state >

< description > NEW MEXICO </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > WJ Lynch Investor Services LLC (William J. Lynch & Associates) </ recipientName >

< recipientCRDNumber > 140762 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 535 Boylston Street, Floor T </ street1 >

< city > Boston </ city >

< stateOrCountry > MA </ stateOrCountry >

< stateOrCountryDescription > MASSACHUSETTS </ stateOrCountryDescription >

< zipCode > 02116 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > DE </ state >

< description > DELAWARE </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > Indefinite </ totalOfferingAmount >

< totalAmountSold > 8834512293 </ totalAmountSold >

< totalRemaining > Indefinite </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 40 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 9678499 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse > As issuer of the variable life insurance policies, Zurich American Life Insurance Company will receive amounts from charges deducted under the policies, but no executive officer, director or promoter will receive any portion of the gross offering proceeds </ clarificationOfResponse >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > true </ authorizedRepresentative >

- < signature >

< issuerName > ZALICO Variable Series I Separate Account </ issuerName >

< signatureName > Richard W. Grilli </ signatureName >

< nameOfSigner > Richard W. Grilli </ nameOfSigner >

< signatureTitle > Chief Operating Officer and Senior Vice President </ signatureTitle >

< signatureDate > 2012-05-23 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >