Form D Raw Data - Electronic Filing Depository

EFDID: 13258EFD: Raw Data

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

Accession: 0001487417-13-000001 () (EDGAR Files) (Form D)

Edgar Posted: Apr. 19, 2013
EFD Posted: Aug. 7, 2014

- < edgarSubmission >

< schemaVersion > X0706 </ 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 > 425-577-5100 </ 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 > 425-577-5100 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > Paul </ firstName >

< lastName > Noftke </ 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 > Patrick </ firstName >

< lastName > Carty </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > 3003 77th Avenue SE </ street1 >

< city > Mercer Island </ city >

< stateOrCountry > WA </ stateOrCountry >

< stateOrCountryDescription > WASHINGTON </ stateOrCountryDescription >

< zipCode > 98040 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 2st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ 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 > 2000 West Sam Houston Parkway South </ street1 >

< city > Houston </ city >

< stateOrCountry > TX </ stateOrCountry >

< stateOrCountryDescription > TEXAS </ stateOrCountryDescription >

< zipCode > 77042 </ 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 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

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

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Rosario </ firstName >

< lastName > Cecco </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

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

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< lastName > DiStasi </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 21st Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

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

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Margaret </ firstName >

< lastName > Labno </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1400 American Lane </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

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

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > David </ firstName >

< lastName > Dampman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 7045 College Boulevard </ street1 >

< city > Overland Park </ city >

< stateOrCountry > KS </ stateOrCountry >

< stateOrCountryDescription > KANSAS </ stateOrCountryDescription >

< zipCode > 66211 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Assistant Secretary of Zurich American Life Insurance Company </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Stuart </ firstName >

< lastName > Berman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway, 30th Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

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

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Leeann </ firstName >

< lastName > Badgett </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 3003 77th Avenue SE </ street1 >

< city > Mercer Island </ city >

< stateOrCountry > WA </ stateOrCountry >

< stateOrCountryDescription > WASHINGTON </ stateOrCountryDescription >

< zipCode > 98040 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Assistant 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 > 0001487417-12-000001 </ 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 > WA </ state >

< description > WASHINGTON </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > NM </ state >

< description > NEW MEXICO </ description >

< state > DE </ state >

< description > DELAWARE </ description >

< state > FL </ state >

< description > FLORIDA </ 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 > WA </ state >

< description > WASHINGTON </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > NM </ state >

< description > NEW MEXICO </ description >

< state > DE </ state >

< description > DELAWARE </ description >

< state > FL </ state >

< description > FLORIDA </ 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 > 8835604214 </ 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 > 2013-04-19 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >