Form D Raw Data - Electronic Filing Depository

EFDID: 98464EFD: Raw Data

Issuer: ZALICONY HNW PPVA Series Account - 1 (0001610286) - D/A

Accession: 0001537090-17-000002 () (EDGAR Files) (Form D)

Edgar Posted: Mar. 31, 2017
EFD Posted: Mar. 31, 2017

- < edgarSubmission >

< schemaVersion > X0707 </ schemaVersion >

< submissionType > D/A </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001610286 </ cik >

< entityName > ZALICONY HNW PPVA Series Account - 1 </ entityName >

- < issuerAddress >

< 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 >

</ issuerAddress >

< issuerPhoneNumber > 877-301-5376 </ issuerPhoneNumber >

< jurisdictionOfInc > NEW YORK </ jurisdictionOfInc >

- < edgarPreviousNameList >

< previousName > Zurich American Life Insurance Co of New York </ previousName >

</ edgarPreviousNameList >

< entityType > Other </ entityType >

< entityTypeOtherDesc > Insurance Company Separate Account </ entityTypeOtherDesc >

- < yearOfInc >

< withinFiveYears > true </ withinFiveYears >

< value > 2014 </ value >

</ yearOfInc >

</ primaryIssuer >

- < issuerList >

- < issuer >

< cik > 0000351754 </ cik >

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

- < issuerAddress >

< street1 > 1299 Zurich Way </ 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 </ 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, Chairperson and Director of Zurich American Life Insurance Company of New York (ZALICONY) </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Simon </ firstName >

< lastName > Lodge </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ 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 > Director, Vice President and Chief Financial Officer of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Juanita </ firstName >

< lastName > Thomas </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1114 Georgia Street </ street1 >

< city > Louisiana </ city >

< stateOrCountry > MO </ stateOrCountry >

< stateOrCountryDescription > MISSOURI </ stateOrCountryDescription >

< zipCode > 63353 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President and Chief Compliance Officer ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Cathy </ firstName >

< lastName > Ehrlich </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ 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, Chief Actuary and Illustration Actuary of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Ira </ firstName >

< lastName > Kleinman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Audrey </ firstName >

< lastName > Martin </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ 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 > Director and Vice President, Human Resources of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Louis </ firstName >

< lastName > Pietroluongo </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of ZALICONY </ 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 and Responsible Officer, Illustrations of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Michael </ firstName >

< lastName > Rohwetter </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ 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 ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Dave </ 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 >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director, Vice President, Operations and Regulation 60 Officer of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Dawn </ firstName >

< lastName > Cummings-Fritz </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 1299 Zurich Way </ street1 >

< city > Schaumburg </ city >

< stateOrCountry > IL </ stateOrCountry >

< stateOrCountryDescription > ILLINOIS </ stateOrCountryDescription >

< zipCode > 60196 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Richard </ firstName >

< lastName > Grilli </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 165 Broadway </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Assistant Treasurer of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Cathy </ firstName >

< lastName > Hall </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 3003 77th Ave 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 ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Debra </ firstName >

< lastName > Broek </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10006 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Director of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > John </ firstName >

< lastName > Miskel </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 900 South Pine Island Road </ street1 >

< city > Plantation </ city >

< stateOrCountry > FL </ stateOrCountry >

< stateOrCountryDescription > FLORIDA </ stateOrCountryDescription >

< zipCode > 33324 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Scott </ firstName >

< lastName > Beeman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > 500 Enterprise Drive </ street1 >

< city > Rocky Hill </ city >

< stateOrCountry > CT </ stateOrCountry >

< stateOrCountryDescription > CONNECTICUT </ stateOrCountryDescription >

< zipCode > 06067 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification > Vice President, Operations of ZALICONY </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Patrick </ firstName >

< lastName > Carty </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 21 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, General Counsel and Corporate Secretary </ relationshipClarification >

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Mark </ firstName >

< lastName > Hargrove </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > One Liberty Plaza </ street1 >

< street2 > 21 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 Risk Officer </ relationshipClarification >

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Insurance </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06c </ item >

< item > 3C </ item >

< item > 3C.7 </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > true </ isAmendment >

< previousAccessionNumber > 0001605628-16-000002 </ previousAccessionNumber >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2014-04-28 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > true </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isOtherType > true </ isOtherType >

< descriptionOfOtherType > Interests in ZALICONY HNW PPVA Series Account - 1 pursuant to variable life insurance policies </ descriptionOfOtherType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 1000000 </ minimumInvestmentAccepted >

- < salesCompensationList >

- < recipient >

< recipientName > Morgan Stanley Smith Barney </ recipientName >

< recipientCRDNumber > 149777 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 2000 Westchester Ave </ street1 >

< street2 > 2nd Floor </ street2 >

< city > Purchase </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10577 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Deborah Montaperto </ recipientName >

< recipientCRDNumber > 1669425 </ recipientCRDNumber >

< associatedBDName > Morgan Stanley </ associatedBDName >

< associatedBDCRDNumber > 149777 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 399 Park Avenue </ street1 >

< street2 > 12th Floor </ street2 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > M Holdings Securities </ recipientName >

< recipientCRDNumber > 43285 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1125 NW Couch Street #900 </ street1 >

< city > Portland </ city >

< stateOrCountry > OR </ stateOrCountry >

< stateOrCountryDescription > OREGON </ stateOrCountryDescription >

< zipCode > 97209 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > American Portfolios </ recipientName >

< recipientCRDNumber > 18487 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 4250 Veterans Memorial Hwy, Suite 420E </ street1 >

< city > Holbrook </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 11741 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > First Liberties Financial </ recipientName >

< recipientCRDNumber > 14432 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 99 Park Avenue, Suite 1920 </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10016 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > NFP Advisor Services </ recipientName >

< recipientCRDNumber > 42046 </ recipientCRDNumber >

< associatedBDName > None </ associatedBDName >

< associatedBDCRDNumber > None </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 1250 Capital of Texas Hwy, Suite 125 </ street1 >

< city > Austin </ city >

< stateOrCountry > TX </ stateOrCountry >

< stateOrCountryDescription > TEXAS </ stateOrCountryDescription >

< zipCode > 78746 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > NY </ state >

< description > NEW YORK </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > Indefinite </ totalOfferingAmount >

< totalAmountSold > 59780983 </ totalAmountSold >

< totalRemaining > Indefinite </ totalRemaining >

< clarificationOfResponse />

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 4 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 889761 </ dollarAmount >

< isEstimate > true </ isEstimate >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse > ZALICONY deducts charges from premium and policy values per terms of applicable insurance contract. </ clarificationOfResponse >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > true </ authorizedRepresentative >

- < signature >

< issuerName > ZALICONY HNW PPVA Series Account - 1 </ issuerName >

< signatureName > Richard Grilli </ signatureName >

< nameOfSigner > Richard Grilli </ nameOfSigner >

< signatureTitle > Assistant Treasurer </ signatureTitle >

< signatureDate > 2017-03-31 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >