Sec Form N3 - Registration Statement Under The Securities Act Of 1933 And/or Registration Statement Under The Investment Company Act Of 1940 Page 6

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Part A – INFORMATION REQUIRED IN A PROSPECTUS
Item 1.
Cover Pages
(a) The outside cover page must contain the following information:
(i) the Registrant’s name;
(ii) the Insurance Company’s name;
(iii) the types of variable annuity contracts offered by the prospectus (e.g., group, individual, single premium immediate,
flexible premium deferred);
(iv) any limitations on the class or classes of purchasers to whom the contract is being offered, in general terms;
(v) identifications of the type of separate account (e.g., money market account, bond account) or a brief statement of the
Registrant’s investment objectives;
(vi) a statement or statements that (A) the prospectus sets forth information about the Registrant that a prospective investor
ought to know before investing; (B) the prospectus should be retained for future reference; and (C) additional information
about the Registrant has been filed with the Commission and is available upon written or oral request and without charge
(This statement should explain how to obtain the Statement of Additional Information (“SAI”), whether any of it has been
incorporated by reference into the prospectus, and where the table of contents of the SAI appears in the prospectus. This
statement should also explain how to obtain the Registrant’s annual and semi-annual reports to shareholders. Provide a
toll-free (or collect) telephone number for investors to call: to request the SAI; to request the Registrant’s annual report;
to request the Registrant’s semi-annual report; to request other information about the Registrant; and to make shareholder
inquiries. Also state whether the Registrant makes available its SAI and annual and semi-annual reports, free of charge,
on or through the Registrant’s Web site at a specified Internet address. If the Registrant does not make its SAI and
shareholder reports available in this manner, disclose the reasons why it does not do so (including, where applicable, that
the Registrant does not have an Internet Web site.) Also include the information that the Commission maintains an Internet
Web site ( ) that contains the SAI, material incorporated by reference, and other information regarding
registrants.);
(vii) the date of the prospectus, and the date of the Statement of Additional Information;
(viii) the statement required by Rule 481(b)(1) under the 1933 Act [17 CFR 230.481(b)(1)];
(ix) in the case of a Registrant holding itself out as a money market fund, a prominent statement that an investment in the fund
is neither insured nor guaranteed by the U.S. Government; and
(x) such other information as is required by rules of the Commission or of any other governmental authority having jurisdiction
over the Registrant for the issuance of its securities.
(b) The cover page may include other information, if it does not, by its nature, quantity, or manner of presentation, impede
understanding of the required information.
Item 2.
Definitions
Define the special terms used in the prospectus (e.g., accumulation unit, contractowner, participant, sub-account, etc.) in a glossary.
In lieu of a glossary, Registrants may use an index of special terms that refers to the page on which each special term is defined.
Instruction
Only special terms used throughout the prospectus must be defined or listed. If a special term, e.g., net investment factor, is used in
only one section of the prospectus, it may be defined there. However, all special terms used in the prospectus must be defined.
1
SEC 2124 (5/15)

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