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Great-West Lifeco Inc., et al. – ‘D/A’ on 4/10/20

On:  Friday, 4/10/20, at 4:22pm ET   ·   Effective:  4/10/20   ·   Accession #:  1567619-20-7843   ·   File #s:  21-215606, -01

Previous ‘D’:  ‘D/A’ on 4/10/20   ·   Next:  ‘D/A’ on 4/9/21   ·   Latest:  ‘D/A’ on 4/11/23

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/10/20  Great-West Lifeco Inc.            D/A         4/10/20    1:29K                                    Broadridge Fin’l… Inc/FA
          Great-West Lifeco U.S. Holdings, LP

Amendment to Notice of an Exempt Offering of Securities   —   Form D   —   Reg. D
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: D/A         Amendment to Notice of an Exempt Offering of        HTML     29K 
                Securities -- primary_doc.xml/7.8                                




        

This ‘D/A’ Document is an XML Data File that may be rendered in various formats:

  Form D    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Amendment to Notice of an Exempt Offering of Securities
 

The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM D

Notice of Exempt Offering of Securities

OMB APPROVAL
OMB Number:3235-0076
Estimated average burden
hours per response:4.00

1. Issuer's Identity

CIK (Filer ID Number)Previous Names
  None
Entity Type
850918
GREAT-WEST LIFECO INC
GREAT WEST LIFECO INC
XCorporation
  Limited Partnership
  Limited Liability Company
  General Partnership
  Business Trust
  Other (Specify)

Name of Issuer
GREAT-WEST LIFECO INC.
Jurisdiction of Incorporation/Organization
CANADA (FEDERAL LEVEL)
Year of Incorporation/Organization
XOver Five Years Ago
  Within Last Five Years (Specify Year)
  Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
GREAT-WEST LIFECO INC.
Street Address 1Street Address 2
100 OSBORNE ST. N.
CityState/Province/CountryZIP/PostalCodePhone Number of Issuer
WINNIPEGMANITOBA, CANADAR3C 3A52049461190

1. Issuer's Identity

CIK (Filer ID Number)Previous Names
XNone
Entity Type
1604550
  Corporation
XLimited Partnership
  Limited Liability Company
  General Partnership
  Business Trust
  Other (Specify)

Name of Issuer
Great-West Lifeco U.S. Holdings, LP
Jurisdiction of Incorporation/Organization
DELAWARE
Year of Incorporation/Organization
XOver Five Years Ago
  Within Last Five Years (Specify Year)
  Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
Great-West Lifeco U.S. Holdings, LP
Street Address 1Street Address 2
100 Federal Street
CityState/Province/CountryZIP/PostalCodePhone Number of Issuer
BOSTONMASSACHUSETTS02110617-292-1000

3. Related Persons

Last NameFirst NameMiddle Name
MahonPaulA.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

President & Chief Executive Officer and Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
SrivastavaRaman
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Global Chief Investment Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
SonnenAnneC.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Senior Vice-President and Chief Compliance Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
JamalArshil
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

President and Group Head, Strategy, Investments, Reinsurance and Corporate Development of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
MacounJeffreyF.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

President and Chief Operating Officer, Canada of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
MacNicholasGarry
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Chief Financial Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
RussellNancyD.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Senior Vice-President and Chief Internal Auditor of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
TrickettJeremyW.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Senior Vice President, Corporate Secretary and Chief Governance Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
OrrR.Jeffrey
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
CoutuMarcelR.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
DesmaraisAndre
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
Desmarais, Jr.Paul
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
ConwayHeatherE.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
JacksonJ. DavidA.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
DoerGaryA.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
GeraghtySharonC.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and General Counsel of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
BarrettDeborahJ.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
SelittoJeromeJ.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
SinghJamesM.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
FullerDavidG.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
TretiakGregoryD.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
WalshBrianE.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
BirdGrahamR.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Chief Risk Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
PalomboGraceM.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Chief Human Resources Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
RyanT.Timothy
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
VanaseljaSiimA.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
GenereuxClaude
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
TomlinDervlaM.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Chief Actuary of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
ArmstrongPhilip
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Executive Vice-President and Global Chief Information Officer of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
ReynoldsRobertL.
Street Address 1Street Address 2
100 Federal Street
CityState/Province/CountryZIP/PostalCode
BostonMASSACHUSETTS02110
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

President of Great West Lifeco U.S. Holdings, LLC, the General Partner of Great-West Lifeco U.S. Holdings, L.P.
Last NameFirst NameMiddle Name
BolotinAndraS.
Street Address 1Street Address 2
100 Federal Street
CityState/Province/CountryZIP/PostalCode
BostonMASSACHUSETTS02110
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

Vice-President of Great-West Lifeco U.S. Holdings, LLC, the General Partner of Great-West Lifeco U.S. Holdings, L.P.
Last NameFirst NameMiddle Name
McArthurSusanJ.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
AmendMichaelR.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
LempresElizabethC.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
MadoffPaulaB.
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:  Executive OfficerXDirector  Promoter

Clarification of Response (if Necessary):

Director of Great-West Lifeco Inc.
Last NameFirst NameMiddle Name
HarneyDavid
Street Address 1Street Address 2
100 Osborne Street North
CityState/Province/CountryZIP/PostalCode
WinnipegMANITOBA, CANADAR3C 3A5
Relationship:XExecutive Officer  Director  Promoter

Clarification of Response (if Necessary):

President and Chief Operating Officer, Europe of Great-West Lifeco Inc.

4. Industry Group

  Agriculture
Banking & Financial Services
  Commercial Banking
XInsurance
  Investing
  Investment Banking
  Pooled Investment Fund
Is the issuer registered as
an investment company under
the Investment Company
Act of 1940?
  Yes  No
  Other Banking & Financial Services
  Business Services
Energy
  Coal Mining
  Electric Utilities
  Energy Conservation
  Environmental Services
  Oil & Gas
  Other Energy
Health Care
  Biotechnology
  Health Insurance
  Hospitals & Physicians
  Pharmaceuticals
  Other Health Care
  Manufacturing
Real Estate
  Commercial
  Construction
  REITS & Finance
  Residential
  Other Real Estate
  
Retailing
  
Restaurants
Technology
  Computers
  Telecommunications
  Other Technology
Travel
  Airlines & Airports
  Lodging & Conventions
  Tourism & Travel Services
  Other Travel
  
Other

5. Issuer Size

Revenue RangeORAggregate Net Asset Value Range
  No Revenues  No Aggregate Net Asset Value
  $1 - $1,000,000  $1 - $5,000,000
  $1,000,001 - $5,000,000  $5,000,001 - $25,000,000
  $5,000,001 - $25,000,000  $25,000,001 - $50,000,000
  $25,000,001 - $100,000,000  $50,000,001 - $100,000,000
  Over $100,000,000  Over $100,000,000
XDecline to Disclose  Decline to Disclose
  Not Applicable  Not Applicable

6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)

  Rule 504(b)(1) (not (i), (ii) or (iii))
  Rule 504 (b)(1)(i)
  Rule 504 (b)(1)(ii)
  Rule 504 (b)(1)(iii)
XRule 506(b)
  Rule 506(c)
  Securities Act Section 4(a)(5)
  Investment Company Act Section 3(c)
  Section 3(c)(1)  Section 3(c)(9)  
  Section 3(c)(2)  Section 3(c)(10)
  Section 3(c)(3)  Section 3(c)(11)
  Section 3(c)(4)  Section 3(c)(12)
  Section 3(c)(5)  Section 3(c)(13)
  Section 3(c)(6)  Section 3(c)(14)
  Section 3(c)(7)

7. Type of Filing

  New Notice Date of First Sale 4/2/14   First Sale Yet to Occur
XAmendment

8. Duration of Offering

Does the Issuer intend this offering to last more than one year?
XYes  No

9. Type(s) of Securities Offered (select all that apply)

XEquity  Pooled Investment Fund Interests
  Debt  Tenant-in-Common Securities
  Option, Warrant or Other Right to Acquire Another Security  Mineral Property Securities
  Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire SecurityXOther (describe)
Equity securities issued in connection with repurchases under the PanAgora Asset Management, Inc., Panagora Holdings Inc. Management Equity Plan.

10. Business Combination Transaction

Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer?
  YesXNo

Clarification of Response (if Necessary):

11. Minimum Investment

Minimum investment accepted from any outside investor$0USD

12. Sales Compensation

Recipient
Recipient CRD NumberXNone
(Associated) Broker or DealerXNone
(Associated) Broker or Dealer CRD NumberXNone
Street Address 1Street Address 2
CityState/Province/CountryZIP/Postal Code
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
  All States
  Foreign/non-US

13. Offering and Sales Amounts

Total Offering Amount USD
orXIndefinite
Total Amount Sold$100,407,586USD
Total Remaining to be Sold USD
orXIndefinite

Clarification of Response (if Necessary):

14. Investors

  
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering.
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering:
34

15. Sales Commissions & Finder's Fees Expenses

Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.

Sales Commissions$0USD
  Estimate
Finders' Fees$0USD
  Estimate

Clarification of Response (if Necessary):

There will be no sales commissions or finders' fees in connection with this offering.

16. Use of Proceeds

Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.

$0USD
  Estimate

Clarification of Response (if Necessary):

Gross proceeds of this offering will not be used for payments to any of the persons required to be named as executive officers, directors or promotors in response to item 3 above.

Signature and Submission

Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.

Terms of Submission

In submitting this notice, each issuer named above is:
  • Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, in the accordance with applicable law, the information furnished to offerees.*
  • Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against the issuer in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of:  (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
  • Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Rule 504 or Rule 506 for one of the reasons stated in Rule 504(b)(3) or Rule 506(d).

Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.

For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.

IssuerSignatureName of SignerTitleDate
GREAT-WEST LIFECO INC./s/ Garry MacNicholasGarry MacNicholasExecutive Vice President and Chief Financial Officer 4/10/20
Great-West Lifeco U.S. Holdings, LP/s Stephen J. TateStephen J. TateVice President 4/10/20

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.

* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.


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