Form D

View Original Filing

Notice of Exempt Offering of Securities

Item 1. Issuer's Identity

Name of Issuer:
MASSACHUSETTS MUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT V
Jurisdiction of Incorporation/Organization
MA
Year of Incorporation/Organization
Over Five Years Ago

Previous Name(s)

Entity Type
OTHER

Item 2 Issuer Principal Place of Business and Contact Information

1295 STATE STREET, MIP M243
SPRINGFIELD, MA 01111-0001
Phone Number: subscription required

Item 1. Issuer's Identity

Name of Issuer:
MASSACHUSETTS MUTUAL LIFE INSURANCE CO
Jurisdiction of Incorporation/Organization
MA
Year of Incorporation/Organization
Over Five Years Ago

Previous Name(s)

Entity Type
CORPORATION

Item 2 Issuer Principal Place of Business and Contact Information

1295 STATE ST B050
SPRINGFIELD, MA 01111
Phone Number: subscription required

Item 3. Related Persons

Name
ROGER W CRANDALL
Address
subscription required
Relationship(s)
  • EXECUTIVE OFFICER
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
MICHAEL T ROLLINGS
Address
subscription required
Relationship(s)
  • EXECUTIVE OFFICER
Clarification of Response

Item 3. Related Persons

Name
NORMAN A SMITH
Address
subscription required
Relationship(s)
  • EXECUTIVE OFFICER
Clarification of Response

Item 3. Related Persons

Name
KATHLEEN A CORBET
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
JAMES H DEGRAFFENREIDT, JR.
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
PATRICIA DIAZ DENNIS
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
ROBERT ESSNER
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
ROBERT M FUREK
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
RAYMOND W LEBOEUF
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
CATHY MINEHAN
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
MARC RACICOT
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 3. Related Persons

Name
WILLIAM T SPITZ
Address
subscription required
Relationship(s)
  • DIRECTOR
Clarification of Response

Item 4. Industry Group

INSURANCE

Item 5. Issuer Size

Revenue Range (for issuer not specifying "hedge" or "other investment" fund in Item 4 above)
DECLINE TO DISCLOSE

Item 6. Federal Exemptions and Exclusions Claimed

Item 7. Type of Filing

New Notice
Date of First Sale in this Offering:
05/19/2011

Item 8. Duration of Offering

Does the issuer intend this offering to last more than one year?
Yes

Item 9. Type(s) of Securities Offered

  • Other: VARIABLE ANNUITY CONTRACT (STRATEGIC PRESTIGE VARIABLE ANNUITY(SM))

Item 10. Business Combination Transaction

Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer?
No
Clarification of Response

Item 11. Minimum Investment

Minimum Investment accepted from any outside investor
500000

Item 12. Sales Compensation

Recipient
FIRST LIBERTIES SECURITIES, INC.
Recipient CRD Number
14432
(Associated) Broker or Dealer)
FIRST LIBERTIES SECURITIES, INC.
(Associated) Broker or Dealer CRD Number
14432
Address
369 LEXINGTON AVENUE
SUITE 311
NEW YORK, NY 10017
States of Solicitation
  • CT

Item 13. Offering and Sales Amounts

Total Offering Amount
INDEFINITE
Total Amount Sold
500000
Total Remaining to be Sold
INDEFINITE
Clarification of Response

Item 14. Investors

Securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of non-accredited investors who already have invested in the offering:
Total number of investors who already have invested in the offering:
1

Item 15. Sales Commissions and Finders' Fees Expenses

Sales Commissions:
250.0 Is an estimate
Finders' Fees
0.0
Clarification of Response

Item 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.
0.0
Clarification of Response

Signature and Submission

Issuer Name
MASSACHUSETTS MUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT V
Issuer Signature
/S/ DOUGLAS ENDORF
Signer Name
DOUGLAS ENDORF
Signer Title
VICE PRESIDENT
Signature Date
06/03/2011
Issuer Name
MASSACHUSETTS MUTUAL LIFE INSURANCE CO
Issuer Signature
/S/ DOUGLAS ENDORF
Signer Name
DOUGLAS ENDORF
Signer Title
VICE PRESIDENT
Signature Date
06/03/2011
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