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
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
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)
Clarification of Response
Item 3. Related Persons
Name
NORMAN A SMITH
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
KATHLEEN A CORBET
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JAMES H DEGRAFFENREIDT, JR.
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
PATRICIA DIAZ DENNIS
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
ROBERT ESSNER
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
ROBERT M FUREK
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
RAYMOND W LEBOEUF
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
CATHY MINEHAN
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
MARC RACICOT
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
WILLIAM T SPITZ
Address
subscription required
Relationship(s)
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
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