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FORM N-8A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
NOTIFICATION OF REGISTRATION
FILED PURSUANT TO SECTION 8(a) OF THE
INVESTMENT COMPANY ACT OF 1940
The undersigned investment company hereby notifies the Securities and Exchange
Commission that it registers under and pursuant to the provisions of Section
8(a) of the Investment Company Act of 1940 and in connection with such
notification of registration submits the following information:
Name:
JNLNY Separate Account I
Address of Principal Business Office:
2900 Westchester Avenue, Purchase, New York 10577
Telephone Number (including area code):
888-367-5651
Name and address of agent for service of process:
Thomas J. Meyer With a copy to:
Vice Pres. & General Counsel Judith A. Hasenauer
Jackson National Life Insurance Principal
Company of New York Blazzard, Grodd & Hasenauer, P.C.
5901 Executive Dr. P.O. Box 5108
Lansing, MI 48911 Westport, CT 06881
Check appropriate box:
Registrant is filing a Registration Statement pursuant to Section 8(b) of the
Investment Company Act of 1940 concurrently with the filing of Form N-8A:
Yes X No .
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Pursuant to the requirements of the Investment Company Act of 1940, the sponsor
of the registrant has caused this notification of registration to be duly
signed on behalf of the registrant in the city of Lansing and the state of
Michigan on the 3rd day of October, 1997.
JNLNY Separate Account I
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(Name of Registrant)
By: Jackson National Life Insurance Company of New York
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(Name of sponsor, trustee or custodian)
(SEAL)
Attest: /s/ Andrew B. Hopping By: /s/ Thomas J. Meyer
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Andrew B. Hopping Thomas J. Meyer,
Senior Vice President Vice President & General Counsel
