# EDGAR Filing Document

**Accession Number:** 0000802222
**File Stem:** 0000802222-23-000003
**Filing Date:** 2023-3
**Character Count:** 5753
**Document Hash:** 1f3c689d53a540503b059db25694cab5
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000802222-23-000003.hdr.sgml**: 20230329

**ACCESSION NUMBER**: 0000802222-23-000003

**CONFORMED SUBMISSION TYPE**: 24F-2NT

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230329

**DATE AS OF CHANGE**: 20230329

**EFFECTIVENESS DATE**: 20230329

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** SEPARATE ACCOUNT I OF NATIONAL INTEGRITY LIFE INS CO
- **CENTRAL INDEX KEY:** 0000802222
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NY
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-167372
- **FILM NUMBER:** 23772073

**BUSINESS ADDRESS:**
- **STREET 1:** 400 BROADWAY
- **STREET 2:** MS 32
- **CITY:** CINCINNATI
- **STATE:** OH
- **ZIP:** 45202
- **BUSINESS PHONE:** 513-629-1114

**MAIL ADDRESS:**
- **STREET 1:** 400 BROADWAY
- **STREET 2:** MS 32
- **CITY:** CINCINNATI
- **STATE:** OH
- **ZIP:** 45202

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** SEPARATE ACCOUNT NIA OF NATIONAL INTEGRITY LIFE INS CO
- **DATE OF NAME CHANGE:** 19920703

## Series and Classes Contracts Data

### SEPARATE ACCOUNT I OF NATIONAL INTEGRITY LIFE INS CO (Series ID: S000001056)

---

|  |  |
|:---|:---|
| Class Name                                               | Class ID   |
| AnnuiChoice Flexible Premium Variable Annuity            | C000002835 |
| Grandmaster flex3 Flexible Premium Variable Annuity      | C000002837 |
| IQ 3 the Smart Annuity Flexible Premium Variable Annuity | C000002838 |
| IQ Advisor Flexible Premium Variable Annuity             | C000002839 |
| Pinnacleplus Flexible Premium Variable Annuity           | C000002840 |
| AnnuiChoice II                                           | C000034991 |
| AdvantEdge Flexible Premium Variable Annuities           | C000063172 |
| VAROOM                                                   | C000091444 |
| Pinnacle (before April 30, 1998)                         | C000104724 |
| Pinnacle III (May 1, 1998 to December 31, 2001)          | C000109521 |
| Pinnacle IV (January 1, 2002 to April 30, 2007)          | C000109522 |
| Pinnacle V (May 1, 2007 to December 31, 2011)            | C000109523 |
| Pinnacle V (post 1-1-12)                                 | C000109527 |
| VAROOM II                                                | C000110550 |

---

## Series and Classes Contracts Data

### SEPARATE ACCOUNT I OF NATIONAL INTEGRITY LIFE INS CO (Series ID: S000001056)

| Class ID   | Class Name                                               | Ticker Symbol   |
|:---|:---|:---|
| C000002835 | AnnuiChoice Flexible Premium Variable Annuity            |  |
| C000002837 | Grandmaster flex3 Flexible Premium Variable Annuity      |  |
| C000002838 | IQ 3 the Smart Annuity Flexible Premium Variable Annuity |  |
| C000002839 | IQ Advisor Flexible Premium Variable Annuity             |  |
| C000002840 | Pinnacleplus Flexible Premium Variable Annuity           |  |
| C000034991 | AnnuiChoice II                                           |  |
| C000063172 | AdvantEdge Flexible Premium Variable Annuities           |  |
| C000091444 | VAROOM                                                   |  |
| C000104724 | Pinnacle (before April 30, 1998)                         |  |
| C000109521 | Pinnacle III (May 1, 1998 to December 31, 2001)          |  |
| C000109522 | Pinnacle IV (January 1, 2002 to April 30, 2007)          |  |
| C000109523 | Pinnacle V (May 1, 2007 to December 31, 2011)            |  |
| C000109527 | Pinnacle V (post 1-1-12)                                 |  |
| C000110550 | VAROOM II                                                |  |

## FORM 24F-2NT: Annual Notice of Securities Sold Pursuant to Rule 24f-2

### 24F-2NT: Filer Information

**Filer CIK:** 0000802222

**Is this a LIVE or TEST Filing?:** LIVE

**Filer Investment Company Type:** N-4

### 24F-2NT: Annual Filing Information

**1. Name and address of issuer:**

- **Name of Issuer:** SEPARATE ACCOUNT I OF NATIONAL INTEGRITY LIFE INS CO

- **Address:** 400 BROADWAY ST, CINCINNATI, OH 45202

**2. The Name and EDGAR Identifier of each series or class of securities for which this Form is filed:**

- [ ] Check box if the Form is being filed for all series and classes of the issuer.

**3. Investment Company Act File Number:** 811-04846

   **Securities Act File Number:** 333-167372

**4(a). Last day of fiscal year for which this Form is filed:** 12/31/2022

**4(b). Check box if this Form is being filed late:** [ ]

**4(c). Check box if this is the last time the issuer will be filing this Form:** [ ]

**5. Calculation of registration fee:**

- **(i) Aggregate sale price of securities sold during the fiscal year:** $7550740.14

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $37415453.57

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $614338294.78

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $651753748.35

- **(v) Net sales:** $0.00

- **(vi) Redemption credits available for use in future years:** $-644203008.21

- **(vii) Multiplier for determining registration fee:** 0.0001102

- **(viii) Registration fee due:** $0.00

- **6(i). Amount of securities deducted:** $0.00

- **6(ii). Number of shares or other units remaining unsold:** 0

- **7. Interest due -- if this Form is being filed more than 90 days after the end of the issuer's fiscal year:** $0.00

- **8. Total of the amount of the registration fee due plus any interest due:** $0.00

**Signatures**

**Name and Title:** Wade M. Fugate, Vice President and Controller

**Date:** 03/29/2023

**Signature:** /s/ Wade M. Fugate