# EDGAR Filing Document

**Accession Number:** 0000915809
**File Stem:** 0000740583-23-000054
**Filing Date:** 2023-3
**Character Count:** 12503
**Document Hash:** 7020903632991a8d69abd155a1f5ceae
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000740583-23-000054.hdr.sgml**: 20230330

**ACCESSION NUMBER**: 0000740583-23-000054

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

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230330

**DATE AS OF CHANGE**: 20230330

**EFFECTIVENESS DATE**: 20230330

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UNITED OF OMAHA SEPARATE ACCOUNT C
- **CENTRAL INDEX KEY:** 0000915809
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NE

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 033-72546
- **FILM NUMBER:** 23778712

**BUSINESS ADDRESS:**
- **STREET 1:** MUTUAL OF OMAHA PLAZA
- **STREET 2:** 3 LAW DIVISION
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
- **BUSINESS PHONE:** 4023515225

**MAIL ADDRESS:**
- **STREET 1:** 3 LAW DIVISION
- **STREET 2:** MUTUAL OF OMAHA PLAZA
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UNITED OF OMAHA SEPARATE ACCOUNT C
- **CENTRAL INDEX KEY:** 0000915809
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NE

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 033-89848
- **FILM NUMBER:** 23778713

**BUSINESS ADDRESS:**
- **STREET 1:** MUTUAL OF OMAHA PLAZA
- **STREET 2:** 3 LAW DIVISION
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
- **BUSINESS PHONE:** 4023515225

**MAIL ADDRESS:**
- **STREET 1:** 3 LAW DIVISION
- **STREET 2:** MUTUAL OF OMAHA PLAZA
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UNITED OF OMAHA SEPARATE ACCOUNT C
- **CENTRAL INDEX KEY:** 0000915809
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NE

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-97073
- **FILM NUMBER:** 23778716

**BUSINESS ADDRESS:**
- **STREET 1:** MUTUAL OF OMAHA PLAZA
- **STREET 2:** 3 LAW DIVISION
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
- **BUSINESS PHONE:** 4023515225

**MAIL ADDRESS:**
- **STREET 1:** 3 LAW DIVISION
- **STREET 2:** MUTUAL OF OMAHA PLAZA
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UNITED OF OMAHA SEPARATE ACCOUNT C
- **CENTRAL INDEX KEY:** 0000915809
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NE

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-54112
- **FILM NUMBER:** 23778715

**BUSINESS ADDRESS:**
- **STREET 1:** MUTUAL OF OMAHA PLAZA
- **STREET 2:** 3 LAW DIVISION
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
- **BUSINESS PHONE:** 4023515225

**MAIL ADDRESS:**
- **STREET 1:** 3 LAW DIVISION
- **STREET 2:** MUTUAL OF OMAHA PLAZA
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** UNITED OF OMAHA SEPARATE ACCOUNT C
- **CENTRAL INDEX KEY:** 0000915809
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** NE

**FILING VALUES:**
- **FORM TYPE:** 24F-2NT
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 333-51051
- **FILM NUMBER:** 23778714

**BUSINESS ADDRESS:**
- **STREET 1:** MUTUAL OF OMAHA PLAZA
- **STREET 2:** 3 LAW DIVISION
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008
- **BUSINESS PHONE:** 4023515225

**MAIL ADDRESS:**
- **STREET 1:** 3 LAW DIVISION
- **STREET 2:** MUTUAL OF OMAHA PLAZA
- **CITY:** OMAHA
- **STATE:** NE
- **ZIP:** 68175-1008

## Series and Classes Contracts Data

### UNITED OF OMAHA SEPARATE ACCOUNT C (Series ID: S000010507)

---

|  |  |
|:---|:---|
| Class Name            | Class ID   |
| ULTRANNUITY SERIES I  | C000028987 |
| ULTRANNUITY SERIES V  | C000028988 |
| ULTRA-ACCESS          | C000028989 |
| ULTRA REWARDS         | C000028990 |
| ULTRA-SELECT SERIES L | C000028991 |

---

## Series and Classes Contracts Data

### UNITED OF OMAHA SEPARATE ACCOUNT C (Series ID: S000010507)

| Class ID   | Class Name            | Ticker Symbol   |
|:---|:---|:---|
| C000028987 | ULTRANNUITY SERIES I  |  |
| C000028988 | ULTRANNUITY SERIES V  |  |
| C000028989 | ULTRA-ACCESS          |  |
| C000028990 | ULTRA REWARDS         |  |
| C000028991 | ULTRA-SELECT SERIES L |  |

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

### 24F-2NT: Filer Information

**Filer CIK:** 0000915809

**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:** UNITED OF OMAHA SEPARATE ACCOUNT C

- **Address:** 3300 MUTUAL OF OMAHA PLAZA, OMAHA, NE 68175

**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:** 811-08190

   **Securities Act File Number:** 033-72546

**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:** $33076.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $22383.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $3935327.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $3957710.00

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

- **(vi) Redemption credits available for use in future years:** $-3924634.00

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

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

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

**Signatures**

**Name and Title:** K. Wes Suter, Deputy General Counsel and Assistant Secretary

**Date:** 03/24/2023

**Signature:** K. WES SUTER

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

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

- **Name of Issuer:** UNITED OF OMAHA SEPARATE ACCOUNT C

- **Address:** 3300 MUTUAL OF OMAHA PLAZA, OMAHA, NE 68175

**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:** 811-08190

   **Securities Act File Number:** 033-89848

**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:** $9623086.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $11938996.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $897271306.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $909210302.00

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

- **(vi) Redemption credits available for use in future years:** $-899587216.00

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

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

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

**Signatures**

**Name and Title:** K. Wes Suter, Deputy General Counsel and Assistant Secretary

**Date:** 03/24/2023

**Signature:** K. WES SUTER

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

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

- **Name of Issuer:** UNITED OF OMAHA SEPARATE ACCOUNT C

- **Address:** 3300 MUTUAL OF OMAHA PLAZA, OMAHA, NE 68175

**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:** 811-08190

   **Securities Act File Number:** 333-51051

**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:** $24986.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $11151.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $19064279.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $19075430.00

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

- **(vi) Redemption credits available for use in future years:** $-19050444.00

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

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

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

**Signatures**

**Name and Title:** K. Wes Suter, Deputy General Counsel and Assistant Secretary

**Date:** 03/24/2023

**Signature:** K. WES SUTER

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

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

- **Name of Issuer:** UNITED OF OMAHA SEPARATE ACCOUNT C

- **Address:** 3300 MUTUAL OF OMAHA PLAZA, OMAHA, NE 68175

**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:** 811-08190

   **Securities Act File Number:** 333-54112

**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:** $280050.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $220755.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $16793642.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $17014397.00

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

- **(vi) Redemption credits available for use in future years:** $-16734347.00

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

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

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

**Signatures**

**Name and Title:** K. Wes Suter, Deputy General Counsel and Assistant Secretary

**Date:** 03/24/2023

**Signature:** K. WES SUTER

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

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

- **Name of Issuer:** UNITED OF OMAHA SEPARATE ACCOUNT C

- **Address:** 3300 MUTUAL OF OMAHA PLAZA, OMAHA, NE 68175

**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:** 811-08190

   **Securities Act File Number:** 333-97073

**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:** $4539.00

- **(ii) Aggregate price of securities redeemed or repurchased during the fiscal year:** $4240.00

- **(iii) Aggregate price of securities redeemed or repurchased during any prior fiscal year:** $72067.00

- **(iv) Total available redemption credits [add Items 5(ii) and 5(iii)]:** $76307.00

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

- **(vi) Redemption credits available for use in future years:** $-71768.00

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

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

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

**Signatures**

**Name and Title:** K. Wes Suter, Deputy General Counsel and Assistant Secretary

**Date:** 03/24/2023

**Signature:** K. WES SUTER