-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EM8ybm+00JPGhLSe4KncxLiJFrPZShQU/JjDQrdYZDr6ptWQe1Ct1Y6gBYumtSco M63nWacPSQ9A26EMKDLjyw== 0001020242-05-000323.txt : 20050126 0001020242-05-000323.hdr.sgml : 20050126 20050126155657 ACCESSION NUMBER: 0001020242-05-000323 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050126 DATE AS OF CHANGE: 20050126 EFFECTIVENESS DATE: 20050126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMPAC SECURED ASSETS CORP MORTGAGE PASS THR CERT SER 2004-1 CENTRAL INDEX KEY: 0001282027 STANDARD INDUSTRIAL CLASSIFICATION: ASSET-BACKED SECURITIES [6189] IRS NUMBER: 330715871 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-85310-03 FILM NUMBER: 05550132 BUSINESS ADDRESS: STREET 1: C/O NORWEST BANK MINNESOTA NA STREET 2: 1761 EAST ST ANDREW PLACE CITY: SANTA ANA STATE: CA ZIP: 92705 MAIL ADDRESS: STREET 1: 1401 DOVE STREET STREET 2: STE 200 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 15-15D 1 im04s1.txt FORM 15 UNITED STATES OF AMERICA SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 FORM 15 - Certification and Notice of Termination of Registration under Section 12(g) of the Securities Exchange Act of 1934 or Suspension of Duty to File Reports Under Sections 13 and 15(d) of the Securities Exchange Act of 1934. Commission File Number: 333-85310-03 IMPAC SECURED ASSETS CORP MORTGAGE PASS THR CERT SER 2004-1 (Exact name of registrant as specified in its charter) 1401 Dove Street, Newport Beach, CA 92660 (949) 475-3600 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) IMPAC SECURED ASSETS CORP. MORTGAGE PASS-THROUGH CERTIFICATES, SERIES 2004-1 CLASS A-1, CLASS A-2, CLASS A-3, CLASS A-4, CLASS A-5, CLASS A-6 CLASS A-IO, CLASS M-1, CLASS M-2 AND CLASS M-3 (Title of each class of securities covered by this Form) NONE (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains) Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports: Rule 12g-4(a)(1)(i) [X] Rule 12h-3(b)(1)(ii) [X] Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(2)(i) [ ] Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule 12g-4(a)(2)(ii) [ ] Rule 15d-6 [ ] Rule 12h-3(b)(1)(i) [ ] Approximate number of holders of record as of the certification or notice date: 10 SEE ATTACHED CERTIFICATION Pursuant to the requirements of the Securities Exchange Act of 1934 (Name of registrant as specified in charter) has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: January 26, 2005 By: /s/ Katherine M. Wannenmacher Katherine M. Wannenmacher Vice President Deutsche Bank National Trust Company, as Trustee Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the General Rules and Regulations under the Securities Exchange Act of 1934. The registrant shall file with the Commission three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The name and title of the person signing the form shall be typed or printed under the signature. ACCOUNT HOLDER CERTIFICATION IMPAC SECURED ASSETS CORP. MORTGAGE PASS-THROUGH CERTIFICATES, SERIES 2004-1 Commission File Number: 333-85310-03 I hereby certify that the following information is correct: CERTIFICATE HOLDERS NAME OF SECURITY AS OF DECEMBER 31, 2004. CLASS A-1 1 CLASS A-2 1 CLASS A-3 1 CLASS A-4 1 CLASS A-5 1 CLASS A-6 1 CLASS A-IO 1 CLASS M-1 1 CLASS M-2 1 CLASS M-3 1 TOTAL 10 Date: January 26, 2005 Deutsche Bank National Trust Company, not in its individual capacity, but solely as a duly authorized agent of the Registrant pursuant to the Pooling and Servicing Agreement dated as of February 1, 2004. By: /s/ Katherine M. Wannenmacher Katherine M. Wannenmacher Vice President Deutsche Bank National Trust Company, as Trustee -----END PRIVACY-ENHANCED MESSAGE-----