-----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, JG4F1VF4twcyfEAyC2OqdE67jm8b15CcRwRrYkEsHwiHx4lQOsaFqTrA6jiF5CrJ WlgFJZZPmkNsbpNd1LNkyw== 0000930413-05-004325.txt : 20050617 0000930413-05-004325.hdr.sgml : 20050616 20050617102954 ACCESSION NUMBER: 0000930413-05-004325 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050617 EFFECTIVENESS DATE: 20050617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hartford Life Global Funding Trust 2004-004 CENTRAL INDEX KEY: 0001304569 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0615 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-112244-04 FILM NUMBER: 05901702 BUSINESS ADDRESS: STREET 1: 200 HOPMEADOW ST STREET 2: P O BOX 2999 CITY: SIMSBURY STATE: CT ZIP: 06089 BUSINESS PHONE: 8608435445 MAIL ADDRESS: STREET 1: 200 HOPMEADOW STREET STREET 2: BOX 2999 CITY: SIMSBURY STATE: CT ZIP: 06089 15-15D 1 c37390_15-15d.txt UNITED STATES 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 SECTION 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission File Number: 333-112244-04 HARTFORD LIFE GLOBAL FUNDING TRUST 2004-004 (BY HARTFORD LIFE INSURANCE COMPANY AS DEPOSITOR) (Exact name of registrant as specified in its charter) HARTFORD LIFE GLOBAL FUNDING TRUST 2004-004 200 HOPMEADOW STREET, SIMSBURY, CONNECTICUT 06089 (860) 547-5000 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) 4.15% SECURED INCOMENOTES(sm) DUE 2012 OF HARTFORD LIFE GLOBAL FUNDING TRUST 2004-004 (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) [ ] Rule 12h-3(b)(1)(i) [ ] Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(1)(ii) [ ] Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(i) [ ] Rule 12g-4(a)(2)(ii) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule 15d-6 [X] Approximate number of holders of record as of the certification or notice date: 7 Pursuant to the requirements of the Securities Exchange Act of 1934, Hartford Life Insurance Company, as depositor, has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: June 17, 2005 By: /s/ Jeffrey L. Johnson ----------------------------- Jeffrey L. Johnson Assistant Vice President -----END PRIVACY-ENHANCED MESSAGE-----