-----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, ERKcaRgEv+XqPhMH8/zhTHXCapV+QKu1pWXbh165iJg31t/+QvDiJD4WrTKps8jH RPf6jODBqVqxoqiIgviZqA== 0000930413-05-002012.txt : 20050324 0000930413-05-002012.hdr.sgml : 20050324 20050324150940 ACCESSION NUMBER: 0000930413-05-002012 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050315 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Completion of Acquisition or Disposition of Assets ITEM INFORMATION: Other Events ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20050324 DATE AS OF CHANGE: 20050324 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hartford Life Global Funding Trust 2004 - 017 CENTRAL INDEX KEY: 0001311498 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 333-112244-17 FILM NUMBER: 05701708 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 8-K 1 c36455_8-k.txt ================================================================================ - -------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): MARCH 15, 2005 HARTFORD LIFE GLOBAL FUNDING TRUST 2004-017 (BY HARTFORD LIFE INSURANCE COMPANY AS DEPOSITOR) (Exact name of registrant as specified in its charter) DELAWARE 333-112244-17 NOT APPLICABLE (State or other jurisdiction (Commission File Number) (IRS Employer of incorporation) Identification No.) HARTFORD LIFE GLOBAL FUNDING TRUST 2004-017 C/O HARTFORD LIFE INSURANCE COMPANY 200 HOPMEADOW STREET SIMSBURY, CONNECTICUT 06089 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (860) 547-5000 ---------------------------------------- Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions: [ ] Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) [ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) [ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) [ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) - -------------------------------------------------------------------------------- ================================================================================ 1 ITEM 1.03 BANKRUPTCY OR RECEIVERSHIP. Not applicable. ITEM 2.01 COMPLETION OF ACQUISITION OR DISPOSITION OF ASSETS. Not applicable. ITEM 8.01 OTHER EVENTS. On March 15, 2005, an interest payment was made to the holders of the Floating Rate IncomeNotes(sm) due December 15, 2014 of Hartford Life Global Funding Trust 2004-017 (the "Trust"). Details of such payment are included in the Administrative Report of the Trust filed as Exhibit 99.1 hereto. No trustee fees or other trust expenses have been paid by the Trust. No matters have occurred since the formation of the Trust which would be reportable under Item 1 (Legal Proceedings), Item 2 (Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities), Item 4 (Submission of Matters to a Vote of Security Holders), or Item 5 (Other Information) of Part II of the Quarterly Report on Form 10-Q, to the extent applicable to the Trust. For information relating to Hartford Life Insurance Company ("HLIC"), please see HLIC's (Commission file number 002-46577) periodic reports, including annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K, and other information on file with the Securities and Exchange Commission (the "SEC"). You can read and copy these reports and other information at the public reference facilities maintained by the SEC at Room 1024, 450 Fifth Street, NW, Washington, D.C. 20549. You may obtain copies of this material for a fee by writing to the SEC's Public Reference Section of the SEC at 450 Fifth Street, NW, Washington, D.C. 20549. You may obtain information about the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. You can also access some of this information electronically by means of the SEC's website on the Internet at http://www.sec.gov, which contains reports and other information that PLIC has filed electronically with the SEC. ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS. (c) Exhibits. Exhibit 99.1 Administrative Report of the Trust. 2 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. Hartford Life Global Funding Trust 2004-017 (by Hartford Life Insurance Company as depositor) Date: March 24, 2005 By: /s/ Ken A. McCullum ----------------------------------- Name: Ken A. McCullum Title: Vice President 3 EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION -------- ----------- Exhibit 99.1 Indenture Trustee's report in respect of the March 15, 2005 payment to holders of the notes issued by the Hartford Life Global Funding Trust 2004-017. 4 EX-99.1 2 c36455_ex99-1.txt Exhibit 99.1 Administrative Report for Hartford Life Global Funding Trust 2004-017 (the "Trust") Payment Date March 15, 2005 CUSIP Number 41659FAS3 (i) the amount received by the Indenture Trustee from Hartford Life Insurance Company ("Hartford Life") as of the payment date in respect of the principal, interest and premium, if any, on Funding Agreement No. 404017 (the "Funding Agreement") issued by Hartford Life Insurance Company ("Hartford Life"). ------------------------------------------------- Interest: $ 64,087.20 ------------------------------------------------- Principal: $ 0.00 ------------------------------------------------- (ii) the amount of payment on such Payment Date to holders allocable to principal and interest on the notes of the Trust. ------------------------------------------------- Interest: $ 64,087.20 ------------------------------------------------- Principal: $ 0.00 ------------------------------------------------- (iii) the aggregate stated principal amount of the Funding Agreement, the current interest rate or rates thereon at the close of business on such Payment Date, and the current rating assigned to the Funding Agreement. - ----------------------------------------------------------------------------- Aggregate Principal Amount: $ 15,824,015.00 - ----------------------------------------------------------------------------- Interest Rate: 4.57% - ----------------------------------------------------------------------------- Ratings: Moody's Investor Services: Aa3 Standard & Poors' Rating Service: AA- (iv) the aggregate principal balance of the notes of the Trust at the close of business on such Payment Date and the current rating assigned to such notes. Aggregate Principal Amount: $ 15,824,000.00 Ratings: Moody's Investor Services: Aa3 Standard & Poors' Rating Service: AA- AMACAR Pacific Corp., as administrator of Hartford Life Global Funding Trust 2004-017 By: /s/ Evelyn Echevarria ------------------------- Name: Evelyn Echevarria ------------------ Title: Vice President ------------------ 5 -----END PRIVACY-ENHANCED MESSAGE-----