-----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, HxbABrJznlyucMkurCrL5inwSS7fNEsg9WaZBnhu7QuYuBy6+QGGnWcPCoE8QSBk VV6uA0ExHXikw/fr1rmcqQ== 0001193125-04-011265.txt : 20040129 0001193125-04-011265.hdr.sgml : 20040129 20040129160459 ACCESSION NUMBER: 0001193125-04-011265 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040129 EFFECTIVENESS DATE: 20040129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HANCOCK JOHN LIFE INSURANCE CO CENTRAL INDEX KEY: 0000917406 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 041414660 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-45862 FILM NUMBER: 04552564 BUSINESS ADDRESS: STREET 1: CORPORATE LAW DIVISION T-55 STREET 2: P O BOX 111 CITY: BOSTON STATE: MA ZIP: 02117 BUSINESS PHONE: 6175726000 MAIL ADDRESS: STREET 1: CORPORATE LAW DIVISION T-55 STREET 2: P O BOX 111 CITY: BOSTON STATE: MA ZIP: 02117 FORMER COMPANY: FORMER CONFORMED NAME: HANCOCK JOHN MUTUAL LIFE INSURANCE CO / MA DATE OF NAME CHANGE: 19940111 15-15D 1 d1515d.txt FORM 15 REVOLUTION FX 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 SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. Commission File Number 333-45862 John Hancock Life Insurance Company - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Corporate Law Division T-30 P.O. Box 111 Boston, Massachusetts 02117 (617) 572-6000 - -------------------------------------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) REVOLUTION FX single premium deferred modified guaranteed annuity contracts - -------------------------------------------------------------------------------- (Title of each class of securities covered by this Form) SignatureNotes - -------------------------------------------------------------------------------- (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) X 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: 285 Pursuant to the requirements of the Securities Exchange Act of 1934, John Hancock Life Insurance Company has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: January 23, 2004 By: /s/ Thomas E. Moloney ------------------------------------- Name: Thomas E. Moloney Title: Senior Executive Vice President and Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----