0001145443-13-000620.txt : 20130226 0001145443-13-000620.hdr.sgml : 20130226 20130226161226 ACCESSION NUMBER: 0001145443-13-000620 CONFORMED SUBMISSION TYPE: 13F-HR/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20130226 DATE AS OF CHANGE: 20130226 EFFECTIVENESS DATE: 20130226 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: 13F-HR/A SEC ACT: 1934 Act SEC FILE NUMBER: 028-03983 FILM NUMBER: 13642815 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 13F-HR/A 1 d30189_21.txt 13F-HR/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 13F Form 13F COVER PAGE Report for the Calendar Year or Quarter Ended: December 31, 2004 Check here if Amendment [X]; Amendment Number: 1 This Amendment (Check only one.): [ ] is a restatement. [ ] adds new holdings entries. Name: John Hancock Life Insurance Company (U.S.A.) Address: 601 Congress Street Boston, MA 02110-2805 Form 13F File Number: 028-03983 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists and tables, are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Maureen Milet Title: Vice President & Chief Compliance Officer-Investments Phone: (617) 572-0203 Maureen Milet Boston, MA February 25, 2013 ------------- ------------- ----------------- [Signature] [City, State] [Date] NOTE: The original filing was made under the name John Hancock Life Insurance Company. Report Type (check only one.): [X] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report. [ ] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s). [ ] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this report manager are reported in this report and a portion are reported by other reporting manager(s). List of Other Managers Reporting for this Manager: NONE Form 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 1 Form 13F Information Table Entry Total: 16 Form 13F Information Table Value Total: US $27,688 (thousands) List of Other Included Managers: No. Form 13F File Number Name 1 Hancock Venture Partners, Inc. (formerly John Hancock Venture Capital Management)
Shares CUSIP Value or Prn SH/ Put/ Investment Other VOTING AUTHORITY Name of Issuer Title of Class Number (x$1000) Amount PRN Call Discretion Manager SOLE SHARED NONE ALLIS CHALMERS CORP COM 019645506 41 2,508 SH SOLE 2,508 0 0 AMR CORP COM 001765106 39 3,597 SH SOLE 3,597 0 0 AVANEX COM 05348W109 251 75,979 SH DEFINED 1 0 75,979 0 CISCO COM 17275R102 54 31,622 SH DEFINED 1 0 31,622 0 COINSTAR INC. COM 19259P300 939 35,000 SH SOLE 35,000 0 0 CROSSROADS SYSTEMS COM 22765D100 24 16,304 SH DEFINED 1 0 16,304 0 ENERPLUS COM 29274D604 11,058 304,552 SH SOLE 304,552 0 0 HAWAIIAN HOLDINGS COM 419879101 3,652 534,689 SH SOLE 534,689 0 0 IPASS COM 46261V108 404 54,641 SH DEFINED 1 0 54,641 0 LILY ELI & CO COM 532457108 80 1,404 SH SOLE 1,404 0 0 NABORS INDUSTRIES, INC. COM G6359F103 6,101 118,950 SH SOLE 118,950 0 0 NAVISTAR INTL CORP COM 63934E108 1,407 31,997 SH SOLE 31,997 0 0 PIXELWORKS COM 72581M107 207 18,250 SH DEFINED 1 0 18,250 0 RANGE RESOURCES COM 541509303 3,392 165,793 SH SOLE 165,793 0 0 US AIRWAYS GROUP INC COM 911905503 38 32,359 SH SOLE 32,359 0 0 WHX COM 929248409 0 59 SH SOLE 59 0 0