15-15D 1 d1515d.htm FORM 15 CM LIFE INSURNACE COMPANY Form 15 CM Life Insurnace Company
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 33-45123
 
C.M. LIFE INSURANCE COMPANY
(Exact Name or registrant as specified in its charter)
 
140 GARDEN STREET, HARTFORD, CT 06154
(413) 788-8411
(Address, including zip code, and telephone number, including area code,
of registrant’s principal executive offices)
 
INTERESTS IN FIXED ACCOUNT WITH MARKET VALUE ADJUSTMENT
(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)(ii)
 
¨
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
 
x
Rule 12h-3(b)(1)(i)
 
¨
          
 
Approximate number of holders of record as of the certification or notice date:
 
NONE
 
Pursuant to the requirements of the Securities Exchange Act of 1934, C.M. Life Insurance Company has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
 
DATE: January 9, 2003
    
BY:
  
/s/Robert Liguori
           
Robert Liguori
           
Senior Vice President