The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete. | |||||||||||||||||
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D Notice of Exempt Offering of Securities |
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1. Issuer's Identity
CIK (Filer ID Number) | Previous Names |
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Entity Type | ||||||||||||
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0001458488 |
Insurance Company Separate Investment Account |
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Name of Issuer | |||||||||||||||
John Hancock Life Insurance Co (U.S.A.) Separate Account PPM1-T | |||||||||||||||
Jurisdiction of Incorporation/Organization | |||||||||||||||
MICHIGAN | |||||||||||||||
Year of Incorporation/Organization | |||||||||||||||
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2. Principal Place of Business and Contact Information
Name of Issuer | |||
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John Hancock Life Insurance Co (U.S.A.) Separate Account PPM1-T | |||
Street Address 1 | Street Address 2 | ||
197 Clarendon Street | |||
City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
Boston | MASSACHUSETTS | 02116 | 800-521-1234 |
3. Related Persons
Last Name | First Name | Middle Name |
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John Hancock Life Insurance Company (USA) | John | |
Street Address 1 | Street Address 2 | |
197 Clarendon Street | ||
City | State/Province/Country | ZIP/PostalCode |
Boston | MASSACHUSETTS | 02116 |
Relationship: | Executive Officer | Director | X | Promoter |
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Clarification of Response (if Necessary):
4. Industry Group
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5. Issuer Size
Revenue Range | OR | Aggregate Net Asset Value Range | ||
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No Revenues | No Aggregate Net Asset Value | |||
$1 - $1,000,000 | $1 - $5,000,000 | |||
$1,000,001 - $5,000,000 | $5,000,001 - $25,000,000 | |||
$5,000,001 - $25,000,000 | $25,000,001 - $50,000,000 | |||
$25,000,001 - $100,000,000 | $50,000,001 - $100,000,000 | |||
Over $100,000,000 | Over $100,000,000 | |||
Decline to Disclose | X | Decline to Disclose | ||
Not Applicable | Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
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7. Type of Filing
New Notice | Date of First Sale | 2009-08-14 | First Sale Yet to Occur | ||||||
X | Amendment |
8. Duration of Offering
Does the Issuer intend this offering to last more than one year? |
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9. Type(s) of Securities Offered (select all that apply)
Equity | X | Pooled Investment Fund Interests | |
Debt | Tenant-in-Common Securities | ||
Option, Warrant or Other Right to Acquire Another Security | Mineral Property Securities | ||
Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security | X | Other (describe) | |
Interests in the separate account issued pursuant to Variable Life Insurance Policies |
10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? |
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Clarification of Response (if Necessary):
11. Minimum Investment
Minimum investment accepted from any outside investor | $250,000 | USD |
12. Sales Compensation
Recipient |
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Brent Kinetz | 2031620 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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60 E 42nd St. | Floor 44 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
NEW YORK | NEW YORK | 10165 | |||||
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Recipient |
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Campbell Gerrish | 807708 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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60 E 42nd St. | Floor 44 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
NEW YORK | NEW YORK | 10165 | |||||
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Recipient |
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Michael I. Silverberg | 424015 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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29 SOUTH MAIN ST. | STE 311 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
WEST HARTFORD | CONNECTICUT | 06107 | |||||
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Recipient |
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Milton H. Cohn | 840000 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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5090 N. 40th STREET | Suite 180 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
PHOENIX | ARIZONA | 85018 | |||||
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Recipient |
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Michael Padon | 355077 | ||||||
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M Holdings Securities, Inc. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1125 NW Couch Street | Suite 900 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Portland | OREGON | 97209 | |||||
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Recipient |
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Vernon Holleman III | 2594098 | ||||||
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M Holdings Securities, Inc. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1701 PENNSYLVANIA AVENUE NW | Suite 200 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
WASHINGTON | DISTRICT OF COLUMBIA | 20006 | |||||
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Recipient |
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Richard J. Chaffee | 44040 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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11100 WAYZATA BLVD | SUITE 200 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
MINNETONKA | MINNESOTA | 55305 | |||||
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Recipient |
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Kevin Bachler | 2363345 | ||||||
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ASCENSUS BROKER DEALER SERVICES, LLC | 36478 | ||||||
Street Address 1 | Street Address 2 | ||||||
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300 Primera Blvd. | SUITE 200 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Lake Mary | FLORIDA | 32746 | |||||
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Recipient |
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Clune J. Walsh, Jr. | 457946 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1125 N.W. COUCH STREET | SUITE 900 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
PORTLAND | OREGON | 97209 | |||||
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Recipient |
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Guy Richard Thomas | 2192760 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1125 N.W. COUCH STREET | SUITE 900 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
PORTLAND | OREGON | 97209 | |||||
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Recipient |
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Michael Liebeskind | 1219051 | ||||||
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THE LEADERS GROUP, INC. | 37157 | ||||||
Street Address 1 | Street Address 2 | ||||||
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550 5th Avenue | 11th Floor | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
New York | NEW YORK | 10036 | |||||
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Recipient |
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Eric Naison-Phillips | 5155539 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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60 E 42nd St. | Floor 44 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
NEW YORK | NEW YORK | 10165 | |||||
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Recipient |
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Gary Sitzmann | 700501 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1125 N.W. COUCH STREET | SUITE 900 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
PORTLAND | OREGON | 97209 | |||||
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Recipient |
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Edward C. Houghton, IV | 735581 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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210 N. CAMPBELL | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
EL PASO | TEXAS | 79901 | |||||
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Recipient |
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David Wexler | 1028649 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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7315 WISCONSIN AVENUE | SUITE 250 E | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Bethesda | MARYLAND | 20814 | |||||
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Recipient |
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Philip DeBruyn | 1564714 | ||||||
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SOUTHERN WEALTH SECURITIES, LLC | 291005 | ||||||
Street Address 1 | Street Address 2 | ||||||
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5005 LBJ Parkway | Suite 1313 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Dallas | TEXAS | 75244 | |||||
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Recipient |
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Ronald Greenberg | 1860444 | ||||||
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M Holdings Securities, Inc. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1776 On The Green, 67 East Park Place | Suite 750 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Morristown | NEW JERSEY | 07960 | |||||
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Recipient |
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John E. Lagana | 1530206 | ||||||
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M Holdings Securities, Inc. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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2000 RIVEREDGE PARKWAY | Suite 700 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
ATLANTA | GEORGIA | 30328 | |||||
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Recipient |
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Cole Koeniger | 5082334 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1776 On The Green, 67 East Park Place | Suite 750 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Morristown | NEW JERSEY | 07960 | |||||
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Recipient |
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Thomas Rapp | 6367780 | ||||||
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M Holdings Securities | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1776 On The Green 67 East Park Place. | Suite 750 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Morristown | NEW JERSEY | 07960 | |||||
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Recipient |
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Michael A. Mingolelli | 4744404 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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197 FIRST AVENUE | Suite 100 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
NEEDHAM | MASSACHUSETTS | 02494 | |||||
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Recipient |
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Jason Burlie | 4072452 | ||||||
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STANCORP EQUITIES, INC. | 19517 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1100 SW 6th Avenue | |||||||
City | State/Province/Country | ZIP/Postal Code | |||||
Portland | OREGON | 97204 | |||||
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Recipient |
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Daphne Boyle | 4559660 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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1850 MT. DIABLO BLVD | Suite 430 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
WALNUT CREEK | CALIFORNIA | 94596 | |||||
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Recipient |
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Lawton Nease | 345467 | ||||||
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M HOLDINGS SECURITIES, INC. | 43285 | ||||||
Street Address 1 | Street Address 2 | ||||||
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2000 RIVEREDGE PARKWAY | SUITE 700 | ||||||
City | State/Province/Country | ZIP/Postal Code | |||||
ATLANTA | GEORGIA | 30328 | |||||
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13. Offering and Sales Amounts
Total Offering Amount | USD |
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Total Amount Sold | $551,616,473 | USD | ||||
Total Remaining to be Sold | USD |
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Clarification of Response (if Necessary):
14. Investors
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. | |||
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: |
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15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions | $12,311,415 | USD |
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Finders' Fees | $0 | USD |
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Clarification of Response (if Necessary):
16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
$0 | USD |
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Clarification of Response (if Necessary):
As the issuer of the variable life insurance policies, JH Life Insurance Co. (U.S.A.) will receive amounts from charges deducted under the policies, but no executive officer, director, or promoter will receive any portion of the gross offering proceeds.Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
In submitting this notice, each issuer named above is: |
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Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
Issuer | Signature | Name of Signer | Title | Date |
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John Hancock Life Insurance Co (U.S.A.) Separate Account PPM1-T | /s/ Michael A. Ramirez | Michael A. Ramirez | AVP & Senior Counsel, John Hancock Life Insurance Co. (USA) | 2024-02-14 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.