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 333-112249-03
Allstate Life Global Funding Trust 2004-1
(by Allstate Life Global Funding, as depositor)
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(Exact name of registrant as specified in its charter)
Douglas K. Johnson
c/o AMACAR Pacific Corp.
Charlotte, NC 28211
(704) 365-0569
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(Address, including zip code, and telephone number, including area
code, of registrant's principal executive offices)
Allstate Life Global Funding Secured Medium Term Notes
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(Title of each class of securities covered by this Form)
None
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(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
Approximate number of holders of record as of the certification or notice
date: 72
Pursuant to the requirements of the Securities Exchange Act of 1934
Allstate Life Global Funding Trust 2004-1 (by Allstate Life Global Funding, as
depositor) has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
Date: March 31, 2005 Allstate Life Global Funding
(Registrant)
By: AMACAR Pacific Corp.,
not in its individual capacity,
but solely as administrator1
By: /s/ Douglas K. Johnson
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Douglas K. Johnson
President
Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the
General Rules and Regulations under the Securities Exchange Act of 1934. The
registrant shall file with the Commission three copies of Form 15, one of which
shall be manually signed. It may be signed by an officer of the registrant, by
counsel or by any other duly authorized person. The name and title of the person
signing the form shall be typed or printed under the signature.
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 control number.
SEC 2069 (12-04)
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1 Allstate Life Global Funding is a statutory trust organized under the laws of
the State of Delaware and has no officers. AMACAR Pacific Corp., as
administrator, is the sole provider of administrative services to Allstate Life
Global Funding.