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Hartfordinvestor. com OWNER INFORMATION Contract Owner Name Joint Owner Name Existing/Pending Contract if any PRODUCT DESIGNATION PP PORTFOLIO PLANNER ASSET ALLOCATION PROGRAM This program prohibits allocations to any investment options other than the model portfolio you choose below. Clear Form Hartford Leaders Select Suite of Variable Annuities U*S*P. S*-First Class Hartford Life - IPS or Express-Mail to P. O. Box 5085 Hartford CT 06102-5085 Private Express Mail Hartford Life - IPS 200...
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, #2 Portfolio Planner 1.1 Other Information Company type: SECURITY CONTRACTOR/EXECUTIVE BROKER Company location: HARTFORD New York City, New York Number of Securities: 5,000 Underlying Shareholder: Berkshire Hathaway Inc. Name of Security Participant: Hartford Life Pension, Inc. Title of Security Participant Shares: 5,000,000 Underlying Value of Security Participant Shares: 25.00 Amount of Security Participant Shares: 25 Number of shares of Common Stock to be Issued: 2,000,000 Price of Security Participant Shares: 12.98 Principal Amount of Common Stock to be Issued: 26.50 Principal Amount of Additional Warrants to be Issued: 300,000 shares, 10.00 per share (2,000,000 shares) Number of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 600,000 shares (2,200,000 shares), each of which warrants to purchase an additional 1,200 shares of common stock at an exercise price of 12.25. Principal Amount of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 1,200 Principal Amount of Additional Warrants to be Issued: 1,200 2. COMMITMENTS Hartford Life does not have any commitments to provide additional securities, and, therefore, will not have additional Warrants issued by us in connection with its investment in First Liberty Bank, as indicated above, upon the completion of this offering. 2.1 Capitalization and Redemptions We expect that our total capitalization, as of December 31, 2013, will be 25.2 billion, consisting of 22.0 billion of our common stock, 1.1 billion of our Series A Preferred Stock and 1,400,000 shares of our common stock warrants. 3.

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hartfordinvestor is a financial reporting form required by the Hartford Investor Act.
Any individual or entity who meets the criteria set by the Hartford Investor Act must file hartfordinvestor.
Hartfordinvestor can be filled out online through the official website of the Hartford Investor Act. You will need to provide all the necessary information as outlined in the form.
The purpose of hartfordinvestor is to collect financial information from individuals and entities in order to regulate and monitor investment activities.
Hartfordinvestor requires reporting of various financial information including assets, liabilities, income, and other investment-related details.
The deadline to file hartfordinvestor in 2023 is December 31, 2023.
The penalty for the late filing of hartfordinvestor is a fine of $500 per day, up to a maximum of $10,000.
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