EXHIBIT 25.1
FORM T-1
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF ELIGIBILITY
UNDER THE TRUST INDENTURE ACT OF 1939
OF A CORPORATION DESIGNATED TO ACT AS TRUSTEE
CHECK IF AN APPLICATION TO DETERMINE
ELIGIBILITY OF A TRUSTEE PURSUANT
TO SECTION 305(b)(2) ¨
BNY MIDWEST TRUST COMPANY
(formerly known as CTC Illinois Trust Company)
(Exact name of trustee as specified in its charter)
| Illinois | | 36-3800435 |
(State of incorporation if not a U.S. national bank) | | (I.R.S. Employer Identification Number) |
2 North LaSalle Street Suite 1020 Chicago, Illinois | | 60602 |
| (Address of principal executive offices) | | (Zip code) |
Domino’s, Inc.
(Exact name of obligor as specified in its charter)
| Delaware | | 38-3025165 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza LLC
(Exact name of obligor as specified in its charter)
| Michigan | | 38-1741243 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Franchise Holding Co.
(Exact name of obligor as specified in its charter)
| Michigan | | 38-3401169 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza International, Inc.
(Exact name of obligor as specified in its charter)
| Delaware | | 52-1291464 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza International Payroll Services, Inc.
(Exact name of obligor as specified in its charter)
| Florida | | 38-2978908 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza—Government Services Division, Inc.
(Exact name of obligor as specified in its charter)
| Texas | | 38-3105323 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza PMC, Inc.
(Exact name of obligor as specified in its charter)
| Michigan | | 38-3490734 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
Domino’s Pizza NS Co.
(Exact name of obligor as specified in its charter)
| Canada | | N/A |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification Number) |
30 Frank Lloyd Wright Drive Ann Arbor, MI | | 48106 |
| (Address of principal executive offices) | | (Zip code) |
8¼% Senior Subordinated Notes due 2011
(Title of the indenture securities)
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| 1. | | General information. Furnish the following information as to the Trustee: |
| |
| | | (a) Name and address of each examining or supervising authority to which it is subject. |
Name
| | Address
|
Office of Banks & Trust Companies of the State of Illinois | | 500 E. Monroe Street Springfield, Illinois 62701-1532 |
| |
| Federal Reserve Bank of Chicago | | 230 S. LaSalle Street Chicago, Illinois 60603 |
| | | (b) Whether it is authorized to exercise corporate trust powers. |
| |
| | | Yes. |
| |
| 2. | | Affiliations with Obligor. |
| |
| | | If the obligor is an affiliate of the trustee, describe each such affiliation. |
| |
| | | None. |
| |
| 16. | | List of Exhibits. |
| |
| | | Exhibits identified in parentheses below, on file with the Commission, are incorporated herein by reference as an exhibit hereto, pursuant to Rule 7a-29 under the Trust Indenture Act of 1939 (the “Act”) and 17 C.F.R. 229.10(d). |
| |
| | | 1. A copy of Articles of Incorporation of BNY Midwest Trust Company (formerly CTC Illinois Trust Company, formerly Continental Trust Company) as now in effect. (Exhibit 1 to Form T-1 filed with the Registration Statement No. 333-47688.) 2,3. A copy of the Certificate of Authority of the Trustee as now in effect, which contains the authority to commence business and a grant of powers to exercise corporate trust powers. (Exhibit 2 to Form T-1 filed with the Registration Statement No. 333-47688.) 4. A copy of the existing By-laws of the Trustee. (Exhibit 4 to Form T-1 filed with the Registration Statement No. 333-47688.) 6. The consent of the Trustee required by Section 321(b) of the Act. (Exhibit 6 to Form T-1 filed with the Registration Statement No. 333-47688.) 7. A copy of the latest report of condition of the Trustee published pursuant to law or to the requirements of its supervising or examining authority. |
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SIGNATURE
Pursuant to the requirements of the Act, the Trustee, BNY Midwest Trust Company, a corporation organized and existing under the laws of the State of Illinois, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in The City of Chicago, and State of Illinois, on the 29th day of July, 2003.
| BNY MIDWEST TRUST COMPANy |
| |
By: | | /s/ C. POTTER
|
| | | Name: C. Potter Title: Assistant Vice President |
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OFFICE OF BANKS AND REAL ESTATE
Bureau of Banks and Trust Companies
CONSOLIDATED REPORT OF CONDITION
OF
BNY Midwest Trust Company
209 West Jackson Boulevard
Suite 700
Chicago, Illinois 60606
Including the institution’s domestic and foreign subsidiaries completed as of the close of business on March 31, 2003, submitted in response to the call of the Office of Banks and Real Estate of the State of Illinois.
| | | ASSETS
| | Thousands of Dollars
|
1. | | Cash and Due from Depository Institutions | | 24,268 |
2. | | U.S. Treasury Securities | | –0– |
3. | | Obligations of States and Political Subdivisions | | –0– |
4. | | Other Bonds, Notes and Debentures | | –0– |
5. | | Corporate Stock | | –0– |
6. | | Trust Company Premises, Furniture, Fixtures and Other Assets Representing Trust Company Premises | | 878 |
7. | | Leases and Lease Financing Receivables | | –0– |
8. | | Accounts Receivable | | 3,692 |
9. | | Other Assets | | |
| | | (Itemize amounts greater than 15% of Line 9) GOODWILL | | 86,813 |
| | | | | 86,911 |
10. | | TOTAL ASSETS | | 115,749 |
| | | LIABILITIES
| | |
11. | | Accounts Payable | | –0– |
12. | | Taxes Payable | | –0– |
13. | | Other Liabilities for Borrowed Money | | 25,425 |
14. | | Other Liabilities | | |
| | | (Itemize amounts greater than 15% of Line 14) Reserve for Taxes | | 3,991 |
| | | Taxes due to Parent | | 2,934 |
| | | | | 7,199 |
15. | | TOTAL LIABILITIES | | 32,624 |
| | | EQUITY CAPITAL
| | |
16. | | Preferred Stock | | –0– |
17. | | Common Stock | | 2,000 |
18. | | Surplus | | 62,130 |
19. | | Reserve for Operating Expenses | | –0– |
20. | | Retained Earnings (Loss) | | 18,995 |
21. | | TOTAL EQUITY CAPITAL | | 83,125 |
22. | | TOTAL LIABILITIES AND EQUITY CAPITAL | | 115,749 |
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I, Keith A. Mica, Vice President
(Name and Title of Officer Authorized to Sign Report)
of BNY Midwest Trust Company certify that the information contained in this statement is accurate to the best of my knowledge and belief. I understand that submission of false information with the intention to deceive the Commissioner or his Administrative officers is a felony.
/s/ KEITH A. MICA
(Signature of Officer Authorized to Sign Report)
Sworn to and subscribed before me this 30th day of April , 2003.
My Commission expires May 15, 2007.
/s/ JOSEPH A. GIACOBINO, NOTARY PUBLIC
(Notary Seal)
Person to whom Supervisory Staff should direct questions concerning this report.
| | | | |
| | | /s/ CHRISTINE ANDERSON
| | | | | | (212) 437-5984
|
| | | Name | | | | | | Telephone Number (Extension) |
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