SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM T-1
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)
U.S. BANK NATIONAL ASSOCIATION
(Exact name of Trustee as specified in its charter)
31-0841368
I.R.S. Employer Identification No.
| | |
800 Nicollet Mall | | |
Minneapolis, Minnesota | | 55402 |
| | |
(Address of principal executive offices) | | (Zip Code) |
David Massa
U.S. Bank National Association
100 Wall Street
New York, NY 10005
(212) 361-4386
(Name, address and telephone number of agent for service)
InSight Health Services Corp.
(Exact name of obligor as specified in its charter)
| | |
Delaware | | 33-0702770 |
(State or other jurisdiction of incorporation or organization) | | (I. R. S. Employer Identification No.) |
| | |
26250 Enterprise Court | | |
Suite 100 | | |
Lake Forest, California | | 92630 |
(Address of principal executive offices) | | (Zip Code) |
Senior Secured Floating Rate Notes due 2011
TABLE OF CONTENTS
TABLE OF ADDITIONAL REGISTRANTS
Set forth below is certain information regarding each of the additional registrants. For each such registrant, its primary standard industrial classification code number is 8071, its principal executive office is c/o InSight Health Services Holdings Corp., 26250 Enterprise Court, Suite 100, Lake Forest, CA 92630 and its telephone number is (949) 282-6000.
| | | | | | | | |
| | | | | | I.R.S. Employer | |
Exact Name of Registrant Guarantor | State or Other Jurisdiction of | | Identification | |
as Specified in its Charter | Incorporation or Organization | | Number | |
InSight Health Services Holdings Corp. | | Delaware | | | 04-3570028 | |
InSight Health Corp. | | Delaware | | | 52-1278857 | |
Signal Medical Services, Inc. | | Delaware | | | 33-0802413 | |
Open MRI, Inc. | | Delaware | | | 94-3251529 | |
Maxum Health Corp. | | Delaware | | | 75-2287276 | |
Maxum Health Services Corp. | | Delaware | | | 75-2135957 | |
MRI Associates, L.P. | | Indiana | | | 35-1881106 | |
Maxum Health Services of North Texas, Inc. | | Texas | | | 75-2435797 | |
Maxum Health Services of Dallas, Inc. | | Texas | | | 75-2615132 | |
NDDC, Inc. | | Texas | | | 75-2407830 | |
Wilkes-Barre Imaging, L.L.C | | Pennsylvania | | | 52-2238781 | |
Orange County Regional PET Center — Irvine, LLC | | California | | | 91-2070190 | |
San Fernando Valley Regional PET Center, LLC | | California | | | 91-2070191 | |
Valencia MRI, LLC | | California | | | 91-2070193 | |
Parkway Imaging Center, LLC | | Nevada | | | 33-0872858 | |
Comprehensive Medical Imaging, Inc. | | Delaware | | | 95-4662473 | |
Comprehensive Medical Imaging Centers, Inc. | | Delaware | | | 95-4666946 | |
TME Arizona, Inc. | | Texas | | | 76-0539851 | |
Comprehensive Medical Imaging — Fairfax, Inc. | | Delaware | | | 95-4666947 | |
Comprehensive OPEN MRI — Carmichael/ Folsom, LLC | | California | | | 77-0505765 | |
Syncor Diagnostics Sacramento, LLC | | California | | | 91-1838444 | |
Syncor Diagnostics Bakersfield, LLC | | California | | | 77-0469131 | |
Phoenix Regional PET Center — Thunderbird, LLC | | Arizona | | | 77-0578521 | |
Mesa MRI | | Texas | | | 76-0316425 | |
Mountain View MRI | | Texas | | | 86-0651713 | |
Los Gatos Imaging Center | | Texas | | | 94-3040209 | |
Woodbridge MRI | | Texas | | | 54-1623177 | |
Jefferson MRI — Bala | | Texas | | | 76-0300719 | |
Jefferson MRI | | Texas | | | 23-2579343 | |
FORM T-1
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Item 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. |
Comptroller of the Currency
Washington, D.C.
| b) | | Whether it is authorized to exercise corporate trust powers. |
Yes
| | |
Item 2. | | AFFILIATIONS WITH OBLIGOR.If the obligor is an affiliate of the Trustee, describe each such affiliation. |
None
| | |
Items 3-15 | | Items 3-15 are not applicable because to the best of the Trustee’s knowledge, the obligor is not in default under any Indenture for which the Trustee acts as Trustee. |
| | |
Item 16. | | LIST OF EXHIBITS:List below all exhibits filed as a part of this statement of eligibility and qualification. |
| 1. | | A copy of the Articles of Association of the Trustee.* |
|
| 2. | | A copy of the certificate of authority of the Trustee to commence business.* |
|
| 3. | | A copy of the certificate of authority of the Trustee to exercise corporate trust powers.* |
|
| 4. | | A copy of the existing bylaws of the Trustee.* |
|
| 5. | | A copy of each Indenture referred to in Item 4. Not applicable. |
|
| 6. | | The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939.* |
|
| 7. | | Report of Condition of the Trustee as of March 31, 2007, published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7. |
| | |
* | | Incorporated by reference to Exhibit 25.1 to Amendment No. 2 to registration statement on S-4, Registration Number 333-128217 filed on November 15, 2005. |
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SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the Trustee, U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of New York, State of New York on the 27th of September, 2007.
| | | | |
| U.S. BANK NATIONAL ASSOCIATION | |
| By: | /s/ Paul J. Schmalzel | |
| | Paul J. Schmalzel | |
| | Vice President | |
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Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
As of 6/30/2007
($000’s)
| | | | |
| | 6/30/2007 | |
Assets | | | | |
Cash and Due From Depository Institutions | | $ | 6,570,622 | |
Securities | | | 38,972,163 | |
Federal Funds | | | 3,771,433 | |
Loans & Lease Financing Receivables | | | 144,255,624 | |
Fixed Assets | | | 2,389,792 | |
Intangible Assets | | | 12,181,700 | |
Other Assets | | | 12,884,541 | |
| | | |
Total Assets | | $ | 221,025,875 | |
Liabilities | | | | |
Deposits | | $ | 133,727,871 | |
Fed Funds | | | 11,750,444 | |
Treasury Demand Notes | | | 0 | |
Trading Liabilities | | | 241,301 | |
Other Borrowed Money | | | 38,213,977 | |
Acceptances | | | 0 | |
Subordinated Notes and Debentures | | | 7,697,466 | |
Other Liabilities | | | 7,434,860 | |
| | | |
Total Liabilities | | $ | 199,065,919 | |
Equity | | | | |
Minority Interest in Subsidiaries | | $ | 1,537,943 | |
Common and Preferred Stock | | | 18,200 | |
Surplus | | | 12,057,531 | |
Undivided Profits | | | 8,346,282 | |
| | | |
Total Equity Capital | | $ | 21,959,956 | |
| | | | |
Total Liabilities and Equity Capital | | $ | 221,025,070 | |
To the best of the undersigned’s determination, as of the date hereof, the above financial information is true and correct.
| | | | |
U.S. Bank National Association | | |
| | | | |
| | | | |
By: | | /s/ Paul J. Schmalzel | | |
| | | | |
| | Vice President | | |
| | | | |
Date: | | September 27, 2007 | | |
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