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- S-4 Registration of securities issued in business combination transactions
- 3.1 Amend Cert of Incorp of Symbion
- 3.2 Amend & Restated Bylaws of Symbion
- 3.3 Articles of Org./ambulatory Resource
- 3.4 Operating Agmt/ambulatory Resource
- 3.5 Articles of Inc/ambulatory Resource
- 3.6 Bylaws/ambulatory Resource Centres/fl
- 3.7 Charter/ambulatory Res. Centres/mass.
- 3.8 Bylaws/ambulatory Res. Centres/mass.
- 3.9 Charter/ambulatory Res. Centres/texas
- 3.10 Bylaws/ambulatory Res. Centres/texas
- 3.11 Charter/ambulatory Res. Centres/washington
- 3.12 Bylaws/ambulatory Res. Centres/washington
- 3.13 Charter/ambulatory Res. Centres/wilmington
- 3.14 Bylaws/ambulatory Res. Centres/wilmington
- 3.15 Charter of Arc Development Corp.
- 3.16 Bylaws of Arc Development Corp.
- 3.17 Charter of Arc Dry Creek, Inc.
- 3.18 Bylaws of Arc Dry Creek, Inc.
- 3.19 Charter of Arc Financial Services Corp.
- 3.20 Bylaws of Arc Financial Services Corp.
- 3.21 Certificate of Formation of Asc-hammond Inc.
- 3.22 Bylaws of Asc of Hammond, Inc.
- 3.23 Articles of Org. of Asc of New Albany, LLC
- 3.24 Operating Agmt of Asc of New Albany, LLC
- 3.25 Articles of Inc./houston Psc-i, Inc., As Amend.
- 3.26 Bylaws of Houston Psc-i, Inc.
- 3.27 Art. of Incorp of Lubbock Surgicenter, Inc.
- 3.28 Bylaws of Lubbock Surgicenter, Inc.
- 3.29 Charter of Medisphere Health Partners Ok City, Inc
- 3.30 Bylaws of Medisphere Health Partners Oklahoma City
- 3.31 Charter of Medisphere Health Partners MGMT of Tenn
- 3.32 Bylaws of Medisphere HLTH Partners MGMT of TN, Inc
- 3.33 Cert.of Formation of Neospin Surg. of Bristol, LLC
- 3.34 Operating Agmt of Neospin Surgery of Bristol, LLC
- 3.35 Cert. of Form. of Neospin Surgery of Nashville LLC
- 3.36 LTD Liab Comp Agmt of Neospine Surgery of Nash LLC
- 3.37 Cert. of Formation of Neospine Surgery of Puyallup
- 3.38 LTD Liab Comp of Neospine Surgery of Puyallup LLC
- 3.39 Certificate of Formation Neospine Surgery, LLC
- 3.40 LTD Liability Company Agmt of Neospine Surgery LLC
- 3.41 Certificate of Formation of NSC Edmond, Inc
- 3.42 Bylaws of NSC Edmond, Inc
- 3.43 Cert of Form of Physicians Surgical Care MGMT, Inc
- 3.44 Bylaws of Physicians Surgical Care Management, Inc
- 3.45 4TH Amended and Restated Cert. of Incorp.
- 3.46 Amended and Restated Bylaws of Phys. Surgical Care
- 3.47 Cert. of Incorp. Premier Ambulatory Surgery
- 3.48 Bylaws Premier Ambulatory Surgery of Duncanville
- 3.49 Cert. of Formation of PSC Development Co. LLC
- 3.50 Limited Liability Co. Agree. of PSC Dev. Co. LLC
- 3.51 Cert. of Formation of PSC of New York, L.L.C.
- 3.52 Limited Liability Co. Agree. of PSC of New York
- 3.53 Cert. of Formation of PSC Operating Co. LLC
- 3.54 Limited Liability Co. Agree. of PSC Operating Co.
- 3.55 Exhibit 3.55
- 3.56 Limited Liability Co. Agree. of Quahog Holding Co.
- 3.57 Charter of Sarc/asheville, Inc.
- 3.58 Bylaws of Sarc/asheville, Inc.
- 3.59 Charter of Sarc/circleville, Inc.
- 3.60 Bylaws of Sarc/circleville, Inc.
- 3.61 Charter of Sarc/columbia, Inc.
- 3.62 Bylaws of Sarc/columbia, Inc.
- 3.63 Charter of Sarc/deland, Inc.
- 3.64 Bylaws of Sarc/deland, Inc.
- 3.65 Charter of Sarc/ft. Myers, Inc.
- 3.66 Bylaws of Sarc/ft. Myers, Inc.
- 3.67 Charter of Sarc/fw, Inc.
- 3.68 Bylaws of Sarc/fw, Inc.
- 3.69 Charter of Sarc/georgia, Inc.
- 3.70 Bylaws of Sarc/georgia, Inc.
- 3.71 Charter of Sarc/jacksonville, Inc.
- 3.72 Bylaws of Sarc/jacksonville, Inc.
- 3.73 Articles of Org Sarc/kent LLC
- 3.74 Operating Agreement of Sarc/kent
- 3.75 Charter of Sarc/knoxville, Inc.
- 3.76 Bylaws of Sarc/knoxville, Inc.
- 3.77 Charter of Sarc/largo Endoscopy
- 3.78 Bylaws of Sarc/largo Endoscopy
- 3.79 Charter of Sarc/largo, Inc.
- 3.80 Bylaws of Sarc/largo, Inc.
- 3.81 Charter of Sarc/metairie, Inc.
- 3.82 Bylaws of Sarc/metairie, Inc.
- 3.83 Art of Org. of Sarc/providence
- 3.84 Operating Agmt of Sarc/providence
- 3.85 Art. of Org. Sarc/san Antonio LLC
- 3.86 Operating Agmt of Sarc/san Antonio
- 3.87 Charter of Sarc/savanah, Inc.
- 3.88 Bylaws of Sarc/savanah, Inc.
- 3.89 Charter of Sarc/st. Charles, Inc.
- 3.90 Bylaws of Sarc/st. Charles, Inc.
- 3.91 Charter of Sarc/vincennes, Inc.
- 3.92 Bylaws of Sarc/vincennes, Inc.
- 3.93 Art. of Org. of Sarc/west Houston
- 3.94 Operating Agmt of Sarc/west Houston
- 3.95 Charter of Sarc/worcester, Inc.
- 3.96 Bylaws of Sarc/worcester, Inc.
- 3.97 Charter of Si/dry Creek, Inc.
- 3.98 Bylaws of Si/dry Creek, Inc.
- 3.99 Art. of Org of Smbi Havertown, LLC
- 3.100 Operating Agmt of Smbi Havertown
- 3.101 Art. of Org of Smbi Northstar, LLC
- 3.102 Operating Agmt of Smbi Northstar
- 3.103 Art. of Org of Smbi Ose
- 3.104 Operating Agmt of Smbi Ose
- 3.105 Art. of Org. of Smbi Portsmouth
- 3.106 Operating Agmt of Portsmouth
- 3.107 Art of Org. Smbims Kirkwood, LLC
- 3.108 Operating Agmt of Smbims Kirkwood
- 3.109 Art. of Org. of Smbims 119, LLC
- 3.110 Operating Agmt. of Smbims 119, LLC
- 3.111 Charter of Smbims Birmingham, Inc.
- 3.112 Bylaws of Smbims Birmingham, Inc.
- 3.113 Art. of Org. of Smbims Durango, LLC
- 3.114 Operating Agmt. of Smbims Durango
- 3.115 Art. of Org. of Smbims Elk River
- 3.116 Operating Agmt of Smbims Elk River
- 3.117 Art. of Org. of Smbims Florida I
- 3.118 Operating Agmt of Smbims Florida I
- 3.119 Art. of Org of Smbims Greenville
- 3.120 Operating Agmt of Smbims Greenville
- 3.121 Art. of Org. of Smbims Maple Grove
- 3.122 Operating Agmt of Smbims Maple Grove
- 3.123 Art. of Org of Smbims Novi, LLC
- 3.124 Operating Agmt. Smbims Novi, LLC
- 3.125 Art. of Org. Smbims Orange City
- 3.126 Operating Agmt of Smbims Orange City
- 3.127 Charter of Smbims Steubenville
- 3.128 Bylaws of Smbims Steubenville
- 3.129 Art. of Org. Smbims Tampa, Inc.
- 3.130 Operating Agmt. of Smbims Tampa
- 3.131 Art. of Org. Smbims Temple
- 3.132 Operating Agmt of Smbims Temple, LLC
- 3.133 Charter of Smbims Tuscaloosa, Inc
- 3.134 Bylaws of Smbims of Tuscalossa, Inc
- 3.135 Articles of Organization of Smbims of Wichita, LLC
- 3.136 Operating Agmt of Smbims of Wichita, LLC
- 3.137 Articles of Organization of Smbiss Arcadia, LLC
- 3.138 Operating Agreement of Smbiss, LLC
- 3.139 Articles of Organization of Smbiss Beverly Hills,
- 3.140 Operating Agreement of Smbiss Beverly Hills, LLC
- 3.141 Articles of Organization of Smbiss Chesterfield, L
- 3.142 Operating Agreement of Smbiss of Chesterfield, LLC
- 3.143 Articles of Organization of Smbiss Encino, LLC
- 3.144 Operating Agreement of Smbiss Encino, LLC
- 3.145 Articles of Organization of Smbiss Irvine, LLC
- 3.146 Operating Agreement of Smbiss Irvine
- 3.147 Articles of Organization of Smbiss Roswell
- 3.148 Operating Agreement of Smbiss Roswell, LLC
- 3.149 Articles of Organization of Sandy Springs, LLC
- 3.150 Operating Agreement of Smbiss Sandy Springs
- 3.151 Articles of Organization of Smbiss Thousand Oaks,
- 3.152 Operating Agreement of Smbiss Thousand Oaks, LLC
- 3.153 Articles of Incorp of Surgicare of Deland, Inc.
- 3.154 Bylaws of Surgicare of Deland, Inc.
- 3.155 Charter of Symbion Ambulatory Resource Centres, In
- 3.156 Bylaws of Symbion Ambulatory Resource Centres, Inc
- 3.157 Charter of Symbion Imaging, Inc.
- 3.158 Bylaws of Symbion Imaging, Inc.
- 3.159 Charter of Symbion Arc MGMT SVS, As Amend.
- 3.160 Bylaws of Symbionarc MGMT SVS, As Amend.
- 3.161 Art. of Org. Symbionarc Support SVS LLC
- 3.162 Operating Agmt of Symbionarc Support SVS
- 3.163 Articles of Inc./texarkana Surgery Center
- 3.164 Bylaws of Texarkana Surgery Center GP, Inc.
- 3.165 Charter of Uniphy Healthcare/eugene/springfield
- 3.166 Bylaws of Uniphy Healthcare/eugene/springfield
- 3.167 Art. of Org./uniphy Healthcare/johnson City VI,
- 3.168 Oper. Agmt/uniphy Healthcare/johnson City VI, LLC
- 3.169 Charter of Uniphy Healthcare of Louisville, Inc.
- 3.170 Bylaws of Uniphy Healthcare of Louisville, Inc.
- 3.171 Charter of Uniphy Healthcare of Maine I, Inc.
- 3.172 Bylaws of Uniphy Healthcare of Maine I, Inc.
- 3.173 Articles of Conversion of Uniphy Healthcare
- 3.174 Single Member Operating Agreement
- 3.175 Charter of Uniphy Healthcare of Memphis II, Inc.
- 3.176 Bylaws of Uniphy Healthcare of Memphis II, Inc.
- 3.177 Cert. of Form. of Uniphy Healthcare of Memphis II
- 3.178 Oper Agree of Uniphy Healthcare of Memphis III
- 3.179 Cert. of Form. of Uniphy Healthcare of Memphis IV
- 3.180 Oper. Agree. of Uniphy Healthcare of Memphis IV
- 3.181 Articles of Incorporation of Vasc, Inc.
- 3.182 Bylaws of Valley Ambulatory Surgery Center
- 3.183 Cert. of Incorporation of Village Surgicenter, Inc
- 3.184 Bylaws of Village Surgicenter, Inc.
- 3.185 Limited Liability Co. Agree. of Northstar Hospital
- 3.186 Certificate of Formation of Northstar Hospital
- 4.1 Symbion, Inc. Indenture Dated As of June 3, 2008
- 4.3 Registration Rights Agree Dated As of June 3, 2007
- 4.4 First Supplemental Indenture
- 5.1 Opinion of Waller Lansden Dortch
- 8.1 Tax Opinion of Waller Lansden Dortch
- 10.1 Employment Agree. Richard E. Francis JR.
- 10.2 Employment Agree. Clifford G. Adlerz
- 10.3 Credit Agreement Dated As of August 23, 2007
- 10.6 2007 Equity Incentive Plan
- 10.7 Symbion, Inc. Executive Change In Control Severanc
- 10.8 Compensatory Equity Participation Plan
- 10.9 Shareholders Agreement Dated As of Aug. 23, 2007
- 10.10 Advisory Services and Monitoring Agreement
- 10.11 Employee Contribution Agreement
- 12.1 Statement of Computation of Ratio of Earnings
- 21.1 Subsidiaries of the Registrant
- 23.2 Consent of E & Y
- 25.1 Statement on Form T-1 of U.S. Bank
- 99.1 Exhibit 99.1
- 99.2 Exhibit 99.2
- CORRESP Corresp
Exhibit 25.1
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM T-1
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 Number.
800 Nicollet Mall |
|
|
Minneapolis, Minnesota |
| 55402 |
(Address of principal executive offices) |
| (Zip Code) |
Wally Jones
U.S. Bank National Association
150 Fourth Avenue North, 2nd Floor
Nashville, TN 37219
(615) 251-0733
(Name, address and telephone number of agent for service)
Symbion, Inc.
(Exact name of obligor as specified in its charter)
Delaware |
| 62-1625480 |
(State or other jurisdiction of incorporation or organization) |
| (I.R.S. Employer Identification No.) |
|
|
|
40 Burton Hills Boulevard, Suite 500, |
| 37215 |
(Address of principal executive offices) |
| (Zip Code) |
Debt Securities
11.00%/11.75% Senior PIK Toggle Notes due 2015
FORM T-1
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.
Attached hereto as Exhibit 6.
7. Report of Condition of the Trustee as of June 30, 2008 published pursuant to law or the requirements of its supervising or examining authority.
Attached hereto as Exhibit 7.
2
* 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.
** Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-145601 filed on August 21, 2007.
3
SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, 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 Nashville, and State of Tennessee, on the 19th day of September, 2008.
| By: | /s/ Wally Jones | |
|
| Wally Jones | |
|
| Vice President | |
|
| ||
|
| ||
By: | /s/ Donna L Williams |
| |
| Donna L Williams |
| |
| Vice President |
|
4
Exhibit 6
CONSENT
In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.
Dated: | September 19, 2008 |
|
|
|
|
| |
|
|
| |
| By: | /s/ Wally Jones | |
|
| Wally Jones | |
|
| Vice President | |
|
| ||
|
| ||
By: | /s/ Donna L Williams |
| |
| Donna L Williams |
| |
| Vice President |
|
5
Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
As of 6/30/2008
($000’s)
|
| 6/30/2008 |
| |
Assets |
|
|
| |
Cash and Balances Due From Depository Institutions |
| $ | 8,040,113 |
|
Securities |
| 38,273,740 |
| |
Federal Funds |
| 4,300,502 |
| |
Loans & Lease Financing Receivables |
| 162,625,350 |
| |
Fixed Assets |
| 2,638,883 |
| |
Intangible Assets |
| 12,303,139 |
| |
Other Assets |
| 14,126,201 |
| |
Total Assets |
| $ | 242,307,928 |
|
|
|
|
| |
Liabilities |
|
|
| |
Deposits |
| $ | 143,265,079 |
|
Fed Funds |
| 13,193,537 |
| |
Treasury Demand Notes |
| 0 |
| |
Trading Liabilities |
| 490,836 |
| |
Other Borrowed Money |
| 47,378,092 |
| |
Acceptances |
| 0 |
| |
Subordinated Notes and Debentures |
| 7,647,466 |
| |
Other Liabilities |
| 7,266,430 |
| |
Total Liabilities |
| $ | 219,241,440 |
|
|
|
|
| |
Equity |
|
|
| |
Minority Interest in Subsidiaries |
| $ | 1,524,656 |
|
Common and Preferred Stock |
| 18,200 |
| |
Surplus |
| 12,057,620 |
| |
Undivided Profits |
| 9,466,012 |
| |
Total Equity Capital |
| $ | 23,066,488 |
|
|
|
|
| |
Total Liabilities and Equity Capital |
| $ | 242,307,928 |
|
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/ Wally Jones |
|
| Vice President |
|
|
| |
Date: September 19, 2008 |
|
6