Exhibit 25.1
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) |
Raymond S. Haverstock
U.S. Bank National Association
60 Livingston Avenue
St. Paul, MN 55107
(651) 495-3909
(Name, address and telephone number of agent for service)
Apria Healthcare Group Inc.
(Issuer with respect to the Securities)
See table of additional Registrants
Delaware | 33-0488566 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
26220 Enterprise Court Lake Forest, CA | 92630 | |
(Address of Principal Executive Offices) | (Zip Code) |
11.25% Senior Secured Notes due 2014 (Series A-1)
12.375% Senior Secured Notes due 2014 (Series A-2)
(Title of the Indenture Securities)
Table of Additional Registrant Guarantors
Exact Name of Registrant | State or | I.R.S. Employer | Address, Including Zip Code | |||
Apria Healthcare of New York State, Inc | New York | 16-1031905 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 | |||
Apria Healthcare, Inc. | Delaware | 33-0057155 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 | |||
ApriaCare Management Systems, Inc | Delaware | 33-0675340 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 | |||
ApriaDirect.Com, Inc. | Delaware | 27-2820256 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 | |||
Coram Alternate Site Services, Inc | Delaware | 76-0215922 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Clinical Trials, Inc | Delaware | 58-2160656 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Alabama | Delaware | 58-1813484 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Florida | Delaware | 58-1949695 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Greater D.C. | Delaware | 58-2035129 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Greater New York | New York | 58-1844719 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Indiana | Delaware | 58-1813491 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Massachusetts | Delaware | 33-0532814 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Mississippi | Delaware | 58-1813479 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Nevada | Delaware | 58-1972771 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of New York | New York | 33-0458457 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of North Texas | Delaware | 33-0556959 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Northern California | Delaware | 58-1972773 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 |
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Exact Name of Registrant | State or | I.R.S. Employer | Address, Including Zip Code | |||
Coram Healthcare Corporation of South Carolina | Delaware | 58-1813494 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Southern California | Delaware | 58-2006708 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Southern Florida | Delaware | 58-1949686 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare Corporation of Utah | Delaware | 95-4446209 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Healthcare of Wyoming, L.L.C | Delaware | 84-1463833 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Homecare of Minnesota, Inc | Delaware | 58-1874630 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Service Corporation | Delaware | 58-1910054 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram Specialty Infusion Services, Inc. | Delaware | 58-1813486 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
Coram, Inc | Delaware | 84-1300129 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
CoramRx, LLC | Delaware | 25-1923172 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
H.M.S.S., Inc | Delaware | 76-0005650 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
T2 Medical, Inc. | Delaware | 59-2405366 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
HealthInfusion, Inc | Florida | 65-0163627 | 555 17th Street, Suite 1500 Denver, CO 80202 (303) 292-4973 | |||
AHNY-DME LLC | New York | 27-2955068 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 | |||
AHNY-IV LLC | New York | 27-2954951 | 26220 Enterprise Court Lake Forest, CA 92630 (949) 639-2000 |
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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 as Exhibit 6. |
7. | Report of Condition of the Trustee as of March 31, 2010 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.
** Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-159463 filed on August 24, 2009.
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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 and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of St. Paul, State of Minnesota on the 1st of July, 2010.
By: | /s/ Raymond S. Haverstock | |
Raymond S. Haverstock Vice President |
By: | /s/ Joshua Hahn | |
Joshua Hahn | ||
Assistant Vice President |
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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: July 1st, 2010
By: | /s/ Raymond S. Haverstock | |
Raymond S. Haverstock Vice President |
By: | /s/ Joshua Hahn | |
Joshua Hahn Assistant Vice President |
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Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
Exhibit 7
As of 3/31/2010
($000’s)
3/31/2010 | |||
Assets | |||
Cash and Balances Due From | $ | 8,396,049 | |
Depository Institutions | |||
Securities | 45,269,095 | ||
Federal Funds | 3,774,651 | ||
Loans & Lease Financing Receivables | 180,918,939 | ||
Fixed Assets | 5,108,242 | ||
Intangible Assets | 13,355,160 | ||
Other Assets | 20,687,148 | ||
Total Assets | $ | 277,509,284 | |
Liabilities | |||
Deposits | $ | 194,167,405 | |
Fed Funds | 9,849,249 | ||
Treasury Demand Notes | 0 | ||
Trading Liabilities | 362,519 | ||
Other Borrowed Money | 31,906,386 | ||
Acceptances | 0 | ||
Subordinated Notes and Debentures | 7,629,967 | ||
Other Liabilities | 6,648,045 | ||
Total Liabilities | $ | 250,563,571 | |
Equity | |||
Minority Interest in Subsidiaries | $ | 1,611,596 | |
Common and Preferred Stock | 18,200 | ||
Surplus | 12,642,020 | ||
Undivided Profits | 12,673,897 | ||
Total Equity Capital | $ | 26,945,713 | |
Total Liabilities and Equity Capital | $ | 277,509,284 |
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/ Raymond S. Haverstock | |
Vice President |
Date: July 1st, 2010
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