Exhibit 25
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
U.S. BANK NATIONAL ASSOCIATION
(Exact name of trustee as specified in its charter)
31-0841368
(I.R.S. Employer Identification No.)
800 Nicollett Mall Minneapolis, MN | 55402 | ||
| (Address of principal executive offices) | (Zip code) |
U.S. Bank National Association
Attn: Paul Henderson
1349 W. Peachtree St., NW, Suite 1050
Atlanta, GA 30309
Telephone 404-965-7218
(Name, address and telephone number of agent for service)
Omega Healthcare Investors, Inc.
And the Subsidiary Guarantors Listed in Schedule A
(Exact name of obligor as specified in its charter)
Maryland (State or other jurisdiction of incorporation or organization) | 38-3041398 (I.R.S. Employer Identification No.) |
200 International Circle, Suite 3500 Hunt Valley, Maryland (Address of principal executive offices) | 21030 (Zip code) |
6¾% Senior Notes due 2022
(Title of the indenture securities)
Schedule A
Subsidiary Guarantors
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | I.R.S. Employer Identification No. | |
| Arizona Lessor - Infinia, Inc. | Maryland | 32-0008074 | |
| Baldwin Health Center, Inc. | Pennsylvania | 25-1495708 | |
| Bayside Alabama Healthcare Second, Inc. | Alabama | 38-3517839 | |
| Bayside Arizona Healthcare Associates, Inc. | Arizona | 38-3518309 | |
| Bayside Arizona Healthcare Second, Inc. | Arizona | 38-3520329 | |
| Bayside Colorado Healthcare Associates, Inc. | Colorado | 38-3517837 | |
| Bayside Colorado Healthcare Second, Inc. | Colorado | 38-3520325 | |
| Bayside Indiana Healthcare Associates, Inc. | Indiana | 38-3517842 | |
| Bayside Street II, Inc. | Delaware | 38-3519969 | |
| Bayside Street, Inc. | Maryland | 38-3160026 | |
| Canton Health Care Land, Inc. | Ohio | 20-1914579 | |
| Carnegie Gardens LLC | Delaware | 20-2442381 | |
| Center Healthcare Associates, Inc. | Texas | 38-3517844 | |
| Cherry Street – Skilled Nursing, Inc. | Texas | 38-3592148 | |
| Colonial Gardens, LLC | Ohio | 26-0110549 | |
| Colorado Lessor - Conifer, Inc. | Maryland | 32-0008069 | |
| Copley Health Center, Inc. | Ohio | 34-1473010 | |
| CSE Albany LLC | Delaware | 20-5885886 | |
| CSE Amarillo LLC | Delaware | 20-5862752 | |
| CSE Anchorage LLC | Delaware | 26-1866499 | |
| CSE Arden L.P. | Delaware | 20-5888680 | |
| CSE Augusta LLC | Delaware | 20-5885921 | |
| CSE Bedford LLC | Delaware | 20-5886082 | |
| CSE Blountville LLC | Delaware | 20-8295288 | |
| CSE Bolivar LLC | Delaware | 20-8295024 | |
| CSE Cambridge LLC | Delaware | 20-5886976 | |
| CSE Cambridge Realty LLC | Delaware | 20-5959318 | |
| CSE Camden LLC | Delaware | 20-8295066 | |
| CSE Canton LLC | Delaware | 20-5887312 | |
| CSE Casablanca Holdings II LLC | Delaware | 26-0595183 | |
| CSE Casablanca Holdings LLC | Delaware | 20-8724466 | |
| CSE Cedar Rapids LLC | Delaware | 20-5884941 | |
| CSE Centennial Village | Delaware | 20-6974959 | |
| CSE Chelmsford LLC | Delaware | 20-5920451 | |
| CSE Chesterton LLC | Delaware | 20-5885195 | |
| CSE Claremont LLC | Delaware | 20-5883891 | |
| CSE Corpus North LLC | Delaware | 20-5186415 | |
| CSE Crane LLC | Delaware | 20-8684704 | |
| CSE Denver Iliff LLC | Delaware | 20-8037772 | |
| CSE Denver LLC | Delaware | 20-5884311 | |
| CSE Douglas LLC | Delaware | 20-5883761 | |
| CSE Dumas LLC | Delaware | 20-5883692 | |
| CSE Elkton LLC | Delaware | 20-5887006 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | I.R.S. Employer Identification No. | |
| CSE Elkton Realty LLC | Delaware | 20-5959253 | |
| CSE Fairhaven LLC | Delaware | 20-8281491 | |
| CSE Fort Wayne LLC | Delaware | 20-5885125 | |
| CSE Frankston LLC | Delaware | 20-5862947 | |
| CSE Georgetown LLC | Delaware | 20-5886126 | |
| CSE Green Bay LLC | Delaware | 20-5888029 | |
| CSE Hilliard LLC | Delaware | 20-5887347 | |
| CSE Huntingdon LLC | Delaware | 20-8295191 | |
| CSE Huntsville LLC | Delaware | 20-5887764 | |
| CSE Indianapolis-Continental LLC | Delaware | 20-5885046 | |
| CSE Indianapolis-Greenbriar LLC | Delaware | 20-5885096 | |
| CSE Jacinto City LLC | Delaware | 20-5186519 | |
| CSE Jefferson City LLC | Delaware | 20-8295101 | |
| CSE Jeffersonville-Hillcrest Center LLC | Delaware | 20-5885261 | |
| CSE Jeffersonville-Jennings House LLC | Delaware | 20-5885346 | |
| CSE Kerrville LLC | Delaware | 20-8684872 | |
| CSE King L.P. | Delaware | 20-5888725 | |
| CSE Kingsport LLC | Delaware | 20-5887736 | |
| CSE Knightdale L.P. | Delaware | 20-5888653 | |
| CSE Lake City LLC | Delaware | 20-5863259 | |
| CSE Lake Worth LLC | Delaware | 20-5863173 | |
| CSE Lakewood LLC | Delaware | 20-5884352 | |
| CSE Las Vegas LLC | Delaware | 20-5887216 | |
| CSE Lawrenceburg LLC | Delaware | 20-5887802 | |
| CSE Lenoir L.P. | Delaware | 20-5888528 | |
| CSE Lexington Park LLC | Delaware | 20-5886951 | |
| CSE Lexington Park Realty LLC | Delaware | 20-5959280 | |
| CSE Ligonier LLC | Delaware | 20-5885484 | |
| CSE Live Oak LLC | Delaware | 20-5863086 | |
| CSE Logansport LLC | Delaware | 20-5885583 | |
| CSE Lowell LLC | Delaware | 20-5885381 | |
| CSE Marianna Holdings LLC | Delaware | 20-1411422 | |
| CSE Memphis LLC | Delaware | 20-8295130 | |
| CSE Mobile LLC | Delaware | 20-5883572 | |
| CSE Moore LLC | Delaware | 20-5887574 | |
| CSE North Carolina Holdings I LLC | Delaware | 20-5888397 | |
| CSE North Carolina Holdings II LLC | Delaware | 20-5888430 | |
| CSE Omro LLC | Delaware | 20-5887998 | |
| CSE Orange Park LLC | Delaware | 20-5863371 | |
| CSE Orlando-Pinar Terrace Manor LLC | Delaware | 20-5863043 | |
| CSE Orlando-Terra Vista Rehab LLC | Delaware | 20-5863223 | |
| CSE Pennsylvania Holdings | Delaware | 20-6974946 | |
| CSE Piggott LLC | Delaware | 20-5883659 | |
| CSE Pilot Point LLC | Delaware | 20-5862827 | |
| CSE Ponca City LLC | Delaware | 20-5887495 | |
| CSE Port St. Lucie LLC | Delaware | 20-5863294 | |
| CSE Richmond LLC | Delaware | 20-5885427 | |
| CSE Ripley LLC | Delaware | 20-8295238 | |
| CSE Ripon LLC | Delaware | 26-0480886 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | I.R.S. Employer Identification No. | |
| CSE Safford LLC | Delaware | 20-5883807 | |
| CSE Salina LLC | Delaware | 20-5885669 | |
| CSE Seminole LLC | Delaware | 20-5887615 | |
| CSE Shawnee LLC | Delaware | 20-5887524 | |
| CSE Spring Branch LLC | Delaware | 20-5186484 | |
| CSE Stillwater LLC | Delaware | 20-5887548 | |
| CSE Taylorsville LLC | Delaware | 20-5886196 | |
| CSE Texarkana LLC | Delaware | 20-5862880 | |
| CSE Texas City LLC | Delaware | 20-5862791 | |
| CSE The Village LLC | Delaware | 20-5186550 | |
| CSE Upland LLC | Delaware | 20-5891148 | |
| CSE Walnut Cove L.P. | Delaware | 20-5888502 | |
| CSE West Point LLC | Delaware | 20-5887119 | |
| CSE Whitehouse LLC | Delaware | 20-8294979 | |
| CSE Williamsport LLC | Delaware | 26-0480953 | |
| CSE Winter Haven LLC | Delaware | 20-5863327 | |
| CSE Woodfin L.P. | Delaware | 20-5888619 | |
| CSE Yorktown LLC | Delaware | 20-5885163 | |
| Dallas – Skilled Nursing, Inc. | Texas | 38-3592151 | |
| Delta Investors I, LLC | Maryland | 54-2112455 | |
| Delta Investors II, LLC | Maryland | 54-2112456 | |
| Desert Lane LLC | Delaware | 20-3098022 | |
| Dixon Health Care Center, Inc. | Ohio | 34-1509772 | |
| Florida Lessor – Crystal Springs, Inc. | Maryland | 75-3116533 | |
| Florida Lessor – Emerald, Inc. | Maryland | 22-3872569 | |
| Florida Lessor – Lakeland, Inc. | Maryland | 22-3872564 | |
| Florida Lessor – Meadowview, Inc. | Maryland | 56-2398721 | |
| Florida Real Estate Company, LLC | Florida | 20-1458431 | |
| Georgia Lessor - Bonterra/Parkview, Inc. | Maryland | 16-1650494 | |
| Greenbough, LLC | Delaware | 27-0258266 | |
| Hanover House, Inc. | Ohio | 34-1125264 | |
| Heritage Texarkana Healthcare Associates, Inc. | Texas | 38-3517861 | |
| House of Hanover, Ltd | Ohio | 34-6691713 | |
| Hutton I Land, Inc. | Ohio | 20-1914403 | |
| Hutton II Land, Inc. | Ohio | 20-1914470 | |
| Hutton III Land, Inc. | Ohio | 20-1914529 | |
| Indiana Lessor – Jeffersonville, Inc. | Maryland | 22-3872575 | |
| Indiana Lessor – Wellington Manor, Inc. | Maryland | 32-0008064 | |
| Jefferson Clark, Inc. | Maryland | 38-3433390 | |
| LAD I Real Estate Company, LLC | Delaware | 20-1454154 | |
| Lake Park – Skilled Nursing, Inc. | Texas | 38-3592152 | |
| Leatherman 90-1, Inc. | Ohio | 20-1914625 | |
| Leatherman Partnership 89-1, Inc. | Ohio | 34-1656489 | |
| Leatherman Partnership 89-2, Inc. | Ohio | 34-1656491 | |
| Long Term Care – Michigan, Inc. | Michigan | 04-3833330 | |
| Long Term Care – North Carolina, Inc. | North Carolina | 04-3833335 | |
| Long Term Care Associates – Illinois, Inc. | Illinois | 38-3592159 | |
| Long Term Care Associates – Indiana, Inc. | Indiana | 38-3592160 | |
| Long Term Care Associates – Texas, Inc. | Texas | 38-3592142 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | I.R.S. Employer Identification No. | |
| Meridian Arms Land, Inc. | Ohio | 20-1914864 | |
| North Las Vegas LLC | Delaware | 20-3098036 | |
| NRS Ventures, L.L.C. | Delaware | 38-4236118 | |
| OHI (Connecticut), Inc. | Connecticut | 06-1552120 | |
| OHI (Florida), Inc. | Florida | 65-0523484 | |
| OHI (Illinois), Inc. | Illinois | 37-1332375 | |
| OHI (Indiana), Inc. | Indiana | 38-3568359 | |
| OHI (Iowa), Inc. | Iowa | 38-3377918 | |
| OHI (Kansas), Inc. | Kansas | 48-1156047 | |
| OHI Asset (CA), LLC | Delaware | 04-3759925 | |
| OHI Asset (CO), LLC | Delaware | 84-1706510 | |
| OHI Asset (CT) Lender, LLC | Delaware | 75-3205111 | |
| OHI Asset (FL), LLC | Delaware | 13-4225158 | |
| OHI Asset (FL) Lender, LLC | Delaware | 27-4450390 | |
| OHI Asset (ID), LLC | Delaware | 04-3759931 | |
| OHI Asset (IL), LLC | Delaware | 14-1951802 | |
| OHI Asset (IN), LLC | Delaware | 04-3759933 | |
| OHI Asset (LA), LLC | Delaware | 04-3759935 | |
| OHI Asset (MI/NC), LLC | Delaware | 04-3759928 | |
| OHI Asset (MI), LLC | Delaware | 27-3378345 | |
| OHI Asset (MO), LLC | Delaware | 04-3759939 | |
| OHI Asset (OH) Lender, LLC | Delaware | 51-0529744 | |
| OHI Asset (OH) New Philadelphia, LLC | Delaware | 51-0529741 | |
| OHI Asset (OH), LLC | Delaware | 04-3759938 | |
| OHI Asset (PA) Trust | Maryland | 54-6643405 | |
| OHI Asset (PA), LLC | Delaware | 90-0137715 | |
| OHI Asset (SMS) Lender, Inc. | Maryland | 33-1067711 | |
| OHI Asset (TX), LLC | Delaware | 04-3759927 | |
| OHI Asset CSB LLC | Delaware | 27-2820083 | |
| OHI Asset CSE – E, LLC | Delaware | 27-1675861 | |
| OHI Asset CSE – U, LLC | Delaware | 27-1675768 | |
| OHI Asset Essex (OH), LLC | Delaware | 83-0379722 | |
| OHI Asset II (CA), LLC | Delaware | 20-1000879 | |
| OHI Asset II (FL), LLC | Delaware | 27-1813906 | |
| OHI Asset II (PA) Trust | Maryland | 84-6390330 | |
| OHI Asset III (PA) Trust | Maryland | 84-6390331 | |
| OHI Asset IV (PA) Silver Lake Trust | Maryland | 80-6146794 | |
| OHI Asset, LLC | Delaware | 32-0079270 | |
| OHI of Texas, Inc. | Maryland | 38-3506136 | |
| OHI Sunshine, Inc. | Florida | 82-0558471 | |
| OHI Tennessee, Inc. | Maryland | 38-3509157 | |
| OHIMA, Inc. | Massachusetts | 06-1552118 | |
| Omega (Kansas), Inc. | Kansas | 32-0142534 | |
| Omega TRS I, Inc. | Maryland | 38-3587540 | |
| Orange Village Care Center, Inc. | Ohio | 34-1321728 | |
| OS Leasing Company | Kentucky | 38-3221641 | |
| Panama City Nursing Center LLC | Delaware | 20-2568041 | |
| Parkview – Skilled Nursing, Inc. | Texas | 38-3592157 | |
| Pavillion North Partners, Inc. | Pennsylvania | 20-2597892 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | I.R.S. Employer Identification No. | |
| Pavillion North, LLP | Pennsylvania | 75-3202956 | |
| Pavillion Nursing Center North, Inc. | Pennsylvania | 25-1222652 | |
| Pine Texarkana Healthcare Associates, Inc. | Texas | 38-3517864 | |
| Reunion Texarkana Healthcare Associates, Inc. | Texas | 38-3517865 | |
| San Augustine Healthcare Associates, Inc. | Texas | 38-3517866 | |
| Skilled Nursing – Gaston, Inc. | Indiana | 38-3592171 | |
| Skilled Nursing – Herrin, Inc. | Illinois | 38-3592162 | |
| Skilled Nursing – Hicksville, Inc. | Ohio | 38-3592172 | |
| Skilled Nursing – Paris, Inc. | Illinois | 38-3592165 | |
| Skyler Maitland LLC | Delaware | 20-3888672 | |
| South Athens Healthcare Associates, Inc. | Texas | 38-3517880 | |
| St. Mary’s Properties, Inc. | Ohio | 20-1914905 | |
| Sterling Acquisition Corp. | Kentucky | 38-3207992 | |
| Sterling Acquisition Corp. II | Kentucky | 38-3207991 | |
| Suwanee, LLC | Delaware | 20-5223977 | |
| Texas Lessor – Stonegate GP, Inc. | Maryland | 32-0008071 | |
| Texas Lessor – Stonegate, Limited, Inc. | Maryland | 32-0008072 | |
| Texas Lessor – Stonegate, LP | Maryland | 32-0008073 | |
| Texas Lessor – Treemont, Inc. | Maryland | 16-1650495 | |
| The Suburban Pavilion, Inc. | Ohio | 34-1035431 | |
| Washington Lessor – Silverdale, Inc. | Maryland | 56-2386887 | |
| Waxahachie Healthcare Associates, Inc. | Texas | 38-3517884 | |
| West Athens Healthcare Associates, Inc. | Texas | 38-3517886 | |
| Wilcare, LLC | Ohio | 26-0110550 |
(1) Address, including zip code, and telephone number, including area code, of the principal executive offices of each subsidiary guarantor listed in Schedule A is c/o Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, Maryland, 21030 and the telephone number is (410) 427-1700.
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. 20521
(b) Whether it is authorized to exercise corporate trust powers.
Yes.
Item 2. Affiliations with Obligor and Underwriters. If the obligor or any underwriter for the obligor is an affiliate of the trustee, describe each such affiliation.
No such affiliation exists with the Trustee, U.S. Bank National Association.
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.
| Exhibit 1. | Articles of Association of U.S. Bank National Association.(1) |
| Exhibit 2. | Certificate of Authority of U.S. Bank National Association to Commence Business.(1) |
| Exhibit 3. | Authorization of the trustee to exercise corporate trust powers.(1) |
| Exhibit 4. | Bylaws of U.S. Bank National Association.(1) |
Exhibit 5. | Not Applicable. |
Exhibit 6. | Consents of U.S. Bank National Association required by Section 321(b) of the Act.(2) |
Exhibit 7. | Latest Report of Condition of U.S. Bank National Association.(2) |
| (1) | Incorporated by reference to the exhibit of the same number to the Form T-1 filed with registration statement number 333-67188. |
(2) | Attached. |
SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, the trustee, U.S. Bank National Association, a national banking association organized under the laws of the United States, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Atlanta, State of Georgia, on the 4th day of March, 2011.
| U.S. BANK NATIONAL ASSOCIATION | ||||
| By | /S/ Paul Henderson | |||
| Paul Henderson | ||||
| Assistant Vice President | ||||
Exhibit 6
CONSENT OF THE TRUSTEE
Pursuant to the requirements of Section 321(b) of the Trust Indenture Act of 1939 in connection with the proposed issuance by Omega Healthcare Investors, Inc., we hereby consent that reports of examinations by federal, state, territorial and district authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.
| U.S. BANK NATIONAL ASSOCIATION | ||||
| By | /S/ Paul Henderson | |||
| Paul Henderson | ||||
| Assistant Vice President | ||||
Dated: March 4, 2011
Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
As of 9/30/2010
($000’s)
| 9/30/2010 | ||||
| Assets | ||||
Cash and Balances Due From Depository Institutions | $ | 4,468,855 | ||
| Securities | 47,348,124 | |||
| Federal Funds | 4,391,378 | |||
| Loans & Lease Financing Receivables | 189,026,648 | |||
| Fixed Assets | 5,734,308 | |||
| Intangible Assets | 12,792,037 | |||
| Other Assets | 22,001,025 | |||
| Total Assets | $ | 285,762,375 | ||
| Liabilities | ||||
| Deposits | $ | 196,374,224 | ||
| Fed Funds | 10,707,062 | |||
| Treasury Demand Notes | 0 | |||
| Trading Liabilities | 476,735 | |||
| Other Borrowed Money | 33,801,510 | |||
| Acceptances | 0 | |||
| Subordinated Notes and Debentures | 7,760,721 | |||
| Other Liabilities | 7,649,489 | |||
| Total Liabilities | $ | 256,769,741 | ||
| Equity | ||||
| Minority Interest in Subsidiaries | $ | 1,725,386 | ||
| Common and Preferred Stock | 18,200 | |||
| Surplus | 12,636,872 | |||
| Undivided Profits | 14,612,176 | |||
| Total Equity Capital | $ | 28,992,634 | ||
| Total Liabilities and Equity Capital | $ | 285,762,375 | ||