Exhibit 25
UNITED STATES
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 Ferrell
U.S. Bank National Association
1349 West Peachtree Street, Suite 1050
Atlanta, GA 30309
(404) 898-8821
(Name, address and telephone number of agent for service)
Omega Healthcare Investors, Inc.
And the Subsidiary Guarantors Listed on Schedule A
(Issuer with respect to the Securities)
| Maryland | 38-3041398 |
| (State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
200 International Circle, Suite 3500 Hunt Valley, Maryland | 21030 |
| (Address of Principal Executive Offices) | (Zip Code) |
4.950% Senior Secured Notes Due 2024
(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 | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| 1200 Ely Street Holdings Co. LLC | Michigan | 6798 | 26-3524594 | |||
| 13922 Cerise Avenue, LLC | California | 6798 | 71-0976970 | |||
| 2425 Teller Avenue, LLC | Colorado | 6798 | 20-5672217 | |||
| 245 East Wilshire Avenue, LLC | California | 6798 | 90-0266386 | |||
| 3806 Clayton Road, LLC | California | 6798 | 90-0266403 | |||
| 42235 County Road Holdings Co. LLC | Michigan | 6798 | 83-0500167 | |||
| 48 High Point Road, LLC | Maryland | 6798 | 27-2498824 | |||
| 523 Hayes Lane, LLC | California | 6798 | 45-1777721 | |||
| 637 East Romie Lane, LLC | California | 6798 | 90-0266404 | |||
| Arizona Lessor - Infinia, Inc. | Maryland | 6798 | 32-0008074 | |||
| Bayside Colorado Healthcare Associates, Inc. | Colorado | 6798 | 38-3517837 | |||
| Bayside Street II, Inc. | Delaware | 6798 | 38-3519969 | |||
| Bayside Street, Inc. | Maryland | 6798 | 38-3160026 | |||
| Canton Health Care Land, Inc. | Ohio | 6798 | 20-1914579 | |||
| Carnegie Gardens LLC | Delaware | 6798 | 20-2442381 | |||
| CFG 2115 Woodstock Place LLC | Delaware | 6798 | 26-1123970 | |||
| Colonial Gardens, LLC | Ohio | 6798 | 26-0110549 | |||
| Colorado Lessor - Conifer, Inc. | Maryland | 6798 | 32-0008069 | |||
| CSE Albany LLC | Delaware | 6798 | 20-5885886 | |||
| CSE Amarillo LLC | Delaware | 6798 | 20-5862752 | |||
| CSE Arden L.P. | Delaware | 6798 | 20-5888680 | |||
| CSE Augusta LLC | Delaware | 6798 | 20-5885921 | |||
| CSE Bedford LLC | Delaware | 6798 | 20-5886082 | |||
| CSE Blountville LLC | Delaware | 6798 | 20-8295288 | |||
| CSE Bolivar LLC | Delaware | 6798 | 20-8295024 | |||
| CSE Cambridge LLC | Delaware | 6798 | 20-5886976 | |||
| CSE Cambridge Realty LLC | Delaware | 6798 | 20-5959318 | |||
| CSE Camden LLC | Delaware | 6798 | 20-8295066 | |||
| CSE Canton LLC | Delaware | 6798 | 20-5887312 | |||
| CSE Casablanca Holdings II LLC | Delaware | 6798 | 26-0595183 | |||
| CSE Casablanca Holdings LLC | Delaware | 6798 | 20-8724466 | |||
| CSE Cedar Rapids LLC | Delaware | 6798 | 20-5884941 | |||
| CSE Centennial Village | Delaware | 6798 | 20-6974959 | |||
| CSE Chelmsford LLC | Delaware | 6798 | 20-5920451 | |||
| CSE Chesterton LLC | Delaware | 6798 | 20-5885195 | |||
| CSE Claremont LLC | Delaware | 6798 | 20-5883891 | |||
| CSE Corpus North LLC | Delaware | 6798 | 20-5186415 | |||
| CSE Denver Iliff LLC | Delaware | 6798 | 20-8037772 | |||
| CSE Denver LLC | Delaware | 6798 | 20-5884311 | |||
| CSE Douglas LLC | Delaware | 6798 | 20-5883761 | |||
| CSE Elkton LLC | Delaware | 6798 | 20-5887006 | |||
| CSE Elkton Realty LLC | Delaware | 6798 | 20-5959253 | |||
| CSE Fairhaven LLC | Delaware | 6798 | 20-8281491 | |||
| CSE Fort Wayne LLC | Delaware | 6798 | 20-5885125 | |||
| CSE Frankston LLC | Delaware | 6798 | 20-5862947 | |||
| CSE Georgetown LLC | Delaware | 6798 | 20-5886126 | |||
| CSE Green Bay LLC | Delaware | 6798 | 20-5888029 | |||
| CSE Hilliard LLC | Delaware | 6798 | 20-5887347 | |||
| CSE Huntingdon LLC | Delaware | 6798 | 20-8295191 | |||
| CSE Huntsville LLC | Delaware | 6798 | 20-5887764 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| CSE Indianapolis-Continental LLC | Delaware | 6798 | 20-5885046 | |||
| CSE Indianapolis-Greenbriar LLC | Delaware | 6798 | 20-5885096 | |||
| CSE Jacinto City LLC | Delaware | 6798 | 20-5186519 | |||
| CSE Jefferson City LLC | Delaware | 6798 | 20-8295101 | |||
| CSE Jeffersonville-Hillcrest Center LLC | Delaware | 6798 | 20-5885261 | |||
| CSE Jeffersonville-Jennings House LLC | Delaware | 6798 | 20-5885346 | |||
| CSE Kerrville LLC | Delaware | 6798 | 20-8684872 | |||
| CSE King L.P. | Delaware | 6798 | 20-5888725 | |||
| CSE Kingsport LLC | Delaware | 6798 | 20-5887736 | |||
| CSE Knightdale L.P. | Delaware | 6798 | 20-5888653 | |||
| CSE Lake City LLC | Delaware | 6798 | 20-5863259 | |||
| CSE Lake Worth LLC | Delaware | 6798 | 20-5863173 | |||
| CSE Lakewood LLC | Delaware | 6798 | 20-5884352 | |||
| CSE Las Vegas LLC | Delaware | 6798 | 20-5887216 | |||
| CSE Lawrenceburg LLC | Delaware | 6798 | 20-5887802 | |||
| CSE Lenoir L.P. | Delaware | 6798 | 20-5888528 | |||
| CSE Lexington Park LLC | Delaware | 6798 | 20-5886951 | |||
| CSE Lexington Park Realty LLC | Delaware | 6798 | 20-5959280 | |||
| CSE Ligonier LLC | Delaware | 6798 | 20-5885484 | |||
| CSE Live Oak LLC | Delaware | 6798 | 20-5863086 | |||
| CSE Lowell LLC | Delaware | 6798 | 20-5885381 | |||
| CSE Marianna Holdings LLC | Delaware | 6798 | 20-1411422 | |||
| CSE Memphis LLC | Delaware | 6798 | 20-8295130 | |||
| CSE Mobile LLC | Delaware | 6798 | 20-5883572 | |||
| CSE Moore LLC | Delaware | 6798 | 20-5887574 | |||
| CSE North Carolina Holdings I LLC | Delaware | 6798 | 20-5888397 | |||
| CSE North Carolina Holdings II LLC | Delaware | 6798 | 20-5888430 | |||
| CSE Omro LLC | Delaware | 6798 | 20-5887998 | |||
| CSE Orange Park LLC | Delaware | 6798 | 20-5863371 | |||
| CSE Orlando-Pinar Terrace Manor LLC | Delaware | 6798 | 20-5863043 | |||
| CSE Orlando-Terra Vista Rehab LLC | Delaware | 6798 | 20-5863223 | |||
| CSE Pennsylvania Holdings | Delaware | 6798 | 20-6974946 | |||
| CSE Piggott LLC | Delaware | 6798 | 20-5883659 | |||
| CSE Pilot Point LLC | Delaware | 6798 | 20-5862827 | |||
| CSE Pine View LLC | Delaware | 6798 | 20-5398686 | |||
| CSE Ponca City LLC | Delaware | 6798 | 20-5887495 | |||
| CSE Port St. Lucie LLC | Delaware | 6798 | 20-5863294 | |||
| CSE Richmond LLC | Delaware | 6798 | 20-5885427 | |||
| CSE Ripley LLC | Delaware | 6798 | 20-8295238 | |||
| CSE Ripon LLC | Delaware | 6798 | 26-0480886 | |||
| CSE Safford LLC | Delaware | 6798 | 20-5883807 | |||
| CSE Salina LLC | Delaware | 6798 | 20-5885669 | |||
| CSE Seminole LLC | Delaware | 6798 | 20-5887615 | |||
| CSE Shawnee LLC | Delaware | 6798 | 20-5887524 | |||
| CSE Spring Branch LLC | Delaware | 6798 | 20-5186484 | |||
| CSE Stillwater LLC | Delaware | 6798 | 20-5887548 | |||
| CSE Taylorsville LLC | Delaware | 6798 | 20-5886196 | |||
| CSE Texarkana LLC | Delaware | 6798 | 20-5862880 | |||
| CSE Texas City LLC | Delaware | 6798 | 20-5862791 | |||
| CSE The Village LLC | Delaware | 6798 | 20-5186550 | |||
| CSE Upland LLC | Delaware | 6798 | 20-5891148 | |||
| CSE Walnut Cove L.P. | Delaware | 6798 | 20-5888502 | |||
| CSE West Point LLC | Delaware | 6798 | 20-5887119 |
| 2 |
| Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| CSE Whitehouse LLC | Delaware | 6798 | 20-8294979 | |||
| CSE Williamsport LLC | Delaware | 6798 | 26-0480953 | |||
| CSE Winter Haven LLC | Delaware | 6798 | 20-5863327 | |||
| CSE Woodfin L.P. | Delaware | 6798 | 20-5888619 | |||
| CSE Yorktown LLC | Delaware | 6798 | 20-5885163 | |||
| Delta Investors I, LLC | Maryland | 6798 | 54-2112455 | |||
| Delta Investors II, LLC | Maryland | 6798 | 54-2112456 | |||
| Desert Lane LLC | Delaware | 6798 | 20-3098022 | |||
| Dixie White House Nursing Home, Inc. | Mississippi | 6798 | 59-3738671 | |||
| Dixon Health Care Center, Inc. | Ohio | 6798 | 34-1509772 | |||
| Encanto Senior Care, LLC | Arizona | 6798 | 20-1669755 | |||
| Florida Lessor – Meadowview, Inc. | Maryland | 6798 | 56-2398721 | |||
| Florida Real Estate Company, LLC | Florida | 6798 | 20-1458431 | |||
| Georgia Lessor - Bonterra/Parkview, Inc. | Maryland | 6798 | 16-1650494 | |||
| Greenbough, LLC | Delaware | 6798 | 27-0258266 | |||
| Hutton I Land, Inc. | Ohio | 6798 | 20-1914403 | |||
| Hutton II Land, Inc. | Ohio | 6798 | 20-1914470 | |||
| Hutton III Land, Inc. | Ohio | 6798 | 20-1914529 | |||
| Indiana Lessor – Wellington Manor, Inc. | Maryland | 6798 | 32-0008064 | |||
| LAD I Real Estate Company, LLC | Delaware | 6798 | 20-1454154 | |||
| Leatherman 90-1, Inc. | Ohio | 6798 | 20-1914625 | |||
| Leatherman Partnership 89-1, Inc. | Ohio | 6798 | 34-1656489 | |||
| Leatherman Partnership 89-2, Inc. | Ohio | 6798 | 34-1656491 | |||
| Meridian Arms Land, Inc. | Ohio | 6798 | 20-1914864 | |||
| North Las Vegas LLC | Delaware | 6798 | 20-3098036 | |||
| NRS Ventures, L.L.C. | Delaware | 6798 | 38-4236118 | |||
| Ocean Springs Nursing Home, Inc. | Mississippi | 6798 | 58-2635823 | |||
| OHI (Connecticut), Inc. | Connecticut | 6798 | 06-1552120 | |||
| OHI (Illinois), Inc. | Illinois | 6798 | 37-1332375 | |||
| OHI (Indiana), Inc. | Indiana | 6798 | 38-3568359 | |||
| OHI (Iowa), Inc. | Iowa | 6798 | 38-3377918 | |||
| OHI Asset (AR) Ash Flat, LLC | Delaware | 6798 | 46-3670959 | |||
| OHI Asset (AR) Camden, LLC | Delaware | 6798 | 46-3672608 | |||
| OHI Asset (AR) Conway, LLC | Delaware | 6798 | 61-1721332 | |||
| OHI Asset (AR) Des Arc, LLC | Delaware | 6798 | 46-3691025 | |||
| OHI Asset (AR) Hot Springs, LLC | Delaware | 6798 | 80-0951655 | |||
| OHI Asset (AR) Malvern, LLC | Delaware | 6798 | 46-3719491 | |||
| OHI Asset (AR) Mena, LLC | Delaware | 6798 | 38-3915930 | |||
| OHI Asset (AR) Pocahontas, LLC | Delaware | 6798 | 46-3728913 | |||
| OHI Asset (AR) Sheridan, LLC | Delaware | 6798 | 46-3739623 | |||
| OHI Asset (AR) Walnut Ridge, LLC | Delaware | 6798 | 46-3751920 | |||
| OHI Asset (AZ) Austin House, LLC | Delaware | 6798 | 46-4385050 | |||
| OHI Asset (CA), LLC | Delaware | 6798 | 04-3759925 | |||
| OHI Asset (CO), LLC | Delaware | 6798 | 84-1706510 | |||
| OHI Asset (CT) Lender, LLC | Delaware | 6798 | 75-3205111 | |||
| OHI Asset (FL) Lake Placid, LLC | Delaware | 6798 | 46-3827043 | |||
| OHI Asset (FL) Lender, LLC | Delaware | 6798 | 27-4450390 | |||
| OHI Asset (FL), LLC | Delaware | 6798 | 13-4225158 | |||
| OHI Asset (GA) Macon, LLC | Delaware | 6798 | 47-1027224 | |||
| OHI Asset (GA) Moultrie, LLC | Delaware | 6798 | 46-4254981 | |||
| OHI Asset (GA) Snellville, LLC | Delaware | 6798 | 46-4259685 | |||
| OHI Asset (ID) Holly, LLC | Delaware | 6798 | 46-4268973 | |||
| OHI Asset (ID) Midland, LLC | Delaware | 6798 | 46-4279515 |
| 3 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| OHI Asset (ID), LLC | Delaware | 6798 | 04-3759931 | |||
| OHI Asset (IL), LLC | Delaware | 6798 | 14-1951802 | |||
| OHI Asset (IN) American Village, LLC | Delaware | 6798 | 46-0985915 | |||
| OHI Asset (IN) Anderson, LLC | Delaware | 6798 | 46-0989235 | |||
| OHI Asset (IN) Beech Grove, LLC | Delaware | 6798 | 46-1000956 | |||
| OHI Asset (IN) Clarksville, LLC | Delaware | 6798 | 46-1011127 | |||
| OHI Asset (IN) Clinton, LLC | Delaware | 6798 | 46-4095764 | |||
| OHI Asset (IN) Connersville, LLC | Delaware | 6798 | 46-4289202 | |||
| OHI Asset (IN) Crown Point, LLC | Delaware | 6798 | 46-1738072 | |||
| OHI Asset (IN) Eagle Valley, LLC | Delaware | 6798 | 46-1021612 | |||
| OHI Asset (IN) Elkhart, LLC | Delaware | 6798 | 46-1035197 | |||
| OHI Asset (IN) Forest Creek, LLC | Delaware | 6798 | 46-1040435 | |||
| OHI Asset (IN) Fort Wayne, LLC | Delaware | 6798 | 46-1050897 | |||
| OHI Asset (IN) Franklin, LLC | Delaware | 6798 | 46-1062818 | |||
| OHI Asset (IN) Greensburg, LLC | Delaware | 6798 | 38-3879137 | |||
| OHI Asset (IN) Indianapolis, LLC | Delaware | 6798 | 36-4736441 | |||
| OHI Asset (IN) Jasper, LLC | Delaware | 6798 | 46-4100999 | |||
| OHI Asset (IN) Kokomo, LLC | Delaware | 6798 | 46-1071289 | |||
| OHI Asset (IN) Lafayette, LLC | Delaware | 6798 | 46-1085161 | |||
| OHI Asset (IN) Madison, LLC | Delaware | 6798 | 46-1745924 | |||
| OHI Asset (IN) Monticello, LLC | Delaware | 6798 | 46-1090601 | |||
| OHI Asset (IN) Noblesville, LLC | Delaware | 6798 | 46-1103366 | |||
| OHI Asset (IN) Rosewalk, LLC | Delaware | 6798 | 46-1116285 | |||
| OHI Asset (IN) Salem, LLC | Delaware | 6798 | 46-4111473 | |||
| OHI Asset (IN) Seymour, LLC | Delaware | 6798 | 46-4133715 | |||
| OHI Asset (IN) Spring Mill, LLC | Delaware | 6798 | 46-1120573 | |||
| OHI Asset (IN) Terre Haute, LLC | Delaware | 6798 | 46-1140102 | |||
| OHI Asset (IN) Wabash, LLC | Delaware | 6798 | 38-3879151 | |||
| OHI Asset (IN) Westfield, LLC | Delaware | 6798 | 32-0381277 | |||
| OHI Asset (IN) Zionsville, LLC | Delaware | 6798 | 46-1152307 | |||
| OHI Asset (LA), LLC | Delaware | 6798 | 04-3759935 | |||
| OHI Asset (MD), LLC | Delaware | 6798 | 45-2611748 | |||
| OHI Asset (MI) Heather Hills, LLC | Delaware | 6798 | 46-1515395 | |||
| OHI Asset (MI), LLC | Delaware | 6798 | 27-3378345 | |||
| OHI Asset (MO), LLC | Delaware | 6798 | 04-3759939 | |||
| OHI Asset (MS) Byhalia, LLC | Delaware | 6798 | 46-4298734 | |||
| OHI Asset (MS) Cleveland, LLC | Delaware | 6798 | 36-4774986 | |||
| OHI Asset (MS) Clinton, LLC | Delaware | 6798 | 80-0965657 | |||
| OHI Asset (MS) Columbia, LLC | Delaware | 6798 | 46-4340609 | |||
| OHI Asset (MS) Corinth, LLC | Delaware | 6798 | 46-4351222 | |||
| OHI Asset (MS) Greenwood, LLC | Delaware | 6798 | 46-4361245 | |||
| OHI Asset (MS) Grenada, LLC | Delaware | 6798 | 46-4376223 | |||
| OHI Asset (MS) Holly Springs, LLC | Delaware | 6798 | 38-3921178 | |||
| OHI Asset (MS) Indianola, LLC | Delaware | 6798 | 90-1036275 | |||
| OHI Asset (MS) Natchez, LLC | Delaware | 6798 | 46-4384987 | |||
| OHI Asset (MS) Picayune, LLC | Delaware | 6798 | 90-1036523 | |||
| OHI Asset (MS) Vicksburg, LLC | Delaware | 6798 | 90-1036559 | |||
| OHI Asset (MS) Yazoo City, LLC | Delaware | 6798 | 38-3921461 | |||
| OHI Asset (NC) Wadesboro, LLC | Delaware | 6798 | 35-2492230 | |||
| OHI Asset (OH) Lender, LLC | Delaware | 6798 | 51-0529744 | |||
| OHI Asset (OH), LLC | Delaware | 6798 | 04-3759938 | |||
| OHI Asset (OR) Portland, LLC | Delaware | 6798 | 30-0805633 | |||
| OHI Asset (PA) Trust | Maryland | 6798 | 54-6643405 |
| 4 |
| Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| OHI Asset (PA), LLC | Delaware | 6798 | 90-0137715 | |||
| OHI Asset (SC) Aiken, LLC | Delaware | 6798 | 46-4426281 | |||
| OHI Asset (SC) Anderson, LLC | Delaware | 6798 | 46-4455254 | |||
| OHI Asset (SC) Easley Anne, LLC | Delaware | 6798 | 46-4475177 | |||
| OHI Asset (SC) Easley Crestview, LLC | Delaware | 6798 | 46-4489507 | |||
| OHI Asset (SC) Edgefield, LLC | Delaware | 6798 | 46-4494366 | |||
| OHI Asset (SC) Greenville Griffith, LLC | Delaware | 6798 | 46-4510885 | |||
| OHI Asset (SC) Greenville Laurens, LLC | Delaware | 6798 | 46-4524387 | |||
| OHI Asset (SC) Greenville North, LLC | Delaware | 6798 | 46-4538349 | |||
| OHI Asset (SC) Greenville, LLC | Delaware | 6798 | 47-1053139 | |||
| OHI Asset (SC) Greer, LLC | Delaware | 6798 | 46-4551649 | |||
| OHI Asset (SC) Marietta, LLC | Delaware | 6798 | 46-4569172 | |||
| OHI Asset (SC) McCormick, LLC | Delaware | 6798 | 46-4597938 | |||
| OHI Asset (SC) Orangeburg, LLC | Delaware | 6798 | 47-1034331 | |||
| OHI Asset (SC) Pickens East Cedar, LLC | Delaware | 6798 | 46-4613823 | |||
| OHI Asset (SC) Pickens Rosemond, LLC | Delaware | 6798 | 46-4629569 | |||
| OHI Asset (SC) Piedmont, LLC | Delaware | 6798 | 46-4640288 | |||
| OHI Asset (SC) Simpsonville SE Main, LLC | Delaware | 6798 | 46-4682098 | |||
| OHI Asset (SC) Simpsonville West Broad, LLC | Delaware | 6798 | 46-4695995 | |||
| OHI Asset (SC) Simpsonville West Curtis, LLC | Delaware | 6798 | 46-4712666 | |||
| OHI Asset (TN) Bartlett, LLC | Delaware | 6798 | 46-4727889 | |||
| OHI Asset (TN) Collierville, LLC | Delaware | 6798 | 46-4738239 | |||
| OHI Asset (TN) Memphis, LLC | Delaware | 6798 | 46-4750926 | |||
| OHI Asset (TX) Anderson, LLC | Delaware | 6798 | 46-4764905 | |||
| OHI Asset (TX) Bryan, LLC | Delaware | 6798 | 46-4781488 | |||
| OHI Asset (TX) Burleson, LLC | Delaware | 6798 | 46-4795498 | |||
| OHI Asset (TX) College Station, LLC | Delaware | 6798 | 46-4805289 | |||
| OHI Asset (TX) Comfort, LLC | Delaware | 6798 | 46-4815908 | |||
| OHI Asset (TX) Diboll, LLC | Delaware | 6798 | 46-4843528 | |||
| OHI Asset (TX) Granbury, LLC | Delaware | 6798 | 46-4852513 | |||
| OHI Asset (TX) Hondo, LLC | Delaware | 6798 | 46-1346058 | |||
| OHI Asset (TX) Italy, LLC | Delaware | 6798 | 46-4873054 | |||
| OHI Asset (TX) Winnsboro, LLC | Delaware | 6798 | 46-4881288 | |||
| OHI Asset (TX), LLC | Delaware | 6798 | 04-3759927 | |||
| OHI Asset (UT) Ogden, LLC | Delaware | 6798 | 46-4903181 | |||
| OHI Asset (UT) Provo, LLC | Delaware | 6798 | 46-4915063 | |||
| OHI Asset (UT) Roy, LLC | Delaware | 6798 | 46-4931511 | |||
| OHI Asset (VA) Charlottesville, LLC | Delaware | 6798 | 46-4945417 | |||
| OHI Asset (VA) Farmville, LLC | Delaware | 6798 | 46-4955482 | |||
| OHI Asset (VA) Hillsville, LLC | Delaware | 6798 | 46-4987367 | |||
| OHI Asset (VA) Rocky Mount, LLC | Delaware | 6798 | 46-5002710 | |||
| OHI Asset (WA) Battle Ground, LLC | Delaware | 6798 | 46-5006928 | |||
| OHI Asset (WV) Danville, LLC | Delaware | 6798 | 47-1084194 | |||
| OHI Asset (WV) Ivydale, LLC | Delaware | 6798 | 47-1112048 | |||
| OHI Asset CSB LLC | Delaware | 6798 | 27-2820083 | |||
| OHI Asset CSE – E, LLC | Delaware | 6798 | 27-1675861 | |||
| OHI Asset CSE – U, LLC | Delaware | 6798 | 27-1675768 | |||
| OHI Asset HUD CFG, LLC | Delaware | 6798 | 45-3662151 | |||
| OHI Asset HUD Delta, LLC | Delaware | 6798 | 27-1895030 | |||
| OHI Asset HUD SF CA, LLC | Delaware | 6798 | 46-1251365 | |||
| OHI Asset HUD SF, LLC | Delaware | 6798 | 80-0830116 | |||
| OHI Asset HUD WO, LLC | Delaware | 6798 | 45-2379675 | |||
| OHI Asset II (CA), LLC | Delaware | 6798 | 20-1000879 |
| 5 |
Exact name of registrant as specified in its charter (1) | State or other jurisdiction of formation | Primary Standard Industrial Classification Code No. | I.R.S. Employer Identification No. | |||
| OHI Asset II (FL), LLC | Delaware | 6798 | 27-1813906 | |||
| OHI Asset II (PA) Trust | Maryland | 6798 | 84-6390330 | |||
| OHI Asset III (PA) Trust | Maryland | 6798 | 84-6390331 | |||
| OHI Asset IV (PA) Silver Lake Trust | Maryland | 6798 | 80-6146794 | |||
| OHI Asset RO PMM Services, LLC | Delaware | 6798 | 46-4309941 | |||
| OHI Asset RO, LLC | Delaware | 6798 | 90-1018980 | |||
| OHI Asset, LLC | Delaware | 6798 | 32-0079270 | |||
| OHI Mezz Lender, LLC | Delaware | 6798 | 46-3201249 | |||
| OHI Tennessee, Inc. | Maryland | 6798 | 38-3509157 | |||
| OHIMA, Inc. | Massachusetts | 6798 | 06-1552118 | |||
| Omega TRS I, Inc. | Maryland | 6798 | 38-3587540 | |||
| Orange Village Care Center, Inc. | Ohio | 6798 | 34-1321728 | |||
| Panama City Nursing Center LLC | Delaware | 6798 | 20-2568041 | |||
| Pavillion North Partners, Inc. | Pennsylvania | 6798 | 20-2597892 | |||
| Pavillion North, LLP | Pennsylvania | 6798 | 75-3202956 | |||
| Pavillion Nursing Center North, Inc. | Pennsylvania | 6798 | 25-1222652 | |||
| Pensacola Real Estate Holdings I, Inc. | Florida | 6798 | 59-3667935 | |||
| Pensacola Real Estate Holdings II, Inc. | Florida | 6798 | 59-3667937 | |||
| Pensacola Real Estate Holdings III, Inc. | Florida | 6798 | 59-3667939 | |||
| Pensacola Real Estate Holdings IV, Inc. | Florida | 6798 | 59-3667940 | |||
| Pensacola Real Estate Holdings V, Inc. | Florida | 6798 | 59-3667941 | |||
| Skyler Boyington, Inc. | Mississippi | 6798 | 42-1572543 | |||
| Skyler Florida, Inc. | Mississippi | 6798 | 64-0821299 | |||
| Skyler Maitland LLC | Delaware | 6798 | 20-3888672 | |||
| Skyler Pensacola, Inc. | Florida | 6798 | 59-3561064 | |||
| St. Mary’s Properties, Inc. | Ohio | 6798 | 20-1914905 | |||
| Sterling Acquisition Corp. | Kentucky | 6798 | 38-3207992 | |||
| Suwanee, LLC | Delaware | 6798 | 20-5223977 | |||
| Texas Lessor – Stonegate GP, Inc. | Maryland | 6798 | 32-0008071 | |||
| Texas Lessor – Stonegate, Limited, Inc. | Maryland | 6798 | 32-0008072 | |||
| Texas Lessor – Stonegate, LP | Maryland | 6798 | 32-0008073 | |||
| The Suburban Pavilion, Inc. | Ohio | 6798 | 34-1035431 | |||
| Washington Lessor – Silverdale, Inc. | Maryland | 6798 | 56-2386887 | |||
| Wilcare, LLC | Ohio | 6798 | 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.
| 6 |
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, attached as Exhibit 2. |
| 3. | A copy of the certificate of authority of the Trustee to exercise corporate trust powers, attached as Exhibit 3. |
| 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 June 30, 2014 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 333-166527 filed on May 5, 2010. |
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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 Atlanta, State of Georgia on the __th of August, 2014.
| By: | /s/ David Ferrell | ||
| David Ferrell | |||
| Vice President |
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 | Office of the Comptroller of the Currency |
| Washington, DC 20219 |
CERTIFICATE OF CORPORATE EXISTENCE
I, Thomas J. Curry, Comptroller of the Currency, do hereby certify that:
1. The Comptroller of the Currency, pursuant to Revised Statutes 324, et seq, as amended, and 12 USC 1, et seq, as amended, has possession, custody, and control of all records pertaining to the chartering, regulation, and supervision of all national banking associations.
2. “U.S. Bank National Association,” Cincinnati, Ohio (Charter No. 24), is a national banking association formed under the laws of the United States and is authorized thereunder to transact the business of banking on the date of this certificate.
 | IN TESTIMONY WHEREOF, today, May 1, 2014, I have hereunto subscribed my name and caused my seal of office to be affixed to these presents at the U.S. Department of the Treasury, in the City of Washington, District of Columbia. | |
| /s/ Thomas J. Curry | ||
| Comptroller of the Currency | ||
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Exhibit 3
| | Office of the Comptroller of the Currency |
Washington, DC 20219 |
CERTIFICATION OF FIDUCIARY POWERS
I, Thomas J. Curry, Comptroller of the Currency, do hereby certify that:
1. The Office of the Comptroller of the Currency, pursuant to Revised Statutes 324, et seq, as amended, and 12 USC 1, et seq, as amended, has possession, custody, and control of all records pertaining to the chartering, regulation, and supervision of all national banking associations.
2. “U.S. Bank National Association,” Cincinnati, Ohio (Charter No. 24), was granted, under the hand and seal of the Comptroller, the right to act in all fiduciary capacities authorized under the provisions of the Act of Congress approved September 28, 1962, 76 Stat. 668, 12 USC 92a, and that the authority so granted remains in full force and effect on the date of this certificate.
| | IN TESTIMONY WHEREOF, today, May 1, 2014, I have hereunto subscribed my name and caused my seal of office to be affixed to these presents at the U.S. Department of the Treasury, in the City of Washington, District of Columbia. | |
| /s/ Thomas J. Curry | ||
| Comptroller of the Currency | ||
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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: August 11, 2014 | |||
| By: | /s/ David Ferrell | ||
| David Ferrell | |||
| Vice President | |||
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Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
As of 6/30/2014
($000’s)
| 6/30/2014 | ||||
| Assets | ||||
| Cash and Balances Due From | $ | 12,591,901 | ||
| Depository Institutions | ||||
| Securities | 89,882,232 | |||
| Federal Funds | 109,925 | |||
| Loans & Lease Financing Receivables | 241,450,255 | |||
| Fixed Assets | 4,561,715 | |||
| Intangible Assets | 13,335,806 | |||
| Other Assets | 22,261,774 | |||
| Total Assets | $ | 384,193,608 | ||
| Liabilities | ||||
| Deposits | $ | 286,193,358 | ||
| Fed Funds | 1,264,138 | |||
| Treasury Demand Notes | 0 | |||
| Trading Liabilities | 382,290 | |||
| Other Borrowed Money | 37,760,161 | |||
| Acceptances | 0 | |||
| Subordinated Notes and Debentures | 5,023,000 | |||
| Other Liabilities | 12,274,098 | |||
| Total Liabilities | $ | 342,897,045 | ||
| Equity | ||||
| Common and Preferred Stock | 18,200 | |||
| Surplus | 14,266,407 | |||
| Undivided Profits | 26,159,120 | |||
| Minority Interest in Subsidiaries | $ | 852,836 | ||
| Total Equity Capital | $ | 41,296,563 | ||
| Total Liabilities and Equity Capital | $ | 384,193,608 | ||
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