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) ______
HARRIS TRUST AND SAVINGS BANK
(Name of Trustee)
Illinois 36-1194448
(State of Incorporation) (I.R.S. Employer Identification No.)
111 West Monroe Street, Chicago, Illinois 60603
(Address of principal executive offices)
Judith Bartolini, Harris Trust and Savings Bank,
311 West Monroe Street, Chicago, Illinois, 60606
312-461-2527 phone 312-461-3525 facsimile
(Name, address and telephone number for agent for service)
CONSECO, INC.
(Obligor)
INDIANA 35-1468632
(State of Incorporation) (I.R.S. Employer Identification No.)
11825 North Pennsylvania Street
Carmel, Indiana 46032
(Address of principal executive offices)
Debt Securities
(Title of indenture securities)
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.
Commissioner of Banks and Trust Companies, State of Illinois,
Springfield, Illinois; Chicago Clearing House Association, 164 West
Jackson Boulevard, Chicago, Illinois; Federal Deposit Insurance
Corporation, Washington, D.C.; The Board of Governors of the Federal
Reserve System, Washington, D.C.
(b) Whether it is authorized to exercise corporate trust powers.
Harris Trust and Savings Bank is authorized to exercise corporate
trust powers.
2. AFFILIATIONS WITH OBLIGOR. If the Obligor is an affiliate of the
Trustee, describe each such affiliation.
The Obligor is not an affiliate of the Trustee.
3. through 15.
NO RESPONSE NECESSARY
16. LIST OF EXHIBITS.
1. A copy of the articles of association of the Trustee as now in effect
which includes the authority of the trustee to commence business and to
exercise corporate trust powers.
A copy of the Certificate of Merger dated April 1, 1972 between Harris
Trust and Savings Bank, HTS Bank and Harris Bankcorp, Inc. which
constitutes the articles of association of the Trustee as now in effect
and includes the authority of the Trustee to commence business and to
exercise corporate trust powers was filed in connection with the
Registration Statement of Louisville Gas and Electric Company, File No.
2-44295, and is incorporated herein by reference.
2. A copy of the existing by-laws of the Trustee.
A copy of the existing by-laws of the Trustee was filed in connection
with the Registration Statement of Commercial Federal Corporation, File
No. 333-20711, and is incorporated herein by reference.
3. The consents of the Trustee required by Section 321(b) of the Act.
(included as Exhibit A on page 2 of this statement)
4. A copy of the latest report of condition of the Trustee published
pursuant to law or the requirements of its supervising or examining
authority.
(included as Exhibit B on page 3 of this statement)
1
SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, the Trustee,
HARRIS TRUST AND SAVINGS BANK, a corporation organized and existing under the
laws of the State of Illinois, has duly caused this statement of eligibility to
be signed on its behalf by the undersigned, thereunto duly authorized, all in
the City of Chicago, and State of Illinois, on the 29th day of September, 1999.
HARRIS TRUST AND SAVINGS BANK
By: /s/ J. Bartolini
-------------------------
J. Bartolini
Vice President
EXHIBIT A
The consents of the trustee required by Section 321(b) of the Act.
Harris Trust and Savings Bank, as the Trustee herein named, hereby consents that
reports of examinations of said trustee by Federal and State authorities may be
furnished by such authorities to the Securities and Exchange Commission upon
request therefor.
HARRIS TRUST AND SAVINGS BANK
By: /s/ J. Bartolini
-------------------------
J. Bartolini
Vice President
2
EXHIBIT B
Attached is a true and correct copy of the statement of condition of Harris
Trust and Savings Bank as of June 30, 1999, as published in accordance with a
call made by the State Banking Authority and by the Federal Reserve Bank of the
Seventh Reserve District.
HARRIS BANK
Harris Trust and Savings Bank
111 West Monroe Street
Chicago, Illinois 60603
of Chicago, Illinois, And Foreign and Domestic Subsidiaries, at the close of
business on June 30, 1999, a state banking institution organized and operating
under the banking laws of this State and a member of the Federal Reserve System.
Published in accordance with a call made by the Commissioner of Banks and Trust
Companies of the State of Illinois and by the Federal Reserve Bank of this
District.
Bank's Transit Number 71000288
THOUSANDS
ASSETS OF DOLLARS
Cash and balances due from depository institutions:
Non-interest bearing balances and currency
and coin........................................... $1,223,957
Interest bearing balances............................ $159,159
Securities:........................................................
a. Held-to-maturity securities $0
b. Available-for-sale securities $5,664,104
Federal funds sold and securities purchased under agreements
to resell $193,550
Loans and lease financing receivables:
Loans and leases, net of unearned income $9,665,676
LESS: Allowance for loan and lease losses $110,414
----------
Loans and leases, net of unearned income,
allowance and reserve
(item 4.a minus 4.b)................................. $9,555,262
Assets held in trading accounts.................................... $126,028
Premises and fixed assets (including capitalized leases)........... $268,415
Other real estate owned............................................ $644
Investments in unconsolidated subsidiaries and associated
companies........................................................ $80
Customer's liability to this bank on acceptances outstanding....... $45,535
Intangible assets.................................................. $249,724
Other assets....................................................... $1,268,631
----------
TOTAL ASSETS $18,755,089
===========
3
LIABILITIES
Deposits:
In domestic offices........................................... $9,627,629
Non-interest bearing...................... $3,074,637
Interest bearing.......................... $6,552,992
In foreign offices, Edge and Agreement subsidiaries,
and IBF's................................................... $1,940,306
Non-interest bearing...................... $25,877
Interest bearing.......................... $1,914,429
Federal funds purchased and securities sold under agreements
to repurchase in domestic offices of the bank and of its Edge
and Agreement subsidiaries, and in IBF's:
Federal funds purchased & securities sold under agreements to
repurchase....................................................... $3,592,929
Trading Liabilities................................................ $41,548
Other borrowed money:
a. With remaining maturity of one year or less.................... $1,634,473
b. With remaining maturity of more than one year.................. $0
Bank's liability on acceptances executed and outstanding........... $45,535
Subordinated notes and debentures.................................. $225,000
Other liabilities.................................................. $396,941
------------
TOTAL LIABILITIES $17,504,361
============
EQUITY CAPITAL
Common stock....................................................... $100,000
Surplus............................................................ $609,314
a. Undivided profits and capital reserves......................... $636,420
b. Net unrealized holding gains (losses) on available-for-sale
securities..................................................... ($95,006)
-----------
TOTAL EQUITY CAPITAL $ 1,250,728
===========
Total liabilities, limited-life preferred stock, and equity
capital.......................................................... $18,755,089
===========
I, Christy Wipper, Vice President of the above-named bank, do hereby
declare that this Report of Condition has been prepared in conformance with the
instructions issued by the Board of Governors of the Federal Reserve System and
is true to the best of my knowledge and belief.
CHRISTY WIPPER
7/28/99
We, the undersigned directors, attest to the correctness of this Report
of Condition and declare that it has been examined by us and, to the best of our
knowledge and belief, has been prepared in conformance with the instructions
issued by the Board of Governors of the Federal Reserve System and the
Commissioner of Banks and Trust Companies of the State of Illinois and is true
and correct.
Directors
---------
ALAN G. McNALLY,
EDWARD W. LYMAN,
LEO M. HENIKOFF
4