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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM T-1
STATEMENT OF ELIGIBILITY AND QUALIFICATION 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) [X]
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U.S. TRUST COMPANY OF TEXAS, N.A.
(Exact name of trustee as specified in its charter)
75-2353745
(State of incorporation (I.R.S. employer
if not a national bank) identification no.)
2001 Ross Avenue, Suite 2700
Dallas, Texas 75201
(Address of trustee's (Zip Code)
principal executive offices)
Compliance Officer
U.S. Trust Company of Texas, N.A.
2001 Ross Avenue, Suite 2700
Dallas, TX 75201
(214) 754-1200
(Name, address and telephone number of agent for service)
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UNITED SURGICAL PARTNERS HOLDINGS, INC.
(Exact name of obligor as specified in its charter)
Delaware 75-2749762
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification no.)
17103 Preston Road 77248
Suite 200 N
Dallas, TX
(Address of principal (Zip Code)
executive offices)
10% Senior Subordinated Notes due 2011
(Title of the indenture securities)
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GENERAL
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.
Federal Reserve Bank of Dallas (11th District), Dallas,
Texas
(Board of Governors of the Federal Reserve System)
Federal Deposit Insurance Corporation, Dallas, Texas
The Office of the Comptroller of the Currency, Dallas,
Texas
(b) Whether it is authorized to exercise corporate trust powers.
The Trustee is authorized to exercise corporate trust powers.
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.
None.
3. VOTING SECURITIES OF THE TRUSTEE
Furnish the following information as to each class of voting
securities of the Trustee:
As of September 30, 2001
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Col A. Col B.
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Title of Class Amount Outstanding
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Capital Stock - par value $100 per share 5,000 shares
4. TRUSTEESHIPS UNDER OTHER INDENTURES
none
5. INTERLOCKING DIRECTORATES AND SIMILAR RELATIONSHIPS WITH THE OBLIGOR
OR UNDERWRITERS
Not applicable.
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6. VOTING SECURITIES OF THE TRUSTEE OWNED BY THE OBLIGOR OR ITS OFFICIALS
Not applicable.
7. VOTING SECURITIES OF THE TRUSTEE OWNED BY UNDERWRITERS OR THEIR
OFFICIALS
Not applicable.
8. SECURITIES OF THE OBLIGOR OWNED OR HELD BY THE TRUSTEE
Not applicable.
9. SECURITIES OF UNDERWRITERS OWNED OR HELD BY THE TRUSTEE
Not applicable.
10. OWNERSHIP OR HOLDINGS BY THE TRUSTEE OF VOTING SECURITIES OF CERTAIN
AFFILIATES OR SECURITY HOLDERS OF THE OBLIGOR
Not applicable.
11. OWNERSHIP OR HOLDINGS BY THE TRUSTEE OF ANY SECURITIES OF A PERSON
OWNING 50 PERCENT OR MORE OF THE VOTING SECURITIES OF THE OBLIGOR
Not applicable.
12. INDEBTEDNESS OF THE OBLIGOR TO THE TRUSTEE
Not applicable.
13. DEFAULTS BY THE OBLIGOR
Not applicable.
14. AFFILIATIONS WITH THE UNDERWRITERS
Not applicable.
15. FOREIGN TRUSTEE
Not applicable.
16. LIST OF EXHIBITS
T-1.1 - A copy of the Articles of Association of U.S. Trust Company of
Texas, N.A.; incorporated herein by reference to Exhibit T-1.1
filed with Form T-1 Statement, Registration No. 22- 21897.
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T-1.2 - A copy of the certificate of authority of the Trustee to
commence business; incorporated herein by reference to
Exhibit T-1.2 filed with Form T-1 Statement, Registration
No. 22- 21897.
T-1.3 - A copy of the authorization of the Trustee to exercise
corporate trust powers; incorporated herein by reference
to Exhibit T-1.3 filed with Form T-1 Statement,
Registration No. 22-21897.
T-1.4 - A copy of the By-laws of the U.S. Trust Company of Texas,
N.A., as amended to date; incorporated herein by reference to
Exhibit T-1.4 filed with Form T-1 Statement, Registration
No. 22-21897.
T-1.5 - The consent of the Trustee required by Section 321(b) of the
Trust Indenture Act of 1939.
T-1.6 - A copy of the latest report of condition of the Trustee
published pursuant to law or the requirements of its
supervising or examining authority.
NOTE
As of September 30, 2001 the Trustee had 35 shares of Capital Stock outstanding,
all of which are owned by U.S. T.L.P.O. Corp.
The term "Trustee" in Items 2, 5, 6, 7, 8, 9, 10, and 11 refers to each of U.S.
Trust Company of Texas, N.A., U.S. T.L.P.O. Corp. and U.S. Trust Corporation.
In as much as this Form T-1 is filed prior to the ascertainment by the Trustee
of all the facts on which to base responsive answers to Items 2, 5, 6, 7, 9, 10
and 11 may, however, be considered correct unless amended by an amendment to
this Form T-1.
In answering any items in this Statement of Eligibility and Qualification which
relates to matters peculiarly within the knowledge of the obligors or their
directors or officers, or an underwriter for the obligors, the Trustee has
relied upon information furnished to it by the obligors and will rely on
information to be furnished by the obligors or such underwriter, and the Trustee
disclaims responsibility for the accuracy or completeness of such information.
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SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939 the Trustee,
U.S. Trust Company of Texas, N.A., a national banking association organized
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 Dallas, and State of Texas on the
4th of January, 2002.
U.S. Trust Company of
Texas, N.A., Trustee
By: /s/ John C. Stohlmann
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John C. Stohlmann
Vice President
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Exhibit T-1.5
CONSENT OF TRUSTEE
Pursuant to the requirements of Section 321(b) of the Trust Indenture Act of
1939 as amended in connection with the proposed issue of Senior Subordinated
Notes due 2011 of United Surgical Partners Holdings, Inc., we hereby consent
that reports of examination by Federal, State, Territorial or District
authorities may be such authorities to the Securities and Exchange Commission
upon request therefore.
U.S. Trust Company of
Texas, N.A., Trustee
By: /s/ John C. Stohlmann
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John C. Stohlmann
Vice President
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Exhibit T-1.6
Board of Governors of the Federal Reserve System
OMB Number: 7100-003
Federal Deposit Insurance Corporation
OMB Number: 3064-005
Office of the Comptroller of the Currency
Expires March 31, 2002
Federal Financial Institutions Examination Council
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1
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Please refer to page I,
Table of Contents, for
the required disclosure
of estimated burden.
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Consolidated Reports of Condition and Income for
A Bank With Domestic Offices Only and Total Assets of
$100 Million or More But Less Than $300 Million - FFIEC 033
19990630
Report at the close of business September 30, 2001 -----------
(RCRI 9999)
This report is required by law: 12 U.S.C. Section 324 (State This report form is to be filed by banks with domestic offices
member banks); 12 U.S.C. Section 1817 (State nonmember banks); only. Banks with foreign offices (as defined in the
and 12 U.S.C. Section 161 (National banks). instructions) must file FFIEC 031.
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NOTE: The Reports of Condition and Income must be signed The Reports of Condition and Income are to be prepared in
by an authorized officer and the Report of Condition must be Accordance with Federal regulatory authority instructions.
attested to by not less than two directors (trustees) for State
nonmember banks and three directors for State member and
national Banks.
We, the undersigned directors (trustees), attest to the
correctness of the Report of Condition (including the
I, Alfred B. Childs, Managing Director supporting schedules) for this report date and declare that
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Name and Title of Officer Authorized to Sign Report and belief has been prepared in conformance with the
instructions issued by the appropriate Federal regulatory
Of the named bank do hereby declare that the Reports of authority and is trust and correct.
Condition and Income (including the supporting schedules) for
this report date have been prepared in conformance with the /s/ Stuart M. Pearman
instructions issued y the appropriate Federal regulatory -------------------------------------------------------------
authority and are true to the best of my knowledge. Director (Trustee)
/a/ Alfred B. Childs /s/ J.T. More, Jr.
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Signature of Officer Authorized to Sign Report Director (Trustee)
October 15, 2001 /s/ Bill Goodwin
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Date of Signature Director (Trustee)
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Submission of Reports
Each bank must prepare its Reports of Condition and Income (if other than EDS) must transmit the bank's computer
either: data file to EDS.
(a) in electronic form and then file the computer data file For electronic filing assistance, contact EDS Call Report
directly with the banking agencies' collection agent, Services, 2150 N. Prospect Ave., Milwaukee, WI 53202,
Electronic Data Systems Corporation (EDS), by modem or telephone (800) 255-1571.
on computer diskette; or
To fulfill the signature and attestation requirement for the
(b) in hard-copy (paper) form and arrange for another party Reports of Condition and Income for this report date, attach
to convert the paper report to electronic form. That party this signature page (or a photocopy or a computer-generated
version of this page) to the hard-copy record of the
completed report that the bank places in its files.
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FDIC Certificate Number: 33217 U.S. TRUST COMPANY OF TEXAS, N.A.
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(RCRI 9050) Legal Title of Bank (TEXT 9010)
DALLAS
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City (TEXT 9130)
TX 75201
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State Abbrev. (TEXT 9200) Zip Code (TEXT 9220)
Board of Governors of the Federal Reserve System, Federal Deposit Insurance Corporation, Office of the Comptroller of the Currency
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U.S. Trust company of Texas, N.A. Call Date: 09/30/01 State #: 48-6797 FFIEC 033
2001 Ross Avenue, Suite 2700 Vendor ID: D Cert #: 33217 RC-1
Dallas, TX 75201 Transit #: 11101765
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CONSOLIDATED REPORT OF CONDITION FOR INSURED COMMERCIAL
AND STATE-CHARTERED SAVINGS BANKS FOR SEPTEMBER 30, 2001
All Schedules are to be reported in thousands of dollars. Unless otherwise indicated,
report the amount outstanding as of the last business day of the quarter.
SCHEDULE RC - BALANCE SHEET
C200 < -
Dollar Amounts In Thousands
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ASSETS
1. Cash and balances due from depository institutions (from Schedule RC-A): RCON
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a. Noninterest-bearing balances and currency and coin (1) _________________________________________ 0081 2,851 1.a
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b. Interest-bearing balances (2) __________________________________________________________________ 0071 1,982 1.b
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2. Securities:
a. Held-to-maturity securities (from Schedule RC-B, Column A) _____________________________________ 1754 0 2.a
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b. Available-for-sale securities (from Schedule RC-B, column D) ___________________________________ 1773 68,143 2.b
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3. Federal funds sold and securities purchased under agreements to resell ___________________________ 1350 36,000 3.
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4. Loans and lease financing receivables: RCO
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a. Loans and leases, net of unearned income (from Schedule RC-C) _____________ 2122 53,869 4.a
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b. LESS: Allowance for loan and lease losses ________________________________ 3123 260 4.b
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c. LESS: Allocated transfer risk reserve ____________________________________ 3128 0 4.c
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d. Loans and leases, net of unearned income, allowance, and reserve (item 4.a RCO
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N
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minus 4.b and 4.c) ____________________________________________________________________________ 2125 53,609 4.d
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5. Trading assets ___________________________________________________________________________________ 3545 0 5.
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6. Premises and fixed assets (including capitalized leases) _________________________________________ 2145 762 6.
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7. Other real estate owned (from Schedule RC-M) _____________________________________________________ 2150 0 7.
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8. Investments in unconsolidated subsidiaries and associated companies (from Schedule RC-M) _________ 2130 0 8.
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9. Customers' liability to this bank on acceptances outstanding _____________________________________ 2155 0 9.
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10. Intangible assets (from Schedule RC-M) ____________________________________________________________ 2143 2,506 10.
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11. Other assets (from Schedule RC-F) _________________________________________________________________ 2160 51,134 11.
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12. Total assets (sum of items 1 through 11) __________________________________________________________ 2170 216,987 12.
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(1) Includes cash items in process of collection and unposted debits.
(2) Includes time certificates of deposit not held for trading.
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U.S. Trust company of Texas, N.A. Call Date: 09/30/2001 State #: 48-6797 FFIEC 033
2001 Ross Avenue, Suite 2700 Vendor ID: D Cert #: 33217 RC-1
Dallas, TX 75201 Transit #: 11101765
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Schedule RC - Continued
Dollar Amounts In Thousands
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LIABILITES
13. Deposits: RCON
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a. In domestic offices (sum of totals of columns A and C From Schedule RC-E) RCON 2200 173,468 13.a
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(1) Noninterest-bearing (1) ______________________________________________ 6631 24,418 13.a.1
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(2) Interest-bearing _____________________________________________________ 6636 149,051 13.a.2
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b. In foreign offices, Edge and Agreement subsidiaries, and IBFs
(1) Noninterest-bearing __________________________________________________
(2) Interest-bearing _____________________________________________________ RCON
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14. Federal funds purchased and securities sold under agreements to repurchase _________________________ 2800 00 14
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15. a. Demand notes issued to the U.S. Treasury _______________________________________________________ 2840 0 15.a
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b. Trading liabilities ____________________________________________________________________________ 3548 0 15.b
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16. Other borrowed money (includes mortgage indebtedness and obligations under capitalized leases):
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a. With a remaining maturity of one year or less ________________________________________________ 2332 0 16.a
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b. With a remaining maturity of more than one year through three years __________________________ A547 0 16.b
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c. With a remaining maturity of more than three years ___________________________________________ A548 1,000 16.c
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17. Not applicable
18. Bank's liability on acceptances executed and outstanding ___________________________________________ 2920 0 18
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19. Subordinated notes and debentures (2) ______________________________________________________________ 3200 0 19
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20. Other liabilities (from Schedule RC-G) _____________________________________________________________ 2930 8,884 20
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21. Total liabilities (sum of items 13 through 20) _____________________________________________________ 2948 183,352 21
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22. Not applicable
EQUITY CAPITAL RCON
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23. Perpetual preferred stock and related surplus ______________________________________________________ 3838 2,000 23
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24. Common stock _______________________________________________________________________________________ 3230 500 24
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25. Surplus (exclude all surplus related to preferred stock) ___________________________________________ 3839 14,051 25
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26. a. Undivided profits and capital reserves _________________________________________________________ 3632 16,273 26.a
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b. Net unrealized holding gains (losses) on available-for-sale securities _________________________ 8434 811 26.b
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c. ACCUMULATED NET GAINS (LOSSES ON CASH FLOW HEDGES) _____________________________________________ 4336 0 26.c
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27. Cumulative foreign currency translation adjustments ________________________________________________
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28. Total equity capital (sum of items 23 through 27) __________________________________________________ 3210 33,635 28
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29. Total liabilities and equity capital (sum of items 21 and 28) ______________________________________ 3300 216,987 29
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Memorandum
TO BE REPORTED ONLY WITH THE REPORT OF CONDITION.
1. Indicate in the at the right, the number of the statement below that best describes the Number
most comprehensive level of auditing work performed for the bank by independent external ----------
auditors as of any date during 1998 ________________________________________________________________ 6724 N/A M.1
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1 = Independent audit of the bank conducted in accordance 4 = Directors' examination of the bank performed by other
with generally accepted auditing standards by a certified external auditors (may be required by state chartering
public accounting firm which submits a report on the bank authority)
2 = Independent audit of the bank's parent holding company 5 = Review of the bank's financial statements by external
conducted in accordance with generally accepted auditors
auditing standards by a certified public accounting firm 6 = Compilation of the bank's financial statements by
which submits a report on the consolidated holding external auditors
company (but not on the bank separately) 7 = Other audit procedures (excluding tax preparation work)
3 = Directors' examination of the bank conducted in 8 = No external audit work
accordance with generally accepted auditing standards
by a certified public accounting firm (may be required by
state chartering authority)
(1) Includes total demand deposits and noninterest-bearing time and savings deposits.
(2) Includes limited-life preferred stock and related surplus.
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