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                                                                    Exhibit 25.4


                       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)

                       STATE STREET BANK AND TRUST COMPANY

               (Exact name of trustee as specified in its charter)

                    Massachusetts                           04-1867445
          (Jurisdiction of incorporation or              (I.R.S. Employer
      organization if not a U.S. national bank)          Identification No.)

   225 Franklin Street, Boston, Massachusetts                  02110
    (Address of principal executive offices)                 (Zip Code)

   Maureen Scannell Bateman, Esq. Executive Vice President and General Counsel
                225 Franklin Street, Boston, Massachusetts 02110
                                 (617) 654-3253
            (Name, address and telephone number of agent for service)


                    FRESENIUS MEDICAL CARE AKTIENGESELLSCHAFT
               (Exact name of obligor as specified in its charter)

                       GERMANY                                    N/A
           (State or other jurisdiction of                 (I.R.S. Employer
            incorporation or organization)                 Identification No.)

                               ELSE-KRONER STR. 1
                        61346 BAD HOMBURG V.D.H., GERMANY
               (Address of principal executive offices) (Zip Code)


           Company Guarantee of 7 3/8% EURO Trust Preferred Securities
                         (Title of indenture securities)
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                                     GENERAL

ITEM 1.  GENERAL INFORMATION.

         FURNISH THE FOLLOWING INFORMATION AS TO THE TRUSTEE:

         (a)   NAME AND ADDRESS OF EACH EXAMINING OR SUPERVISORY AUTHORITY TO
               WHICH IT IS SUBJECT.

                  Department of Banking and Insurance of The Commonwealth of
                  Massachusetts, 100 Cambridge Street, Boston, Massachusetts.

                  Board of Governors of the Federal Reserve System, Washington,
                  D.C., Federal Deposit Insurance Corporation, Washington, D.C.

         (b)  WHETHER IT IS AUTHORIZED TO EXERCISE CORPORATE TRUST POWERS.
                  Trustee is authorized to exercise corporate trust powers.

ITEM 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 or of its
                  parent, State Street Corporation.

                  (See note on page 2.)

ITEM 3. THROUGH ITEM 15.   NOT APPLICABLE.

ITEM 16. LIST OF EXHIBITS.

         LIST BELOW ALL EXHIBITS FILED AS PART OF THIS STATEMENT OF ELIGIBILITY.

          1.   A COPY OF THE ARTICLES OF ASSOCIATION OF THE TRUSTEE AS NOW IN
               EFFECT.

               A copy of the Articles of Association of the trustee, as now in
          effect, is on file with the Securities and Exchange Commission as
          Exhibit 1 to Amendment No. 1 to the Statement of Eligibility and
          Qualification of Trustee (Form T-1) filed with the Registration
          Statement of Morse Shoe, Inc. (File No. 22-17940) and is incorporated
          herein by reference thereto.

          2.   A COPY OF THE CERTIFICATE OF AUTHORITY OF THE TRUSTEE TO COMMENCE
               BUSINESS, IF NOT CONTAINED IN THE ARTICLES OF ASSOCIATION.

               A copy of a Statement from the Commissioner of Banks of
          Massachusetts that no certificate of authority for the trustee to
          commence business was necessary or issued is on file with the
          Securities and Exchange Commission as Exhibit 2 to Amendment No. 1 to
          the Statement of Eligibility and Qualification of Trustee (Form T-1)
          filed with the Registration Statement of Morse Shoe, Inc. (File No.
          22-17940) and is incorporated herein by reference thereto.

          3.   A COPY OF THE AUTHORIZATION OF THE TRUSTEE TO EXERCISE CORPORATE
               TRUST POWERS, IF SUCH AUTHORIZATION IS NOT CONTAINED IN THE
               DOCUMENTS SPECIFIED IN PARAGRAPH (1) OR (2), ABOVE.

               A copy of the authorization of the trustee to exercise corporate
          trust powers is on file with the Securities and Exchange Commission as
          Exhibit 3 to Amendment No. 1 to the Statement of Eligibility and
          Qualification of Trustee (Form T-1) filed with the Registration
          Statement of Morse Shoe, Inc. (File No. 22-17940) and is incorporated
          herein by reference thereto.

          4.   A COPY OF THE EXISTING BY-LAWS OF THE TRUSTEE, OR INSTRUMENTS
               CORRESPONDING THERETO.

               A copy of the by-laws of the trustee, as now in effect, is on
          file with the Securities and Exchange Commission as Exhibit 4 to the
          Statement of Eligibility and Qualification of Trustee (Form T-1) filed
          with the Registration Statement of Eastern Edison Company (File No.
          33-37823) and is incorporated herein by reference thereto.

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          5.   A COPY OF EACH INDENTURE REFERRED TO IN ITEM 4. IF THE OBLIGOR IS
               IN DEFAULT.

                    Not applicable.

          6.   THE CONSENTS OF UNITED STATES INSTITUTIONAL TRUSTEES REQUIRED BY
               SECTION 321(b) OF THE ACT.

                    The consent of the trustee required by Section 321(b) of the
               Act is annexed hereto as Exhibit 6 and made a part hereof.

          7.   A COPY OF THE LATEST REPORT OF CONDITION OF THE TRUSTEE PUBLISHED
               PURSUANT TO LAW OR THE REQUIREMENTS OF ITS SUPERVISING OR
               EXAMINING AUTHORITY.

                    A copy of the latest report of condition of the trustee
               published pursuant to law or the requirements of its supervising
               or examining authority is annexed hereto as Exhibit 7 and made a
               part hereof.

                                      NOTES

         In answering any item of this Statement of Eligibility which relates to
matters peculiarly within the knowledge of the obligor or any underwriter for
the obligor, the trustee has relied upon information furnished to it by the
obligor and the underwriters, and the trustee disclaims responsibility for the
accuracy or completeness of such information.

         The answer furnished to Item 2. of this statement will be amended, if
necessary, to reflect any facts which differ from those stated and which would
have been required to be stated if known at the date hereof.

                                    SIGNATURE

         Pursuant to the requirements of the Trust Indenture Act of 1939, as
amended, the trustee, State Street Bank and Trust Company, a corporation
organized and existing under the laws of The Commonwealth of Massachusetts, has
duly caused this statement of eligibility to be signed on its behalf by the
undersigned, thereunto duly authorized, all in the City of Hartford and the
State of Connecticut, on the 1st of August 2001.

                                   STATE STREET BANK AND TRUST COMPANY


                                   By:  /s/ Elizabeth C. Hammer
                                      ________________________________
                                   NAME:    ELIZABETH C. HAMMER
                                   TITLE:   VICE PRESIDENT
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                                    EXHIBIT 6

                             CONSENT OF THE TRUSTEE

      Pursuant to the requirements of Section 321(b) of the Trust Indenture
Act of 1939, as amended, in connection with the proposed issuance by FRESENIUS
MEDICAL CARE AKTIENGESELLSCHAFT of its COMPANY GUARANTEE OF 7 3/8% EURO TRUST
PREFERRED SECURITIES, we hereby consent that reports of examination by Federal,
State, Territorial or District authorities may be furnished by such authorities
to the Securities and Exchange Commission upon request therefor.

                                    STATE STREET BANK AND TRUST COMPANY


                                    By:  /s/ Elizabeth C. Hammer
                                      __________________________________
                                    NAME:    ELIZABETH C. HAMMER
                                    TITLE:   VICE PRESIDENT

DATED:  AUGUST 1, 2001
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                                    EXHIBIT 7

Consolidated Report of Condition of State Street Bank and Trust Company,
Massachusetts and foreign and domestic subsidiaries, a state banking institution
organized and operating under the banking laws of this commonwealth and a member
of the Federal Reserve System, at the close of business March 31, 2001 published
in accordance with a call made by the Federal Reserve Bank of this District
pursuant to the provisions of the Federal Reserve Act and in accordance with a
call made by the Commissioner of Banks under General Laws, Chapter 172, Section
22(a).



                                                                              Thousands of
ASSETS                                                                        Dollars
                                                                           
Cash and balances due from depository institutions:
         Noninterest-bearing balances and currency and coin .............        897,105
         Interest-bearing balances ......................................     17,983,011
Securities ..............................................................     16,720,906
Federal funds sold and securities purchased
         under agreements to resell in domestic offices
         of the bank and its Edge subsidiary ............................     15,060,119
Loans and lease financing receivables:
         Loans and leases, net of unearned income ..  6,262,440
         Allowance for loan and lease losses .......     57,674
         Allocated transfer risk reserve............      0
         Loans and leases, net of unearned income and allowances ........      6,204,766
Assets held in trading accounts .........................................      3,067,581
Premises and fixed assets................................................        570,144
Other real estate owned .................................................            0
Investments in unconsolidated subsidiaries ..............................         22,733
Customers' liability to this bank on acceptances outstanding ............        167,024
Intangible assets........................................................         456,769
Other assets.............................................................       1,512,531
                                                                               ----------
Total assets.............................................................      62,662,689
                                                                               ----------
LIABILITIES
Deposits:

         In domestic offices.............................................      12,418,125
                  Noninterest-bearing ............    7,272,865
                  Interest-bearing ...............    5,145,260
         In foreign offices and Edge subsidiary .........................      25,631,712
                  Noninterest-bearing ............       96,103
                  Interest-bearing ...............   25,535,609
Federal funds purchased and securities sold under
         agreements to repurchase in domestic offices of
         the bank and of its Edge subsidiary ............................      16,541,928
Demand notes issued to the U.S. Treasury.......................... ......             0
Trading liabilities......................................................       2,336,011

Other borrowed money.....................................................         184,267
Subordinated notes and debentures............................ ...........             0
Bank's liability on acceptances executed and outstanding ................         167,024
Other liabilities .......................................................       1,566,844

Total liabilities........................................................      58,845,911
                                                                               ----------
Minority interest in consolidated subsidiaries............................         49,273

EQUITY CAPITAL
Perpetual preferred stock and related
surplus...................................................................           0
Common stock .............................................................         29,931
Surplus................................................................. .        567,089
Retained Earnings.........................................................      3,140,648
        Accumulated other comprehensive income............................         29,837
Other equity capital components...........................................            0
Undivided profits and capital reserves/Net unrealized holding gains(losses)           0
        Net unrealized holding gains (losses) on available-for-sale securities        0
Cumulative foreign currency translation adjustments................... ...            0
Total equity capital......................................................      3,767,505
                                                                               ----------
Total liabilities, minority interest and equity capital...................     62,662,689
                                                                               ----------

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I, Frederick P. Baughman, Senior Vice President and Comptroller 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.

                                                   Frederick P. Baughman


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 is true and
correct.

                                                   Ronald E. Logue
                                                   David A. Spina
                                                   Truman S. Casner