Exhibit 25.1
================================================================================
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)
41-1973763
I.R.S. Employer Identification No.
300 EAST DELAWARE AVENUE, 8TH FLOOR
WILMINGTON, DELAWARE 19809
(Address of principal executive offices) (Zip Code)
James Vellanti
U.S. Bank National Association
100 Wall Street, Suite 1600
New York, NY 10005
Telephone (212) 361-2506
(Name, address and telephone number of agent for service)
INSIGHT HEALTH SERVICES CORP.
(Exact name of obligor as specified in its charter)
DELAWARE 33-0702770
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
26250 ENTERPRISE COURT, SUITE 100
LAKE FOREST, CALIFORNIA 92630
(Address of principal executive offices) (Zip Code)
----------------------------
SENIOR SECURED FLOATING RATE NOTES DUE 2011
================================================================================
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 The Trustee is a Trustee under other Indentures under which
securities issued by the obligor are outstanding. There is not and
there has not been a default with respect to the securities
outstanding under other such Indentures.
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 now in
effect, incorporated herein by reference to Exhibit 1 of Form T-1,
Document 6 of Registration No. 333-84320.
2. A copy of the certificate of authority of the Trustee to commence
business, incorporated herein by reference to Exhibit 2 of Form
T-1, Document 6 of Registration No. 333-84320.
3. A copy of the certificate of authority of the Trustee to exercise
corporate trust powers, incorporated herein by reference to
Exhibit 3 of Form T-1, Document 6 of Registration No. 333-84320.
4. A copy of the existing bylaws of the Trustee, as now in effect,
incorporated herein by reference to Exhibit 4 of Form T-1,
Document 6 of Registration No. 333-113995.
5. Not applicable.
6. The consent of the Trustee required by Section 321(b) of the Trust
Indenture Act of 1939, incorporated herein by reference to Exhibit
6 of Form T-1, Document 6 of Registration No. 333-84320.
7. A copy of the Report of Condition of the Trustee as of June 30,
2005, published pursuant to law or the requirements of its
supervising or examining authority, attached as Exhibit 7.
8. Not applicable.
9. Not applicable.
2
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 New
York, State of New York on the 27th day of October, 2005.
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Cheryl L. Clarke
------------------------
Name: Cheryl L. Clarke
Title: Assistant Vice President
3
EXHIBIT 7
U.S. BANK NATIONAL ASSOCIATION
STATEMENT OF FINANCIAL CONDITION
AS OF JUNE 30, 2005
($000'S)
6/30/2005
---------
ASSETS
Cash and Balances Due From Depository Institutions $405,383
Fixed Assets 233
Intangible Assets 101,857
Other Assets 31,529
--------
TOTAL ASSETS $538,971
LIABILITIES
Other Liabilities $ 15,921
--------
TOTAL LIABILITIES $ 15,921
EQUITY
Common and Preferred Stock $ 1,000
Surplus 505,932
Undivided Profits 16,118
--------
TOTAL EQUITY CAPITAL $523,050
TOTAL LIABILITIES AND EQUITY CAPITAL $538,971
To the best of the undersigned's determination, as of this date the above
financial information is true and correct.
U.S. Bank National Association
By: /s/ Cheryl L. Clarke
------------------------------
Name Cheryl Clarke
Title Assistant Vice President
Date: October 27, 2005
4