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EXHIBIT 25.1
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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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)
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U.S. BANK NATIONAL ASSOCIATION
(Exact name of Trustee as specified its is charter)
31-0841368
I.R.S.Employer Identification No.
180 East Fifth Street
St. Paul, Minnesota 55101
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(Address of principal executive offices) (Zip Code)
Richard II. Prokosch
U.S. Bank National Association
180 East Firth Street
St. Paul, MN 55101
(651)244-0721.
(Name, address and telephone number of agent for service)
AMERIPATH, INC.
(Issuer with respect to the Securities)
Delaware 65-0642485
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(State or other jurisdiction of incorporation (I.R.S.Employer
or organization) Identification No.)
Utah 3-Gen Diagnostic Laboratories, Inc. 87-0625601
Texas AmeriPath 5.01(a) Corporation 75-2717181
Georgia AmeriPath Carrollton, Inc. 58-2549096
Ohio AmeriPath Cincinnati, Inc. 31-0744468
Ohio AmeriPath Cleveland, Inc. 34-1194233
Florida AmeriPath Consolidated Labs, Inc. 26-0003506
Florida AmeriPath Florida, Inc. 65-0641688
Indiana AmeriPath Indiana, LLC 35-1937874
Kentucky AmeriPath Kentucky, Inc. 62-1373947
Texas AmeriPath Lubbock 5.01(a) Corporation 75-2773490
Florida AmeriPath Marketing USA, Inc. 65-1064707
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Michigan AmeriPath Michigan, Inc. 38-1880648
Mississippi AmeriPath Mississippi, Inc. 64-0504003
Delaware AmeriPath New England, Inc. 13-4052487
Delaware AmeriPath New York, Inc. 65-0819138
North Carolina AmeriPath North Carolina, Inc. 56-1272454
Delaware AmeriPath Ohio, Inc. 31-1483746
Texas AmeriPath PAT 5.01(a) Corporation 75-1376600
Ohio AmeriPath PCC, Inc. 34-1461007
Pennsylvania AmeriPath Pennsylvania, Inc. 25-1680680
New Jersey AmeriPath Philadelphia, Inc. 22-2163419
South Carolina AmeriPath SC, Inc. 11-3680559
Texas AmeriPath Severance 5.01(a) Corporation 81-0561015
Texas AmeriPath Texas, L.P. 75-2530066
Ohio AmeriPath Youngstown Labs, Inc. 34-1767704
Ohio AmeriPath Youngstown, Inc. 34-1833940
Delaware AmeriPath, LLC 65-1046888
Wisconsin AmeriPath, Wisconsin, Inc. 39-1091107
Oklahoma Anatomic Pathology Services, Inc. 73-1563221
Delaware API No. 2, LLC 65-1046886
Arizona Arizona Pathology Group, Inc. 86-0864486
Arlington Pathology Association 5.01(a)
Texas Corporation 75-1403653
Mississippi Ben F. Martin, M.D., FCAP, Inc. 64-0632579
Tennessee California Pathology Consultants of America, Inc. 62-1729318
Mississippi Columbus Pathology Associates 64-0734774
Tennessee CPA I, Inc. 62-1800009
Tennessee CPA II, Inc. 62-1800007
Alabama Dermatopathology Services, Inc. 63-0984892
Delaware Dermpath, Inc. 13-3126917
Texas DFW 5.01(a) Corporation 75-2722708
Oklahoma Diagnostic Pathology Management Services, Inc. 73-1402878
Tennessee Georgia Pathology Consultants of America, Inc. 62-1729319
Georgia J. David Smith, M.D., Inc. 58-2517992
Mississippi John H Parker, Jr., M.D., FCAP, Inc. 64-0632583
Georgia Kailash B. Sharma, M.D., Inc. 58-1416059
Georgia Katharine Liu, M.D., Inc. 58-2588049
Texas NAPA 5.01(a) Corporation 75-2894870
Georgia Nuclear Medicine & Pathology Associates 58-1446543
Georgia Ocmulgee Medical Pathology Association, Inc. 58-1267100
Georgia O'Quinn Medical Pathology Association, Inc. 58-1303376
Texas Pathology Affiliated Services, Inc. 74-2874470
Tennessee Pathology Consultants of America, Inc. 62-1692669
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Delaware PathSOURCE, Inc. 38-3412589
Tennessee PCA of Columbus, Inc. 62-1721244
Tennessee PCA of Denver, Inc. 62-1721242
Tennessee PCA of Los Gatos, Inc. 62-1758095
Tennessee PCA of Memphis, Inc. 62-1721243
Tennessee PCA of Nashville, Inc. 62-1729315
Tennessee PCA of St. Louis II, Inc. 62-1762754
Tennessee PCA Southeast II, Inc. 62-1762755
Tennessee PCA/APR Acquisition Corp. 62-1736979
Georgia Peter G. Klacsmann, M.D., Inc. 58-1441090
Utah Rocky Mountain Pathology, L.L.C. 87-0526913
Georgia Sharon G. Daspit, M.D., Inc. 58-1626140
Alabama Shoals Pathology Associates, Inc. 63-0700856
Texas Simpson Pathology 5.01 (a) Corporation 75-1826602
Utah Strigen, Inc. 87-0651722
Delaware TID Acquisition Corp. 22-3620117
Texas TXAR 5.01(a) Corporation 75-1600244
7289 Garden Road
Suite 200
Riviera Beach,Florida 33404
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Address of Principal Executive Offices) (Zip Code)
10.50% SENIOR SUBORDINATED NOTES DUE 2013
(TITLE OF THE INDENTURE SECURITIES)
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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.*
3. A copy of the certificate of authority of the Trustee to
exercise corporate trust powers.*
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 December 31, 2002,
published pursuant to law or the requirements of its
supervising or examining authority, attached as Exhibit 7.
*Incorporated by reference to Registration Number 333-67188.
NOTE
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The answers to this statement insofar as such answers relate to what
persons have been underwriters for any securities of the obligors within three
years prior to the date of filing this statement, or what persons are owners of
10% or more of the voting securities of the obligors, or affiliates, are based
upon information furnished to the Trustee by the obligors. While the Trustee has
no reason to doubt the accuracy of any such information, it cannot accept any
responsibility therefor.
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 St. Paul, State of Minnesota on the 14th day of April, 2003.
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Richard H. Prokosch
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Richard H. Prokosch
Vice President
By: /s/ Julie Eddington
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Julie Eddington
Assistant Vice President
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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: April 14, 2003
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Richard H. Prokosch
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Richard H. Prokosch
Vice President
By: /s/ Julie Eddington
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Julie Eddington
Assistant Vice President
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EXHIBIT 7
U.S. BANK NATIONAL ASSOCIATION
STATEMENT OF FINANCIAL CONDITION
AS OF 12/31/2002
($000'S)
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<Caption>
12/31/2002
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ASSETS
Cash and Due From Depository Institutions $ 10,868,204
Federal Reserve Stock 0
Securities 28,139,801
Federal Funds 873,395
Loans & Lease Financing Receivables 116,078,132
Fixed Assets 1,389,233
Intangible Assets 9,218,064
Other Assets 9,482,963
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TOTAL ASSETS $ 176,049,792
LIABILITIES
Deposits $ 121,684,914
Fed Funds 5,858,510
Treasury Demand Notes 0
Trading Liabilities 402,464
Other Borrowed Money 17,397,658
Acceptances 148,979
Subordinated Notes and Debentures 5,696,532
Other Liabilities 5,200,399
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TOTAL LIABILITIES $ 156,389,456
EQUITY
Minority Interest in Subsidiaries $ 992,867
Common and Preferred Stock 18,200
Surplus 11,314,669
Undivided Profits 7,334,600
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TOTAL EQUITY CAPITAL $ 19,660,336
TOTAL LIABILITIES AND EQUITY CAPITAL $ 176,049,792
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To the best of the undersigned's determination, as of the date hereof, the above
financial information is true and correct.
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Richard II. Prokosch
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Vice President
Date: April 14, 2003
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