EX-25.1 156 a2108492zex-25_1.txt EXHIBIT 25.1 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 its is charter) 31-0841368 I.R.S.Employer Identification No. 180 East Fifth Street St. Paul, Minnesota 55101 -------------------------------------- -------- (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 ----------------------------------------- ------------ (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 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 2 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 -------------------------------------- -------- Address of Principal Executive Offices) (Zip Code) 10.50% SENIOR SUBORDINATED NOTES DUE 2013 (TITLE OF THE INDENTURE SECURITIES) 3 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 4 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 ------------------------------ Richard H. Prokosch Vice President By: /s/ Julie Eddington --------------------------- Julie Eddington Assistant Vice President 5 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 ------------------------------ Richard H. Prokosch Vice President By: /s/ Julie Eddington ---------------------------- Julie Eddington Assistant Vice President 6 EXHIBIT 7 U.S. BANK NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF 12/31/2002 ($000'S)
12/31/2002 ------------- 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 ------------- 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 ------------- 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 ------------- TOTAL EQUITY CAPITAL $ 19,660,336 TOTAL LIABILITIES AND EQUITY CAPITAL $ 176,049,792
---------- 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 ------------------------ Vice President Date: April 14, 2003 7