EX-25.1 42 y95979exv25w1.txt T-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) ------------------ THE BANK OF NEW YORK (Exact name of trustee as specified in its charter) NEW YORK (State of incorporation if not a U.S. national bank) 13-5160382 (I.R.S. employer identification no.) ONE WALL STREET, NEW YORK, NEW YORK 10286 (Address of principal executive offices) (Zip Code) ------------------- TEAM HEALTH, INC. (Exact name of obligor as specified in its charter) TENNESSEE 62-1562558 (State or other jurisdiction of (IRS employer incorporation or organization) identification no.) 1900 WINSTON ROAD KNOXVILLE, TN 37919 (865) 693-1000 (Address, zip code and telephone number of principal executive offices) -------------------- Debt Securities (Title of indenture securities) 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. SUPERINTENDENT OF BANKS OF THE STATE OF NEW YORK 2 RECTOR STREET NEW YORK, N.Y. 10006, AND ALBANY, N.Y. 12203 FEDERAL RESERVE BANK OF NEW YORK 33 LIBERTY PLAZA NEW YORK, N.Y. 10045 FEDERAL DEPOSIT INSURANCE CORPORATION WASHINGTON, D.C. 20429 NEW YORK CLEARING HOUSE ASSOCIATION NEW YORK, N.Y. 10005 (b) Whether it is authorized to exercise corporate trust powers. YES. 2. Affiliations with Obligor. If the obligor is an affiliate of the trustee, describe each such affiliation. NONE. 16. List of Exhibits. Exhibits identified in parentheses below, on file with the Commission, are incorporated herein by reference as an exhibit hereto, pursuant to Rule 7a-29 under the Trust Indenture Act of 1939 (the "Act") and 17 C.F.R. 229.10(d). (1) A copy of the Organization Certificate of The Bank of New York (formerly Irving Trust Company) as now in effect, which contains the authority to commence business and a grant of powers to exercise corporate trust powers. (Exhibit 1 to Amendment 1 to Form T-1 filed with Registration Statement No. 33-6215, Exhibits 1a and 1b to Form T-1 filed with Registration Statement No. 33-21672 and Exhibit 1 to Form T-1 filed with Registration Statement No. 33-29637.) (4) A copy of the existing By-laws of the Trustee. (Exhibit 4 to Form T-1 filed with Registration Statement No. 33-31019.) (6) The consent of the Trustee required by Section 321(b) of the Act. (Exhibit 6 to Form T-1 filed with Registration No. 33-44051.) (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. SIGNATURE Pursuant to the requirements of the Act, the Trustee, The Bank of New York, a corporation organized and existing under the laws of the State of New York, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of New York and the State of New York, on the 18th day of March, 2004. THE BANK OF NEW YORK By: /s/ Patricia E. Gallagher ---------------------------------- Patricia E. Gallagher Vice President EXHIBIT 7 TO FORM T-1 Consolidated Report of Condition of THE BANK OF NEW YORK of One Wall Street, New York, N.Y. 10286 And Foreign and Domestic Subsidiaries, a member of the Federal Reserve System, at the close of business December 31, 2003, published in accordance with a call made by the Federal Reserve Bank of this District pursuant to the provisions of the Federal Reserve Act.
Dollar Amounts in Thousands ASSETS Cash and balances due from depository institutions: Noninterest-bearing balances and currency and coin ................................... $ 3,752,987 Interest-bearing balances ................................. 7,153,561 Securities: Held-to-maturity securities ............................... 260,388 Available-for-sale securities ............................. 21,587,862 Federal funds sold and securities purchased under agreements to resell: Federal funds sold in domestic offices .................... 165,000 Securities purchased under agreements to resell ........... 2,804,315 Loans and lease financing receivables: Loans and leases held for sale ............................ 557,358 Loans and leases, net of unearned income .................................. 36,255,119 LESS: Allowance for loan and lease losses ............................................ 664,233 Loans and leases, net of unearned income and allowance and reserve ........................ 35,590,886 Trading assets ................................................. 4,892,480 Premises and fixed assets (including capitalized leases) ....................................... 926,789 Other real estate owned ........................................ 409 Investments in unconsolidated subsidiaries and associated companies ................................................. 277,788 Customers' liability to this bank on acceptances outstanding ................................ 144,025 Intangible assets Goodwill .................................................. 2,635,322 Other Intangible Assets ................................... 781,009 Other assets ................................................... 7,727,722 -------------- Total assets ................................................... $ 89,257,901 ==============
LIABILITIES Deposits: In domestic offices ................................... $ 33,763,250 Noninterest-bearing ................................... 14,511,050 Interest-bearing ...................................... 19,252,200 In foreign offices, Edge and Agreement subsidiaries, and IBFs .................... 22,980,400 Noninterest-bearing ................................... 341,376 Interest-bearing ...................................... 22,639,024 Federal funds purchased and securities sold under agreements to repurchased: Federal funds purchased in domestic offices ........... 545,681 Securities sold under agreements to repurchase ........ 695,658 Trading liabilities ........................................ 2,338,897 Other borrowed money: (includes mortgage indebtedness and obligations under capitalized leases) ............................................... 11,078,363 Bank's liability on acceptances executed and outstanding ............................ 145,615 Subordinated notes and debentures .......................... 2,408,665 Other liabilities .......................................... 6,441,088 -------------- Total liabilities .......................................... $ 80,397,617 ============== Minority interest in consolidated subsidiaries ............. 640,126 EQUITY CAPITAL Common stock ................................................................ 1,135,284 Surplus ..................................................................... 2,077,255 Retained earnings ........................................................... 4,955,319 Accumulated other comprehensive income ................................................................. 52,300 Other equity capital components ............................................. 0 -------------- Total equity capital ........................................................ 8,220,158 -------------- Total liabilities and equity capital ........................................ $ 89,257,901 ==============
I, Thomas J. Mastro, 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. Thomas J. Mastro Senior Vice President and Comptroller 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. Thomas A. Renyi ) Gerald L. Hassell ) Directors Alan R. Griffith )