EX-25 118 c70535exv25.txt FORM T-1 STATEMENT OF ELIGIBILITY-U.S. BANK N.A. EXHIBIT 25 ================================================================================ 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) 31-0841368 I.R.S. Employer Identification No. ---------------------------------------- ---------------- 601 Second Avenue South 55402 Minneapolis, MN ---------------------------------------- ---------------- (Address of principal executive offices) (Zip Code) ---------------------------------------- ---------------- Steve Peterson U.S. Bank National Association 1555 N. RiverCenter Drive Milwaukee, WI 53212 (414) 905-5010 (Name, address and telephone number of agent for service) EXTENDICARE HEALTH SERVICES, INC. (Exact name of obligor as specified in its charter) ---------------------------------------- ------------------------------------ Delaware 98-0066268 ---------------------------------------- ------------------------------------ ---------------------------------------- ------------------------------------ (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) ---------------------------------------- ------------------------------------ ---------------------------------------- ------------------------------------ 111 West Michigan Street 53203 Milwaukee, WI ---------------------------------------- ------------------------------------ (Address of Principal Executive Offices) (Zip Code) ---------------------------------------- ------------------------------------ 9 1/2% SENIOR NOTES DUE 2010 (Title of the indenture securities) ============================================================================== 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 now in effect.* 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 now in effect.* 5. 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 March 31, 2002, published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7. 8. Not applicable. 9. Not applicable. * Incorporated by reference to Registration Number 333-67188. 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 to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Milwaukee, State of Wisconsin on the 25th day of July, 2002. U.S. BANK NATIONAL ASSOCIATION By: /s/ Steven J. Peterson ---------------------------------- Steven J. Peterson Trust Officer By: /s/ Peter M. Brennan -------------------- Peter M. Brennan Assistant Vice President 3 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: July 25, 2002 U.S. BANK NATIONAL ASSOCIATION By: /s/ Steven J. Peterson ----------------------------------- Steven J. Peterson Trust Officer By: /s/ Peter M. Brennan --- ---------------------------- Peter M. Brennan Assistant Vice President 4 EXHIBIT 7 U.S. BANK NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF 3/31/2002 ($000'S)
3/31/2002 ------------ ASSETS Cash and Due From Depository Institutions $6,610,097 Federal Reserve Stock 0 Securities 24,432,814 Federal Funds 1,509,430 Loans & Lease Financing Receivables 112,081,360 Fixed Assets 1,414,464 Intangible Assets 8,269,267 Other Assets 6,637,699 ------------ TOTAL ASSETS $160,955,131 LIABILITIES Deposits $107,406,480 Fed Funds 6,981,749 Treasury Demand Notes 0 Trading Liabilities 120,375 Other Borrowed Money 18,019,329 Acceptances 185,399 Subordinated Notes and Debentures 5,104,491 Other Liabilities 3,878,626 ------------ TOTAL LIABILITIES $141,696,449 EQUITY Minority Interest in Subsidiaries $985,901 Common and Preferred Stock 18,200 Surplus 11,278,504 Undivided Profits 6,976,077 ------------ TOTAL EQUITY CAPITAL $19,258,682 TOTAL LIABILITIES AND EQUITY CAPITAL $160,955,131
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/ Steven J. Peterson -------------------------- Trust Officer Date: July 25, 2002 5