EX-25.1 105 dex251.htm FORM T-1 STATEMENT OF ELIGIBILITY Form T-1 Statement of Eligibility

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)

31-0841368

I.R.S. Employer Identification No.

 

800 Nicollet Mall

Minneapolis, Minnesota

  55402
(Address of principal executive offices)   (Zip Code)

Raymond S. Haverstock

U.S. Bank National Association

60 Livingston Avenue

St. Paul, MN 55107

(651) 495-3909

(Name, address and telephone number of agent for service)

Apria Healthcare Group Inc.

(Issuer with respect to the Securities)

See table of additional Registrants

 

Delaware   33-0488566
(State or other jurisdiction of incorporation or organization)   (I.R.S. Employer Identification No.)

 

26220 Enterprise Court

Lake Forest, CA

  92630
(Address of Principal Executive Offices)   (Zip Code)

11.25% Senior Secured Notes due 2014 (Series A-1)

12.375% Senior Secured Notes due 2014 (Series A-2)

(Title of the Indenture Securities)

 

 

 


Table of Additional Registrant Guarantors

 

Exact Name of Registrant
Guarantor as Specified in its Charter

  

State or
    Other Jurisdiction    
of Incorporation or
Organization

  

I.R.S. Employer
    Identification Number    

  

Address, Including Zip Code
and Telephone Number,
Including Area Code, of
Registrant Guarantor’s
Principal Executive Offices

Apria Healthcare of New York State, Inc

  

New York

  

16-1031905

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

Apria Healthcare, Inc.

  

Delaware

  

33-0057155

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

ApriaCare Management Systems, Inc

  

Delaware

  

33-0675340

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

ApriaDirect.Com, Inc.

  

Delaware

  

27-2820256

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

Coram Alternate Site Services, Inc

  

Delaware

  

76-0215922

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Clinical Trials, Inc

  

Delaware

  

58-2160656

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Alabama

  

Delaware

  

58-1813484

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Florida

  

Delaware

  

58-1949695

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Greater D.C.

  

Delaware

  

58-2035129

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Greater New York

  

New York

  

58-1844719

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Indiana

  

Delaware

  

58-1813491

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Massachusetts

  

Delaware

  

33-0532814

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Mississippi

  

Delaware

  

58-1813479

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Nevada

  

Delaware

  

58-1972771

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of New York

  

New York

  

33-0458457

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of North Texas

  

Delaware

  

33-0556959

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Northern California

  

Delaware

  

58-1972773

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

 

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Exact Name of Registrant
Guarantor as Specified in its Charter

  

State or
    Other Jurisdiction    
of Incorporation or
Organization

  

I.R.S. Employer
    Identification Number    

  

Address, Including Zip Code
and Telephone Number,
Including Area Code, of
Registrant Guarantor’s
Principal Executive Offices

Coram Healthcare Corporation of South Carolina

  

Delaware

  

58-1813494

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Southern California

  

Delaware

  

58-2006708

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Southern Florida

  

Delaware

  

58-1949686

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare Corporation of Utah

  

Delaware

  

95-4446209

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Healthcare of Wyoming, L.L.C

  

Delaware

  

84-1463833

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Homecare of Minnesota, Inc

  

Delaware

  

58-1874630

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Service Corporation

  

Delaware

  

58-1910054

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram Specialty Infusion Services, Inc.

  

Delaware

  

58-1813486

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

Coram, Inc

  

Delaware

  

84-1300129

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

CoramRx, LLC

  

Delaware

  

25-1923172

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

H.M.S.S., Inc

  

Delaware

  

76-0005650

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

T2 Medical, Inc.

  

Delaware

  

59-2405366

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

HealthInfusion, Inc

  

Florida

  

65-0163627

  

555 17th Street, Suite 1500

Denver, CO 80202

(303) 292-4973

AHNY-DME LLC

  

New York

  

27-2955068

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

AHNY-IV LLC

  

New York

  

27-2954951

  

26220 Enterprise Court

Lake Forest, CA 92630

(949) 639-2000

 

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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 March 31, 2010 published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7.

* Incorporated by reference to Exhibit 25.1 to Amendment No. 2 to registration statement on S-4, Registration Number 333-128217 filed on November 15, 2005.

** Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-159463 filed on August 24, 2009.

 

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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 1st of July, 2010.

 

By:

 

/s/ Raymond S. Haverstock

 

Raymond S. Haverstock

Vice President

 

By:

 

/s/ Joshua Hahn

  Joshua Hahn
  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: July 1st, 2010

 

By:

 

/s/ Raymond S. Haverstock

 

Raymond S. Haverstock

Vice President

 

By:

 

/s/ Joshua Hahn

 

Joshua Hahn

Assistant Vice President

 

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Exhibit 7

U.S. Bank National Association

Statement of Financial Condition

Exhibit 7

As of 3/31/2010

($000’s)

 

     3/31/2010

Assets

  

Cash and Balances Due From

   $ 8,396,049

Depository Institutions

  

Securities

     45,269,095

Federal Funds

     3,774,651

Loans & Lease Financing Receivables

     180,918,939

Fixed Assets

     5,108,242

Intangible Assets

     13,355,160

Other Assets

     20,687,148
      

Total Assets

   $ 277,509,284

Liabilities

  

Deposits

   $ 194,167,405

Fed Funds

     9,849,249

Treasury Demand Notes

     0

Trading Liabilities

     362,519

Other Borrowed Money

     31,906,386

Acceptances

     0

Subordinated Notes and Debentures

     7,629,967

Other Liabilities

     6,648,045
      

Total Liabilities

   $ 250,563,571

Equity

  

Minority Interest in Subsidiaries

   $ 1,611,596

Common and Preferred Stock

     18,200

Surplus

     12,642,020

Undivided Profits

     12,673,897
      

Total Equity Capital

   $ 26,945,713

Total Liabilities and Equity Capital

   $ 277,509,284

 

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/ Raymond S. Haverstock

 

Vice President

Date: July 1st, 2010

 

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