EX-99.T3G 3 c89998exv99wt3g.htm STATEMENT OF ELIGIBILITY AND QUALIFICATION OF THE TRUSTEE exv99wt3g
 

Exhibit T3G



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)

Kathleen Connelly
U.S. Bank National Association
175 South Third Street
Columbus, Ohio 43035
(614) 849-3402
(Name, address and telephone number of agent for service)

Manor Care, Inc.

(Issuer with respect to the Securities)
     
Delaware   34-1687107
(State or other jurisdiction of incorporation or organization)   (I.R.S. Employer Identification No.)
 
333 North Summit Street, 16th Fl    
Toledo, Ohio   43699
(Address of Principal Executive Offices)   (Zip Code)

2.125% Convertible Senior Notes due 2023



 


 

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 September 30, 2004, 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.

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NOTE

     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 Columbus, State of Ohio on the 19th of November, 2004.
         
  U.S. BANK NATIONAL ASSOCIATION   
 
 
  By:   /s/ Kathleen Connelly    
    Kathleen Connelly   
    Vice President   
 
         
By:   /s/ Michael Dockman    
  Michael Dockman  
  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: November 19, 2004
         
  U.S. BANK NATIONAL ASSOCIATION
 
 
 
 
  By:   /s/ Kathleen Connelly    
    Kathleen Connelly   
    Vice President   
 
         
By:   /s/ Michael Dockman    
  Michael Dockman  
  Vice President   
       

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Exhibit 7

U.S. Bank National Association
Statement of Financial Condition
As of 9/30/2004

($000’s)

         
    9/30/2004
Assets
       
Cash and Due From Depository Institutions
  $ 6,973,101  
Federal Reserve Stock
    0  
Securities
    39,400,687  
Federal Funds
    2,842,037  
Loans & Lease Financing Receivables
    121,000,954  
Fixed Assets
    1,846,496  
Intangible Assets
    10,035,484  
Other Assets
    10,354,644  
 
   
 
 
Total Assets
  $ 192,453,403  
 
Liabilities
       
Deposits
  $ 122,247,349  
Fed Funds
    7,346,293  
Treasury Demand Notes
    0  
Trading Liabilities
    145,128  
Other Borrowed Money
    30,331,854  
Acceptances
    146,102  
Subordinated Notes and Debentures
    5,535,512  
Other Liabilities
    6,060,066  
 
   
 
 
Total Liabilities
  $ 171,812,304  
 
Equity
       
Minority Interest in Subsidiaries
  $ 1,013,889  
Common and Preferred Stock
    18,200  
Surplus
    11,792,288  
Undivided Profits
    7,816,722  
 
   
 
 
Total Equity Capital
  $ 19,627,210  
 
Total Liabilities and Equity Capital
  $ 192,453,403  


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/Kathleen Connelly    
  Vice President   
       

Date: November 19, 2004

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