EX-25.1 19 y13913exv25w1.txt EX-25.1: STATEMENT OF ELIGIBILITY ON FORM 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)___ ------------------------- U.S. BANK NATIONAL ASSOCIATION (Exact name of Trustee as specified in its charter) 41-1973763 I.R.S. Employer Identification No. 300 EAST DELAWARE AVENUE, 8TH FLOOR WILMINGTON, DELAWARE 19809 (Address of principal executive offices) (Zip Code) James Vellanti U.S. Bank National Association 100 Wall Street, Suite 1600 New York, NY 10005 Telephone (212) 361-2506 (Name, address and telephone number of agent for service) INSIGHT HEALTH SERVICES CORP. (Exact name of obligor as specified in its charter) DELAWARE 33-0702770 (State or other jurisdiction of (I. R. S. Employer incorporation or organization) Identification No.) 26250 ENTERPRISE COURT, SUITE 100 LAKE FOREST, CALIFORNIA 92630 (Address of principal executive offices) (Zip Code) ---------------------------- SENIOR SECURED FLOATING RATE NOTES DUE 2011 ================================================================================ 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 The Trustee is a Trustee under other Indentures under which securities issued by the obligor are outstanding. There is not and there has not been a default with respect to the securities outstanding under other such Indentures. 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, incorporated herein by reference to Exhibit 1 of Form T-1, Document 6 of Registration No. 333-84320. 2. A copy of the certificate of authority of the Trustee to commence business, incorporated herein by reference to Exhibit 2 of Form T-1, Document 6 of Registration No. 333-84320. 3. A copy of the certificate of authority of the Trustee to exercise corporate trust powers, incorporated herein by reference to Exhibit 3 of Form T-1, Document 6 of Registration No. 333-84320. 4. A copy of the existing bylaws of the Trustee, as now in effect, incorporated herein by reference to Exhibit 4 of Form T-1, Document 6 of Registration No. 333-113995. 5. Not applicable. 6. The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, incorporated herein by reference to Exhibit 6 of Form T-1, Document 6 of Registration No. 333-84320. 7. A copy of the Report of Condition of the Trustee as of June 30, 2005, published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7. 8. Not applicable. 9. Not applicable. 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 and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of New York, State of New York on the 27th day of October, 2005. U.S. BANK NATIONAL ASSOCIATION By: /s/ Cheryl L. Clarke ------------------------ Name: Cheryl L. Clarke Title: Assistant Vice President 3 EXHIBIT 7 U.S. BANK NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF JUNE 30, 2005 ($000'S)
6/30/2005 --------- ASSETS Cash and Balances Due From Depository Institutions $405,383 Fixed Assets 233 Intangible Assets 101,857 Other Assets 31,529 -------- TOTAL ASSETS $538,971 LIABILITIES Other Liabilities $ 15,921 -------- TOTAL LIABILITIES $ 15,921 EQUITY Common and Preferred Stock $ 1,000 Surplus 505,932 Undivided Profits 16,118 -------- TOTAL EQUITY CAPITAL $523,050 TOTAL LIABILITIES AND EQUITY CAPITAL $538,971
To the best of the undersigned's determination, as of this date the above financial information is true and correct. U.S. Bank National Association By: /s/ Cheryl L. Clarke ------------------------------ Name Cheryl Clarke Title Assistant Vice President Date: October 27, 2005 4