EX-25.1 139 d516951dex251.htm EX-25.1 EX-25.1

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)

 

 

31-0841368

I.R.S. Employer Identification No.

 

800 Nicollet Mall

Minneapolis, Minnesota

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

Wally Jones

U.S. Bank National Association

333 Commerce Street, Suite 800

Nashville, TN 37201

(615) 251-0733

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

 

 

AmSurg Corp.

(Issuer with respect to the Securities)

 

 

 

Tennessee   62-1493316

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

 

20 Burton Hills Boulevard

Nashville, Tennessee

  37215
(Address of Principal Executive Offices)   (Zip Code)

 

 

5.625% Senior Notes due 2020

(Title of the Indenture Securities)

 

 

 


TABLE OF ADDITIONAL OBLIGORS

 

Exact Name of Registrant

as

Specified

in its Charter (or Other

Organizational Document)

  

State or

Other

Jurisdiction

of

Incorporation or
Organization

  

I.R.S. Employer

Identification

Number

  

Address, Including Zip

Code, of

Registrant’s Principal

Executive

Offices

  

Telephone
Number,

Including Area

Code, of

Registrant’s

Principal
Executive

Offices

AmSurg Holdings, Inc.    Tennessee    62-1595888   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Anesthesia Management Services, LLC    Tennessee    27-1174941   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC Topeka, Inc.    Tennessee    62-1512093   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC St. Thomas, Inc.    Tennessee    62-1511996   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC Beaumont, Inc.    Tennessee    62-1524208   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg KEC, Inc.    Tennessee    62-1510489   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC Santa Fe, Inc.    Tennessee    62-1523398   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC Washington, Inc.    Tennessee    62-1506354   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Torrance, Inc.    Tennessee    62-1545685   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Abilene, Inc.    Tennessee    62-1555413   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Suncoast, Inc.    Tennessee    62-1555677   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Lorain, Inc.    Tennessee    62-1595307   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg La Jolla, Inc.    Tennessee    62-1625304   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Hillmont, Inc.    Tennessee    62-1632685   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Palmetto, Inc.    Tennessee    62-1647404   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Northwest Florida, Inc.    Tennessee    62-1519549   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Ocala, Inc.    Tennessee    62-1650493   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Maryville, Inc.    Tennessee    62-1586143   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Miami, Inc.    Tennessee    62-1598504   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Burbank, Inc.    Tennessee    62-1619548   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Melbourne, Inc.    Tennessee    62-1625312   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg El Paso, Inc.    Tennessee    62-1711537   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Crystal River, Inc.    Tennessee    62-1666189   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Abilene Eye, Inc.    Tennessee    62-1692556   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Inglewood, Inc.    Tennessee    62-1814134   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733

 

2


AmSurg Glendale, Inc.    Tennessee    62-1807967   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg San Antonio TX, Inc.    Tennessee    20-0075736   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg San Luis Obispo CA, Inc.    Tennessee    20-1965555   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Temecula CA, Inc.    Tennessee    20-0095263   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Escondido CA, Inc.    Tennessee    20-1626979   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Scranton PA, Inc.    Tennessee    20-2853308   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Arcadia CA Inc.    Tennessee    20-4483684   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Main Line PA, Inc.    Tennessee    20-5408469   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Oakland CA, Inc.    Tennessee    20-5645841   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Lancaster PA, Inc.    Tennessee    20-5988960   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Pottsville PA, Inc.    Tennessee    26-0303835   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Glendora CA, Inc.    Tennessee    20-5732564   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Kissimmee FL, Inc.    Tennessee    62-1567628   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Altamonte Springs FL, Inc.    Tennessee    26-0289067   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg New Port Richey FL, Inc.    Tennessee    62-1612176   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg EC Centennial, Inc.    Tennessee    62-1511980   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Naples, Inc.    Tennessee    62-1659906   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Illinois NSC, Inc.    Tennessee    20-2393903   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
NSC Healthcare, Inc.    Tennessee    84-1209756   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
NSC RBO West, LLC    Tennessee    26-3816052   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
NSC RBO East, LLC    Tennessee    27-3205481   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Long Beach NSC, LLC    Tennessee    20-1048768   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Torrance NSC, LLC    Tennessee    20-1048801   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Davis NSC, LLC    Tennessee    20-5451784   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Fullerton NSC, LLC    Tennessee    20-3435683   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
San Antonio NSC, LLC    Tennessee    20-0322582   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Austin NSC, LLC    Tennessee    20-4942934   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Twin Falls NSC, LLC    Tennessee    20-8086602   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Ardmore NSC, LLC    Tennessee    26-1651465   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733

 

3


Kenwood NSC, LLC    Tennessee    26-3055899   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Towson NSC, LLC    Tennessee    20-0314129   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Wilton NSC, LLC    Connecticut    26-1653853   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
NSC West Palm, LLC    Tennessee    76-0740666   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Tampa Bay NSC, LLC    Tennessee    20-3447384   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Coral Springs NSC, LLC    Tennessee    26-1649639   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Weston NSC, LLC    Tennessee    26-3435641   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Fresno CA, Inc.    Tennessee    46-1290033   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
Austin NSC, L.P.    Texas    20-4943017   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Colton CA, Inc.    Tennessee    46-1462856   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733
AmSurg Rockledge FL Anesthesia, LLC    Tennessee    46-1848471   

20 Burton Hills Boulevard

Nashville, TN 37215

   615-251-0733

 

4


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, attached as Exhibit 2.

 

  3. A copy of the certificate of authority of the Trustee to exercise corporate trust powers, attached as Exhibit 3.

 

  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 December 31, 2012 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 333-166527 filed on May 5, 2010.


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 Nashville, State of Tennessee on the 22nd of April, 2013.

 

By:  

/s/ Wally Jones

  Wally Jones
  Vice President

 

2


Exhibit 2

 

LOGO

 

 

Comptroller of the Currency

Administrator of National Banks

 

Washington, DC 20219

CERTIFICATE OF CORPORATE EXISTENCE

I, Thomas J. Curry, Comptroller of the Currency, do hereby certify that:

1. The Comptroller of the Currency, pursuant to Revised Statutes 324, et seq, as amended, and 12 USC 1, et seq, as amended, has possession, custody, and control of all records pertaining to the chartering, regulation, and supervision of all national banking associations.

2. “U.S. Bank National Association,” Cincinnati, Ohio (Charter No. 24), is a national banking association formed under the laws of the United States and is authorized thereunder to transact the business of banking on the date of this certificate.

 

LOGO       IN TESTIMONY WHEREOF, today, November 28, 2012, I have hereunto subscribed my name and caused my seal of office to be affixed to these presents at the U.S. Department of the Treasury, in the City of Washington, District of Columbia.
     

 

LOGO

     

 

     

 

Comptroller of the Currency

 

3


Exhibit 3

 

LOGO

 

 

Comptroller of the Currency

Administrator of National Banks

 

Washington, DC 20219

CERTIFICATE OF CORPORATE EXISTENCE AND FIDUCIARY POWERS

I, John Walsh, Acting Comptroller of the Currency, do hereby certify that:

1. The Comptroller of the Currency, pursuant to Revised Statutes 324, et seq, as amended, and 12 USC 1, et seq, as amended, has possession, custody, and control of all records pertaining to the chartering, regulation, and supervision of all national banking associations.

2. “U.S. Bank National Association,” Cincinnati, Ohio (Charter No. 24), is a national banking association formed under the laws of the United States and is authorized thereunder to transact the business of banking and exercise fiduciary powers on the date of this certificate.

 

LOGO

      IN TESTIMONY WHEREOF, today, March 19, 2012, I have hereunto subscribed my name and caused my seal of office to be affixed to these presents at the U.S. Department of the Treasury, in the City of Washington, District of Columbia.
     

 

LOGO

     

 

     

 

Acting Comptroller of the Currency

 

4


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: April 22, 2013

 

By:  

/s/ Wally Jones

  Wally Jones
  Vice President

 

5


Exhibit 7

U.S. Bank National Association

Statement of Financial Condition

As of 12/31/2012

($000’s)

 

     12/31/2012  

Assets

  

Cash and Balances Due From Depository Institutions

   $ 8,252,302   

Securities

     74,022,528   

Federal Funds

     74,234   

Loans & Lease Financing Receivables

     219,884,343   

Fixed Assets

     5,024,268   

Intangible Assets

     12,542,566   

Other Assets

     25,288,375   
  

 

 

 

Total Assets

   $ 345,088,616   

Liabilities

  

Deposits

   $ 253,686,214   

Fed Funds

     4,291,213   

Treasury Demand Notes

     0   

Trading Liabilities

     404,237   

Other Borrowed Money

     30,911,125   

Acceptances

     0   

Subordinated Notes and Debentures

     4,736,320   

Other Liabilities

     11,473,186   
  

 

 

 

Total Liabilities

   $ 305,502,295   

Equity

  

Common and Preferred Stock

     18,200   

Surplus

     14,133,290   

Undivided Profits

     23,981,892   

Minority Interest in Subsidiaries

   $ 1,452,939   
  

 

 

 

Total Equity Capital

   $ 39,586,321   

Total Liabilities and Equity Capital

   $ 345,088,616   

 

6