1
EXHIBIT 25
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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM T-1
STATEMENT OF ELIGIBILITY AND QUALIFICATION 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)
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U.S. TRUST COMPANY OF TEXAS, N.A.
(Exact name of trustee as specified in its charter)
00-0000000
(State of incorporation (I.R.S. employer
if not a national bank) identification no.)
0000 Xxxx Xxxxxx, Xxxxx 0000
Xxxxxx, Xxxxx 00000
(Address of trustee's (Zip Code)
principal executive offices)
Compliance Officer
U.S. Trust Company of Texas, N.A.
0000 Xxxx Xxxxxx, Xxxxx 0000
Xxxxxx, XX 00000
(000) 000-0000
(Name, address and telephone number of agent for service)
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AdvancePCS
(formerly known as Advance Paradigm, Inc.)
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification no.)
0000 Xxxxx X'Xxxxxx Xxxx., 00000
Xxxxx 0000
Xxxxxx, XX
(Address of principal (Zip Code)
executive offices)
2
ADVP CONSOLIDATION, L. L. C.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
000 Xxxxx Xxxx, Xxxxx 000 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
XXXXXXXXX.XXX, L.P.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
000 X. Xxxxxxx Xxxx., Xxxxx 000 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
ADVP MANAGEMENT, L. P.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxx X'Xxxxxx Xxxx., Xxxxx 0000 00000
Xxxxxx, XX
(Address of principal executive offices) (Zip Code)
ADVANCEPCS, L. P.
(FORMERLY KNOWN AS ADVP OPERATIONS, L. P.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. X'Xxxxxx Xxxx., Xxxxx 0000 00000
Xxxxxx, XX
(Address of principal executive offices) (Zip Code)
3
HMN HEALTH SERVICES, INC.
(Exact name of guarantor as specified in its charter)
Ohio 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
CT Corporation System 44114
0000 X. Xxxxx Xx., Xxxxx 0000
Xxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
INNOVATIVE PHARMACEUTICAL STRATEGIES, INC.
(Exact name of guarantor as specified in its charter)
Ohio 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
CT Corporation System 44114
0000 X. Xxxxx Xx., Xxxxx 0000
Xxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
MATURE RX PLUS OF NEVADA, INC.
(Exact name of guarantor as specified in its charter)
Nevada 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxxxx Xxxxxx Xxxxxx #000 00000
Xxx Xxxxx, XX
(Address of principal executive offices) (Zip Code)
PHOENIX COMMUNICATIONS INTERNATIONAL, INC.
(Exact name of guarantor as specified in its charter)
Ohio 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
CT Corporation System 44114
0000 X. Xxxxx Xxxxxx, Xxxxx 0000
Xxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
4
FIRST FLORIDA INTERNATIONAL HOLDINGS, INC.
(Exact name of guarantor as specified in its charter)
Florida 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. X'Xxxxxx Xxxx., Xxxxx 0000 00000
Xxxxxx, XX
(Address of principal executive offices) (Zip Code)
INNOVATIVE MEDICAL RESEARCH, INC.
(Exact name of guarantor as specified in its charter)
Maryland 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxxxxx Xxxxxx Xx., Xxxxx 000 00000
Xxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
XXXXXX-XXXXXX NEUROMEDICAL INSTITUTE, INC.
(Exact name of guarantor as specified in its charter)
Florida 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. Xxxxxxxxxx Xxxxx, Xxxxx 000 00000
Xxxxxxx, XX
(Address of principal executive offices) (Zip Code)
FOUNDATION HEALTH PHARMACEUTICAL SERVICES, INC.
(Exact name of guarantor as specified in its charter)
California 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. X'Xxxxxx Xxxx., Xxxxx 0000 00000
Xxxxxx, XX
(Address of principal executive offices) (Zip Code)
5
PCS HOLDING CORPORATION
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. X'Xxxxxx Xxxx., #0000 75039-3742
Irving, TX
(Address of principal executive offices) (Zip Code)
PCS HEALTH SYSTEMS, INC.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxx Xxxx Xxxx. 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
CLINICAL PHARMACEUTICALS, INC.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxx Xxxx Xxxx. 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
PCS MAIL SERVICES, INC.
(Exact name of guarantor as specified in its charter)
Arizona 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxx Xxxx Xxxx. 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
6
PCS SERVICES, INC.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxx Xxxx Xxxx. 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
PCS MAIL SERVICES OF BIRMINGHAM, INC.
(Exact name of guarantor as specified in its charter)
Alabama 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxx Xxxxx 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
PCS MAIL SERVICES OF FT. WORTH, INC.
(Exact name of guarantor as specified in its charter)
Delaware 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxx Xxxxxxx 00000
Xx. Xxxxx, XX
(Address of principal executive offices) (Zip Code)
PCS MAIL SERVICES OF SCOTTSDALE, INC.
(Exact name of guarantor as specified in its charter)
Arizona 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 X. Xxxx Xxxx. 00000
Xxxxxxxxxx, XX
(Address of principal executive offices) (Zip Code)
7
FFI RX MANAGED CARE, INC.
(Exact name of guarantor as specified in its charter)
Florida 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxxxxxx Xxxx., Xxxxx 000 00000
Xxxxx, XX
(Address of principal executive offices) (Zip Code)
FIRST FLORIDA MANAGED CARE, INC.
(Exact name of guarantor as specified in its charter)
Florida 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxxxxxx Xxxx., Xxxxx 000 00000
Xxxxx, XX
(Address of principal executive offices) (Zip Code)
AMBULATORY CARE REVIEW SERVICES, INC.
(Exact name of guarantor as specified in its charter)
Ohio 00-0000000
(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
0000 Xxxxxxxxx Xxxx., Xxxxx 000 00000
Xxxxx, XX
(Address of principal executive offices) (Zip Code)
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Senior Subordinated Notes, Due 2010
(Title of the indenture securities)
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8
GENERAL
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.
Federal Reserve Bank of Dallas (11th District), Dallas, Texas
(Board of Governors of the Federal Reserve System) Federal
Deposit Insurance Corporation, Dallas, Texas The Office of the
Comptroller of the Currency, Dallas, Texas
(b) Whether it is authorized to exercise corporate trust powers.
The Trustee is authorized to exercise corporate trust powers.
2. Affiliations with Obligor and Underwriters
If the obligor or any underwriter for the obligor is an affiliate of
the Trustee, describe each such affiliation.
None.
3. Voting Securities of the Trustee
Furnish the following information as to each class of voting securities
of the Trustee:
As of December 12,2000
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Col A. Col B.
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Title of Class Amount Outstanding
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Capital Stock - par value $100 per share 5000 shares
4. Trusteeships Under Other Indentures
Not applicable.
5. Interlocking Directorates and Similar Relationships with the Obligor or
Underwriters
Not applicable.
6. Voting Securities of the Trustee Owned by the Obligor or its Officials
Not applicable.
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7. Voting Securities of the Trustee Owned by Underwriters or their
Officials
Not applicable.
8. Securities of the Obligor Owned or Held by the Trustee
Not applicable.
9. Securities of Underwriters Owned or Held by the Trustee
Not applicable.
10. Ownership or Holdings by the Trustee of Voting Securities of Certain
Affiliates or Security Holders of the Obligor
Not applicable.
11. Ownership or Holdings by the Trustee of any Securities of a Person
Owning 50 Percent or More of the Voting Securities of the Obligor
Not applicable.
12. Indebtedness of the Obligor to the Trustee
Not applicable.
13. Defaults by the Obligor
Not applicable.
14. Affiliations with the Underwriters
Not applicable.
15. Foreign Trustee
Not applicable.
16. List of Exhibits
T-1.1 - A copy of the Articles of Association of U.S. Trust Company
of Texas, N.A.; incorporated herein by reference to Exhibit
T-1.1 filed with Form T-1 Statement, Registration No. 22-21897.
T-1.2 - A copy of the certificate of authority of the Trustee to
commence business; incorporated herein by reference to Exhibit
T-1.2 filed with Form T-1 Statement, Registration No. 22-21897.
T-1.3 - A copy of the authorization of the Trustee to exercise
corporate trust powers; incorporated herein by reference to
Exhibit T-1.3 filed with Form T-1 Statement, Registration No.
22-21897.
T-1.4 - A copy of the By-laws of the U.S. Trust Company of Texas,
N.A., as amended to date;
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incorporated herein by reference to Exhibit T-1.4 filed with
Form T-1 Statement, Registration No., 22-21897.
T-1.5 - The consent of the Trustee required by Section 321(b) of the
Trust Indenture Act of 1939.
T-1.6 - A copy of the latest report of condition of the Trustee
published pursuant to law or the requirements of its
supervising or examining authority.
NOTE
As of December 12, 2000, the Trustee had 5,000 shares of Capital Stock
outstanding, all of which are owned by U.S. T.L.P.O. Corp. As of December 12,
2000, U.S. T.L.P.O. Corp. had 35 shares of Capital Stock outstanding, all of
which are owned by U.S. Trust Corporation.
The term "Trustee" in Items 2, 5, 6, 7, 8, 9, 10, and 11 refers to each of U.S.
Trust Company of Texas, N.A., U.S. T.L.P.O. Corp. and U.S. Trust Corporation.
In as much as this Form T-1 is filed prior to the ascertainment by the Trustee
of all the facts on which to base responsive answers to Items 2, 5, 6, 7, 9, 10
and 11 may, however, be considered correct unless amended by an amendment to
this Form T-1.
In answering any items in this Statement of Eligibility and Qualification which
relates to matters peculiarly within the knowledge of the obligors or their
directors or officers, or an underwriter for the obligors, the Trustee has
relied upon information furnished to it by the obligors and will rely on
information to be furnished by the obligors or such underwriter, and the Trustee
disclaims responsibility for the accuracy or completeness of such information.
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SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939 the Trustee,
U.S. Trust Company of Texas, N.A., a national banking association organized
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 Dallas, and State of Texas on the
12th of December 2000.
U.S. Trust Company of
Texas, N.A., Trustee
By: /s/ Xxxx X. Xxxxxxxxx
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Xxxx X. Xxxxxxxxx
Vice President
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EXHIBIT T-1.6
CONSENT OF TRUSTEE
Pursuant to the requirements of Section 321(b) of the Trust Indenture Act of
1939 as amended in connection with the proposed issue of , we hereby consent
that reports of examination by Federal, State, Territorial or District
authorities may be such authorities to the Securities and Exchange Commission
upon request therefore.
U.S. Trust Company of
Texas, N.A., Trustee
By: /s/ Xxxx X. Xxxxxxxxx
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Xxxx X. Xxxxxxxxx
Vice President
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OMB NUMBER: 7100-003
FEDERAL DEPOSIT INSURANCE CORPORATION
OMB NUMBER: 3064-005
OFFICE OF THE COMPTROLLER OF THE CURRENCY
EXPIRES MARCH 31, 2002
FEDERAL FINANCIAL INSTITUTIONS EXAMINATION COUNCIL
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[1]
PLEASE REFER TO PAGE I,
TABLE OF CONTENTS, FOR
THE REQUIRED DISCLOSURE
OF ESTIMATED BURDEN.
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CONSOLIDATED REPORTS OF CONDITION AND INCOME FOR
A BANK WITH DOMESTIC OFFICES ONLY AND TOTAL ASSETS OF
$100 MILLION OR MORE BUT LESS THAN $300 MILLION - FFIEC 033
REPORT AT THE CLOSE OF BUSINESS SEPTEMBER 30, 2000 20000930
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(RCRI 9999)
This report is required by law: 12 U.S.C. Section 324 (State This report form is to be filed by banks with domestic offices
member banks); 12 U.S.C. Section 1817 (State nonmember banks); only. Banks with foreign offices (as defined in the
and 12 U.S.C. Section 161 (National banks). instructions) must file FFIEC 031.
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NOTE: The Reports of Condition and Income must be signed The Reports of Condition and Income are to be prepared in
by an authorized officer and the Report of Condition must be Accordance with Federal regulatory authority instructions.
attested to by not less than two directors (trustees) for State
nonmember banks and three directors for State member and
national Banks.
We, the undersigned directors (trustees), attest to the
I, Xxxxxx X. Childs, Managing Director correctness of the Report of Condition (including the
------------------------------------------------------------------- supporting schedules) for this report date and declare that
Name and Title of Officer Authorized to Sign Report it has been examined by us and to the best of our knowledge
and belief has been prepared in conformance with the
Of the named bank do hereby declare that the Reports of instructions issued by the appropriate Federal regulatory
Condition and Income (including the supporting schedules) for authority and is true and correct.
this report date have been prepared in conformance with the
instructions issued y the appropriate Federal regulatory authority
and are true to the best of my knowledge. /s/ X. X. Xxxxx
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Director (Trustee)
/s/ Xxxxxx X. Childs /s/ Xxxxx X. Xxxxxx
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Signature of Officer Authorized to Sign Report Director (Trustee)
10/16/00 /s/ Xxxxxxx X. Xxxxxxx
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Date of Signature Director (Trustee)
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SUBMISSION OF REPORTS
Each bank must prepare its Reports of Condition and Income (if other than EDS) must transmit the bank's computer
either: data file to EDS.
(a) in electronic form and then file the computer data file For electronic filing assistance, contact EDS Call Report
directly with the banking agencies' collection agent, Services, 0000 X. Xxxxxxxx Xxx., Xxxxxxxxx, XX 00000,
Electronic Data Systems Corporation (EDS), by modem or telephone (000) 000-0000.
on computer diskette; or
To fulfill the signature and attestation requirement for the
(b) in hard-copy (paper) form and arrange for another party to Reports of Condition and Income for this report date, attach
convert the paper report to electronic form. That party this signature page (or a photocopy or a computer-generated
version of this page) to the hard-copy record of the
completed report that the bank places in its files.
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FDIC Certificate Number: 33217 U.S. TRUST COMPANY OF TEXAS, N.A.
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(RCRI 9050) Legal Title of Bank (TEXT 9010)
DALLAS
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City (TEXT 9130)
TX 75201
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State Abbrev. (TEXT 9200) Zip Code (TEXT 9220)
Board of Governors of the Federal Reserve System, Federal Deposit Insurance Corporation, Office of the Comptroller of the Currency
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U.S. TRUST COMPANY OF TEXAS, N.A. Call Date: 09/30/2000 State #: XXXXX 000
0000 XXXX XXXXXX, XXXXX 0000 Xxxxxx XX: D Cert #: 33217 RC-1
XXXXXX, XX 00000 Transit #: 11101765
[9]
CONSOLIDATED REPORT OF CONDITION FOR INSURED COMMERCIAL
AND STATE-CHARTERED SAVINGS BANKS FOR SEPTEMBER 30, 2000
All Schedules are to be reported in thousands of dollars. Unless otherwise
indicated, report the amount outstanding as of the last business day of the
quarter.
SCHEDULE RC - BALANCE SHEET
C200<-
Dollar Amounts In Thousands
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ASSETS
1. Cash and balances due from depository institutions (from Schedule RC-A): RCON
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a. Noninterest-bearing balances and currency and coin(1) ...................................... 0081 1,856 1.a
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b. Interest-bearing balances(2) ............................................................... 0071 1,152 1.b
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2. Securities:
a. Held-to-maturity securities (from Schedule RC-B, Column A) ................................. 1754 0 2.a
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b. Available-for-sale securities (from Schedule RC-B, column D) ............................... 1773 121,989 2.b
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3. Federal funds sold and securities purchased under agreements to resell ......................... 1350 29,300 3.
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4. Loans and lease financing receivables: RCON
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a. Loans and leases, net of unearned income (from Schedule RC-C) .......... 2122 27,084 4.a
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b. LESS: Allowance for loan and lease losses ............................. 3123 260 4.b
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c. LESS: Allocated transfer risk reserve ................................. 3128 0 4.c
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d. Loans and leases, net of unearned income, allowance, and reserve (item 4.a
minus 4.b and 4.c) ........................................................................ 2125 26,824 4.d
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5. Trading assets ................................................................................. 3545 0 5.
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6. Premises and fixed assets (including capitalized leases) ....................................... 2145 903 6.
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7. Other real estate owned (from Schedule RC-M) ................................................... 2150 0 7.
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8. Investments in unconsolidated subsidiaries and associated companies (from Schedule RC-M) ....... 2130 0 8.
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9. Customers' liability to this bank on acceptances outstanding ................................... 2155 0 9.
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10. Intangible assets (from Schedule RC-M) ......................................................... 2143 2,210 10.
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11. Other assets (from Schedule RC-F) .............................................................. 2160 3,560 11.
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12. Total assets (sum of items 1 through 11) ....................................................... 2170 187,794 12.
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(1) Includes cash items in process of collection and unposted debits.
(2) Includes time certificates of deposit not held for trading.
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U.S. TRUST COMPANY OF TEXAS, N.A. Call Date: 09/30/2000 State #: XXXXX 000
0000 XXXX XXXXXX, XXXXX 0000 Xxxxxx XX: D Cert #: 33217 RC-1
XXXXXX, XX 00000 Transit #: 11101765
[10]
SCHEDULE RC - CONTINUED
Dollar Amounts In Thousands
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LIABILITIES
13. Deposits: RCON
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a. In domestic offices (sum of totals of columns A and C From Schedule RC-E) RCON 2200 162,345 13.a
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(1) Noninterest-bearing(1) ............................................. 6631 17,928 13.a.1
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(2) Interest-bearing ................................................... 6636 144,417 13.a.2
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b. In foreign offices, Edge and Agreement subsidiaries, and IBFs
(1) Noninterest-bearing ................................................
(2) Interest-bearing ...................................................
14. Federal funds purchased and securities sold under agreements to repurchase ..................... 2800 0 14.
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15. a. Demand notes issued to the U.S. Treasury ................................................... 2840 0 15.a
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b. Trading liabilities ........................................................................ 3548 0 15.b
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16. Other borrowed money (includes mortgage indebtedness and obligations under capitalized leases):
a. With a remaining maturity of one year or less .............................................. 2332 1,000 16.a
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b. With a remaining maturity of more than one year through three years ........................ A547 1,000 16.b
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c. With a remaining maturity of more than three years ......................................... A548 0 16.c
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17. Not applicable
18. Bank's liability on acceptances executed and outstanding ....................................... 2920 0 18.
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19. Subordinated notes and debentures(2) ........................................................... 3200 0 19.
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20. Other liabilities (from Schedule RC-G) ......................................................... 2930 3,335 20.
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21. Total liabilities (sum of items 13 through 20) ................................................. 2948 167,680 21.
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22. Not applicable
EQUITY CAPITAL
23. Perpetual preferred stock and related surplus .................................................. 3838 2,000 23.
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24. Common stock ................................................................................... 3230 500 24.
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25. Surplus (exclude all surplus related to preferred stock) ....................................... 3839 8,651 25.
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26. a. Undivided profits and capital reserves ..................................................... 3632 9,441 26.a
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b. Net unrealized holding gains (losses) on available-for-sale securities ..................... 8434 (478) 26.b
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C. ACCUMULATED NET GAINS (LOSSES ON CASH FLOW XXXXXX) ......................................... 4336 0 26.c
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27. Cumulative foreign currency translation adjustments ............................................
28. Total equity capital (sum of items 23 through 27) .............................................. 3210 20,114 28.
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29. Total liabilities and equity capital (sum of items 21 and 28) .................................. 3300 187,794 29.
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MEMORANDUM
TO BE REPORTED ONLY WITH THE MARCH REPORT OF CONDITION.
1. Indicate in the at the right, the number of the statement below that best describes the NUMBER
most comprehensive level of auditing work performed for the bank by independent external ----------
auditors as of any date during 1998 ............................................................. 6724 N/A M.1
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1 = Independent audit of the bank conducted in accordance 4 = Directors' examination of the bank performed by other
with generally accepted auditing standards by a certified external auditors (may be required by state chartering
public accounting firm which submits a report on the bank authority)
2 = Independent audit of the bank's parent holding company 5 = Review of the bank's financial statements by external
conducted in accordance with generally accepted auditors
auditing standards by a certified public accounting firm
which submits a report on the consolidated holding 6 = Compilation of the bank's financial statements by external
company (but not on the bank separately) auditors
3 = Directors' examination of the bank conducted in 7 = Other audit procedures (excluding tax preparation work)
accordance with generally accepted auditing standards
by a certified public accounting firm (may be required by 8 = No external audit work
state chartering authority)
(1) Includes total demand deposits and noninterest-bearing time and savings deposits.
(2) Includes limited-life preferred stock and related surplus.
