S-4: Registration of securities issued in business combination transactions

Published on March 4, 2011


Exhibit 25
 
FORM T-1
 
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

 
Statement of Eligibility Under
The Trust Indenture Act of 1939 of a Corporation
Designated to Act as Trustee
 

 
U.S. BANK NATIONAL ASSOCIATION
(Exact name of trustee as specified in its charter)
 
31-0841368
(I.R.S. Employer Identification No.)
 
800 Nicollett Mall
Minneapolis, MN
 
 
55402
 
(Address of principal executive offices)
 
(Zip code)
 
 
U.S. Bank National Association
Attn: Paul Henderson
1349 W. Peachtree St., NW, Suite 1050
Atlanta, GA  30309
Telephone 404-965-7218
(Name, address and telephone number of agent for service)
 
Omega Healthcare Investors, Inc.
And the Subsidiary Guarantors Listed in Schedule A
(Exact name of obligor as specified in its charter)
 
Maryland
(State or other jurisdiction of
incorporation or organization)
38-3041398
(I.R.S. Employer Identification No.)
   
200 International Circle, Suite 3500
Hunt Valley, Maryland
(Address of principal executive offices)
21030
(Zip code)
 
 
6¾% Senior Notes due 2022
(Title of the indenture securities)
 
 
 

 
Schedule A
Subsidiary Guarantors
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
 
Arizona Lessor - Infinia, Inc.
Maryland
32-0008074
 
Baldwin Health Center, Inc.
Pennsylvania
25-1495708
 
Bayside Alabama Healthcare Second, Inc.
Alabama
38-3517839
 
Bayside Arizona Healthcare Associates, Inc.
Arizona
38-3518309
 
Bayside Arizona Healthcare Second, Inc.
Arizona
38-3520329
 
Bayside Colorado Healthcare Associates, Inc.
Colorado
38-3517837
 
Bayside Colorado Healthcare Second, Inc.
Colorado
38-3520325
 
Bayside Indiana Healthcare Associates, Inc.
Indiana
38-3517842
 
Bayside Street II, Inc.
Delaware
38-3519969
 
Bayside Street, Inc.
Maryland
38-3160026
 
Canton Health Care Land, Inc.
Ohio
20-1914579
 
Carnegie Gardens LLC
Delaware
20-2442381
 
Center Healthcare Associates, Inc.
Texas
38-3517844
 
Cherry Street – Skilled Nursing, Inc.
Texas
38-3592148
 
Colonial Gardens, LLC
Ohio
26-0110549
 
Colorado Lessor - Conifer, Inc.
Maryland
32-0008069
 
Copley Health Center, Inc.
Ohio
34-1473010
 
CSE Albany LLC
Delaware
20-5885886
 
CSE Amarillo LLC
Delaware
20-5862752
 
CSE Anchorage LLC
Delaware
26-1866499
 
CSE Arden L.P.
Delaware
20-5888680
 
CSE Augusta LLC
Delaware
20-5885921
 
CSE Bedford LLC
Delaware
20-5886082
 
CSE Blountville LLC
Delaware
20-8295288
 
CSE Bolivar LLC
Delaware
20-8295024
 
CSE Cambridge LLC
Delaware
20-5886976
 
CSE Cambridge Realty LLC
Delaware
20-5959318
 
CSE Camden LLC
Delaware
20-8295066
 
CSE Canton LLC
Delaware
20-5887312
 
CSE Casablanca Holdings II LLC
Delaware
26-0595183
 
CSE Casablanca Holdings LLC
Delaware
20-8724466
 
CSE Cedar Rapids LLC
Delaware
20-5884941
 
CSE Centennial Village
Delaware
20-6974959
 
CSE Chelmsford LLC
Delaware
20-5920451
 
CSE Chesterton LLC
Delaware
20-5885195
 
CSE Claremont LLC
Delaware
20-5883891
 
CSE Corpus North LLC
Delaware
20-5186415
 
CSE Crane LLC
Delaware
20-8684704
 
CSE Denver Iliff LLC
Delaware
20-8037772
 
CSE Denver LLC
Delaware
20-5884311
 
CSE Douglas LLC
Delaware
20-5883761
 
CSE Dumas LLC
Delaware
20-5883692
 
CSE Elkton LLC
Delaware
20-5887006
 
 
 

 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
 
CSE Elkton Realty LLC
Delaware
20-5959253
 
CSE Fairhaven LLC
Delaware
20-8281491
 
CSE Fort Wayne LLC
Delaware
20-5885125
 
CSE Frankston LLC
Delaware
20-5862947
 
CSE Georgetown LLC
Delaware
20-5886126
 
CSE Green Bay LLC
Delaware
20-5888029
 
CSE Hilliard LLC
Delaware
20-5887347
 
CSE Huntingdon LLC
Delaware
20-8295191
 
CSE Huntsville LLC
Delaware
20-5887764
 
CSE Indianapolis-Continental LLC
Delaware
20-5885046
 
CSE Indianapolis-Greenbriar LLC
Delaware
20-5885096
 
CSE Jacinto City LLC
Delaware
20-5186519
 
CSE Jefferson City LLC
Delaware
20-8295101
 
CSE Jeffersonville-Hillcrest Center LLC
Delaware
20-5885261
 
CSE Jeffersonville-Jennings House LLC
Delaware
20-5885346
 
CSE Kerrville LLC
Delaware
20-8684872
 
CSE King L.P.
Delaware
20-5888725
 
CSE Kingsport LLC
Delaware
20-5887736
 
CSE Knightdale L.P.
Delaware
20-5888653
 
CSE Lake City LLC
Delaware
20-5863259
 
CSE Lake Worth LLC
Delaware
20-5863173
 
CSE Lakewood LLC
Delaware
20-5884352
 
CSE Las Vegas LLC
Delaware
20-5887216
 
CSE Lawrenceburg LLC
Delaware
20-5887802
 
CSE Lenoir L.P.
Delaware
20-5888528
 
CSE Lexington Park LLC
Delaware
20-5886951
 
CSE Lexington Park Realty LLC
Delaware
20-5959280
 
CSE Ligonier LLC
Delaware
20-5885484
 
CSE Live Oak LLC
Delaware
20-5863086
 
CSE Logansport LLC
Delaware
20-5885583
 
CSE Lowell LLC
Delaware
20-5885381
 
CSE Marianna Holdings LLC
Delaware
20-1411422
 
CSE Memphis LLC
Delaware
20-8295130
 
CSE Mobile LLC
Delaware
20-5883572
 
CSE Moore LLC
Delaware
20-5887574
 
CSE North Carolina Holdings I LLC
Delaware
20-5888397
 
CSE North Carolina Holdings II LLC
Delaware
20-5888430
 
CSE Omro LLC
Delaware
20-5887998
 
CSE Orange Park LLC
Delaware
20-5863371
 
CSE Orlando-Pinar Terrace Manor LLC
Delaware
20-5863043
 
CSE Orlando-Terra Vista Rehab LLC
Delaware
20-5863223
 
CSE Pennsylvania Holdings
Delaware
20-6974946
 
CSE Piggott LLC
Delaware
20-5883659
 
CSE Pilot Point LLC
Delaware
20-5862827
 
CSE Ponca City LLC
Delaware
20-5887495
 
CSE Port St. Lucie LLC
Delaware
20-5863294
 
CSE Richmond LLC
Delaware
20-5885427
 
CSE Ripley LLC
Delaware
20-8295238
 
CSE Ripon LLC
Delaware
26-0480886
 
 
 

 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
 
I.R.S. Employer
Identification No.
 
CSE Safford LLC
Delaware
20-5883807
 
CSE Salina LLC
Delaware
20-5885669
 
CSE Seminole LLC
Delaware
20-5887615
 
CSE Shawnee LLC
Delaware
20-5887524
 
CSE Spring Branch LLC
Delaware
20-5186484
 
CSE Stillwater LLC
Delaware
20-5887548
 
CSE Taylorsville LLC
Delaware
20-5886196
 
CSE Texarkana LLC
Delaware
20-5862880
 
CSE Texas City LLC
Delaware
20-5862791
 
CSE The Village LLC
Delaware
20-5186550
 
CSE Upland LLC
Delaware
20-5891148
 
CSE Walnut Cove L.P.
Delaware
20-5888502
 
CSE West Point LLC
Delaware
20-5887119
 
CSE Whitehouse LLC
Delaware
20-8294979
 
CSE Williamsport LLC
Delaware
26-0480953
 
CSE Winter Haven LLC
Delaware
20-5863327
 
CSE Woodfin L.P.
Delaware
20-5888619
 
CSE Yorktown LLC
Delaware
20-5885163
 
Dallas – Skilled Nursing, Inc.
Texas
38-3592151
 
Delta Investors I, LLC
Maryland
54-2112455
 
Delta Investors II, LLC
Maryland
54-2112456
 
Desert Lane LLC
Delaware
20-3098022
 
Dixon Health Care Center, Inc.
Ohio
34-1509772
 
Florida Lessor – Crystal Springs, Inc.
Maryland
75-3116533
 
Florida Lessor – Emerald, Inc.
Maryland
22-3872569
 
Florida Lessor – Lakeland, Inc.
Maryland
22-3872564
 
Florida Lessor – Meadowview, Inc.
Maryland
56-2398721
 
Florida Real Estate Company, LLC
Florida
20-1458431
 
Georgia Lessor - Bonterra/Parkview, Inc.
Maryland
16-1650494
 
Greenbough, LLC
Delaware
27-0258266
 
Hanover House, Inc.
Ohio
34-1125264
 
Heritage Texarkana Healthcare Associates, Inc.
Texas
38-3517861
 
House of Hanover, Ltd
Ohio
34-6691713
 
Hutton I Land, Inc.
Ohio
20-1914403
 
Hutton II Land, Inc.
Ohio
20-1914470
 
Hutton III Land, Inc.
Ohio
20-1914529
 
Indiana Lessor – Jeffersonville, Inc.
Maryland
22-3872575
 
Indiana Lessor – Wellington Manor, Inc.
Maryland
32-0008064
 
Jefferson Clark, Inc.
Maryland
38-3433390
 
LAD I Real Estate Company, LLC
Delaware
20-1454154
 
Lake Park – Skilled Nursing, Inc.
Texas
38-3592152
 
Leatherman 90-1, Inc.
Ohio
20-1914625
 
Leatherman Partnership 89-1, Inc.
Ohio
34-1656489
 
Leatherman Partnership 89-2, Inc.
Ohio
34-1656491
 
Long Term Care – Michigan, Inc.
Michigan
04-3833330
 
Long Term Care – North Carolina, Inc.
North Carolina
04-3833335
 
Long Term Care Associates – Illinois, Inc.
Illinois
38-3592159
 
Long Term Care Associates – Indiana, Inc.
Indiana
38-3592160
 
Long Term Care Associates – Texas, Inc.
Texas
38-3592142
 
 
 

 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
 
Meridian Arms Land, Inc.
Ohio
20-1914864
 
North Las Vegas LLC
Delaware
20-3098036
 
NRS Ventures, L.L.C.
Delaware
38-4236118
 
OHI (Connecticut), Inc.
Connecticut
06-1552120
 
OHI (Florida), Inc.
Florida
65-0523484
 
OHI (Illinois), Inc.
Illinois
37-1332375
 
OHI (Indiana), Inc.
Indiana
38-3568359
 
OHI (Iowa), Inc.
Iowa
38-3377918
 
OHI (Kansas), Inc.
Kansas
48-1156047
 
OHI Asset (CA), LLC
Delaware
04-3759925
 
OHI Asset (CO), LLC
Delaware
84-1706510
 
OHI Asset (CT) Lender, LLC
Delaware
75-3205111
 
OHI Asset (FL), LLC
Delaware
13-4225158
 
OHI Asset (FL) Lender, LLC
Delaware
27-4450390
 
OHI Asset (ID), LLC
Delaware
04-3759931
 
OHI Asset (IL), LLC
Delaware
14-1951802
 
OHI Asset (IN), LLC
Delaware
04-3759933
 
OHI Asset (LA), LLC
Delaware
04-3759935
 
OHI Asset (MI/NC), LLC
Delaware
04-3759928
 
OHI Asset (MI), LLC
Delaware
27-3378345
 
OHI Asset (MO), LLC
Delaware
04-3759939
 
OHI Asset (OH) Lender, LLC
Delaware
51-0529744
 
OHI Asset (OH) New Philadelphia, LLC
Delaware
51-0529741
 
OHI Asset (OH), LLC
Delaware
04-3759938
 
OHI Asset (PA) Trust
Maryland
54-6643405
 
OHI Asset (PA), LLC
Delaware
90-0137715
 
OHI Asset (SMS) Lender, Inc.
Maryland
33-1067711
 
OHI Asset (TX), LLC
Delaware
04-3759927
 
OHI Asset CSB LLC
Delaware
27-2820083
 
OHI Asset CSE – E, LLC
Delaware
27-1675861
 
OHI Asset CSE – U, LLC
Delaware
27-1675768
 
OHI Asset Essex (OH), LLC
Delaware
83-0379722
 
OHI Asset II (CA), LLC
Delaware
20-1000879
 
OHI Asset II (FL), LLC
Delaware
27-1813906
 
OHI Asset II (PA) Trust
Maryland
84-6390330
 
OHI Asset III (PA) Trust
Maryland
84-6390331
 
OHI Asset IV (PA) Silver Lake Trust
Maryland
80-6146794
 
OHI Asset, LLC
Delaware
32-0079270
 
OHI of Texas, Inc.
Maryland
38-3506136
 
OHI Sunshine, Inc.
Florida
82-0558471
 
OHI Tennessee, Inc.
Maryland
38-3509157
 
OHIMA, Inc.
Massachusetts
06-1552118
 
Omega (Kansas), Inc.
Kansas
32-0142534
 
Omega TRS I, Inc.
Maryland
38-3587540
 
Orange Village Care Center, Inc.
Ohio
34-1321728
 
OS Leasing Company
Kentucky
38-3221641
 
Panama City Nursing Center LLC
Delaware
20-2568041
 
Parkview – Skilled Nursing, Inc.
Texas
38-3592157
 
Pavillion North Partners, Inc.
Pennsylvania
20-2597892
 
 
 

 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
 
I.R.S. Employer
Identification No.
 
Pavillion North, LLP
Pennsylvania
75-3202956
 
Pavillion Nursing Center North, Inc.
Pennsylvania
25-1222652
 
Pine Texarkana Healthcare Associates, Inc.
Texas
38-3517864
 
Reunion Texarkana Healthcare Associates, Inc.
Texas
38-3517865
 
San Augustine Healthcare Associates, Inc.
Texas
38-3517866
 
Skilled Nursing – Gaston, Inc.
Indiana
38-3592171
 
Skilled Nursing – Herrin, Inc.
Illinois
38-3592162
 
Skilled Nursing – Hicksville, Inc.
Ohio
38-3592172
 
Skilled Nursing – Paris, Inc.
Illinois
38-3592165
 
Skyler Maitland LLC
Delaware
20-3888672
 
South Athens Healthcare Associates, Inc.
Texas
38-3517880
 
St. Mary’s Properties, Inc.
Ohio
20-1914905
 
Sterling Acquisition Corp.
Kentucky
38-3207992
 
Sterling Acquisition Corp. II
Kentucky
38-3207991
 
Suwanee, LLC
Delaware
20-5223977
 
Texas Lessor – Stonegate GP, Inc.
Maryland
32-0008071
 
Texas Lessor – Stonegate, Limited, Inc.
Maryland
32-0008072
 
Texas Lessor – Stonegate, LP
Maryland
32-0008073
 
Texas Lessor – Treemont, Inc.
Maryland
16-1650495
 
The Suburban Pavilion, Inc.
Ohio
34-1035431
 
Washington Lessor – Silverdale, Inc.
Maryland
56-2386887
 
Waxahachie Healthcare Associates, Inc.
Texas
38-3517884
 
West Athens Healthcare Associates, Inc.
Texas
38-3517886
 
Wilcare, LLC
Ohio
26-0110550
 
(1) Address, including zip code, and telephone number, including area code, of the principal executive offices of each subsidiary guarantor listed in Schedule A is c/o Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, Maryland, 21030 and the telephone number is (410) 427-1700.
 
 
 

 
 
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. 20521
 
(b)           Whether it is authorized to exercise corporate trust powers.
 
Yes.
 
Item 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.
 
No such affiliation exists with the Trustee, U.S. Bank National Association.
 
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.
 
 
Exhibit 1.
Articles of Association of U.S. Bank National Association.(1)
 
 
Exhibit 2.
Certificate of Authority of U.S. Bank National Association to Commence Business.(1)
 
 
Exhibit 3.
Authorization of the trustee to exercise corporate trust powers.(1)
 
 
Exhibit 4.
Bylaws of U.S. Bank National Association.(1)
 
 
Exhibit 5.
Not Applicable.
 
 
Exhibit 6.
Consents of U.S. Bank National Association required by Section 321(b) of the Act.(2)
 
 
Exhibit 7.
Latest Report of Condition of U.S. Bank National Association.(2)
 

 
(1)
Incorporated by reference to the exhibit of the same number to the Form T-1 filed with registration statement number 333-67188.
 
 
(2)
Attached.
 
 
 

 
 
SIGNATURE
 
Pursuant to the requirements of the Trust Indenture Act of 1939, the trustee, U.S. Bank National Association, a national banking association organized under the laws of the United States, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Atlanta, State of Georgia, on the 4th day of March, 2011.
 
  U.S. BANK NATIONAL ASSOCIATION 
         
    By            /S/ Paul Henderson  
                Paul Henderson 
                Assistant Vice President 
 
 
 

 
 
Exhibit 6
 
CONSENT OF THE TRUSTEE
 
Pursuant to the requirements of Section 321(b) of the Trust Indenture Act of 1939 in connection with the proposed issuance by Omega Healthcare Investors, Inc., we hereby consent that reports of examinations by federal, state, territorial and district authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.
 
  U.S. BANK NATIONAL ASSOCIATION 
         
    By       /S/ Paul Henderson  
           Paul Henderson 
           Assistant Vice President 
 
Dated:  March 4, 2011
 
 
 

 
 
Exhibit 7
U.S. Bank National Association
Statement of Financial Condition
As of 9/30/2010
 
($000’s)
 
   
9/30/2010
 
Assets
     
Cash and Balances Due From Depository Institutions
  $ 4,468,855  
Securities
    47,348,124  
Federal Funds
    4,391,378  
Loans & Lease Financing Receivables
    189,026,648  
Fixed Assets
    5,734,308  
Intangible Assets
    12,792,037  
Other Assets
    22,001,025  
Total Assets
  $ 285,762,375  
         
Liabilities
       
Deposits
  $ 196,374,224  
Fed Funds
    10,707,062  
Treasury Demand Notes
    0  
Trading Liabilities
    476,735  
Other Borrowed Money
    33,801,510  
Acceptances
    0  
Subordinated Notes and Debentures
    7,760,721  
Other Liabilities
    7,649,489  
Total Liabilities
  $ 256,769,741  
         
Equity
       
Minority Interest in Subsidiaries
  $ 1,725,386  
Common and Preferred Stock
    18,200  
Surplus
    12,636,872  
Undivided Profits
    14,612,176  
Total Equity Capital
  $ 28,992,634  
         
Total Liabilities and Equity Capital
  $ 285,762,375