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Exhibit No. (25)

 

 

 

UNITED STATES

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)

 

 

DEUTSCHE BANK TRUST COMPANY AMERICAS

(formerly BANKERS TRUST COMPANY)

(Exact name of trustee as specified in its charter)

 

 

 

NEW YORK   13-4941247

(Jurisdiction of Incorporation or

organization if not a U.S. national bank)

 

(I.R.S. Employer

Identification no.)

 

60 WALL STREET

NEW YORK, NEW YORK

  10005
(Address of principal executive offices)   (Zip Code)

Deutsche Bank Trust Company Americas

Attention: Catherine Wang

Legal Department

60 Wall Street, 36th Floor

New York, New York 10005

(212) 250 – 7544

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

 

 

Halyard Health, Inc.

(Exact name of obligor as specified in its charter)

 

 

See Table of Additional Registrants

 

Delaware   46-4987888

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

Table of Additional Registrants

The following subsidiaries of Halyard Health, Inc. will guarantee the 6.25% Senior Notes due 2022 and are co-registrants:

 

 

Exact name of registrant

as specified in its charter

  State or other jurisdiction
of incorporation or
organization
  IRS Employer
Identification Number

Avent, Inc.

  Delaware   11-2162477

Halyard Healthcare, Inc.

  Delaware   58-2032163

Halyard North Carolina, Inc.

  North Carolina   47-1246132

Halyard Sales, LLC

  North Carolina   36-4787311

 

 

 

5405 Windward Parkway

Suite 100 South

Alpharetta, Georgia

  30004
(Address of principal executive offices)   (Zip code)

 

 

6.25% Senior Notes due 2022

(Title of the Indenture securities)

 

 

 


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.

 

Name

  

Address

Federal Reserve Bank (2nd District)    New York, NY
Federal Deposit Insurance Corporation    Washington, D.C.
New York State Banking Department    Albany, NY

 

  (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.

 

Item 3. -15. Not Applicable

 

Item 16. List of Exhibits.

 

Exhibit 1 -    Restated Organization Certificate of Bankers Trust Company dated August 6, 1998, Certificate of Amendment of the Organization Certificate of Bankers Trust Company dated September 16, 1998, Certificate of Amendment of the Organization Certificate of Bankers Trust Company dated December 16, 1998, Certificate of Amendment of the Organization Certificate of Bankers Trust Company dated September 3, 1999, and Certificate of Amendment of the Organization Certificate of Bankers Trust Company dated February 27, 2002, incorporated herein by reference to Exhibit 1 filed with Form T-1 Statement, Registration No. 333-201810.
Exhibit 2 -    Certificate of Authority to commence business, incorporated herein by reference to Exhibit 2 filed with Form T-1 Statement, Registration No. 333-201810.
Exhibit 3 -    Authorization of the Trustee to exercise corporate trust powers, incorporated herein by reference to Exhibit 3 filed with Form T-1 Statement, Registration No. 333-201810.
Exhibit 4 -    Existing By-Laws of Deutsche Bank Trust Company Americas, as amended on July 24, 2014, incorporated herein by reference to Exhibit 4 filed with Form T-1 Statement, Registration No. 333-201810.
Exhibit 5 -    Not applicable.
Exhibit 6 -    Consent of Bankers Trust Company required by Section 321(b) of the Act, incorporated herein by reference to Exhibit 6 filed with Form T-1 Statement, Registration No. 333-201810.
Exhibit 7 -    A copy of the latest report of condition of the trustee published pursuant to law or the requirements of its supervising or examining authority.
Exhibit 8 -    Not Applicable.
Exhibit 9 -    Not Applicable.


SIGNATURE

Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the trustee, Deutsche Bank Trust Company Americas, a corporation organized and existing under the laws of the State of New York, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in The City of New York, and State of New York, on this 14th day of July, 2015.

 

DEUTSCHE BANK TRUST COMPANY AMERICAS
  By:  

/s/ Carol Ng

    Name:    Carol Ng
    Title:   Vice President


DEUTSCHE BANK TRUST COMPANY AMERICAS

 

    

FFIEC 031

Page 16 of 84

RC-1

Legal Title of Bank     

 

NEW YORK

 

    
City     

 

NY

 

  

10005

 

    
State   

Zip Code

    
FDIC Certificate Number: 00623     

Consolidated Report of Condition for Insured Banks

and Savings Associations for March 31, 2015

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

 

Dollar Amounts in Thousands

    RCFD     Tril | Bil | Mil | Thou      

 

Assets

  

       
  1.      

Cash and balances due from depository institutions (from Schedule RC-A):

         
  

a.

  

Noninterest-bearing balances and currency and coin (1)

        0081        137,500      1.a
  

b.

  

Interest-bearing balances (2)

        0071        17,666,000      1.b
  2.      

Securities:

         
  

a.

  

Held-to-maturity securities (from Schedule RC-B, column A)

        1754        0      2.a
  

b.

  

Available-for-sale securities (from Schedule RC-B, column D)

        1773        0      2.b
  3.      

Federal funds sold and securities purchased under agreements to resell:

        RCON       
  

a.

  

Federal funds sold in domestic offices

        B987        0      3.a
              RCFD       
  

b.

  

Securities purchased under agreements to resell (3)

        B989        18,407,000      3.b
  4.      

Loans and lease financing receivables (from Schedule RC-C):

         
  

a.

  

Loans and leases held for sale

        5369        0      4.a
  

b.

  

Loans and leases, net of unearned income

    B528        16,759,500          4.b
  

c.

  

LESS: Allowance for loan and lease losses

    3123        24,000          4.c
  

d.

  

Loans and leases, net of unearned income and allowance (item 4.b minus 4.c)

        B529        16,735,500      4.d
  5.      

Trading assets (from Schedule RC-D)

  

      3545        77,500      5
  6.      

Premises and fixed assets (including capitalized leases)

  

      2145        17,500      6
  7.      

Other real estate owned (from Schedule RC-M)

  

      2150        0      7
  8.      

Investments in unconsolidated subsidiaries and associated companies

   

      2130        0      8
  9.      

Direct and indirect investments in real estate ventures

  

      3656        0      9
  10.      

Intangible assets:

  

       
  

a.

  

Goodwill

        3163        0      10.a
  

b.

  

Other intangible assets (from Schedule RC-M)

        0426        38,000      10.b
  11.      

Other assets (from Schedule RC-F)

  

      2160        628,000      11
           

 

 

   

 

 

   
  12.      

Total assets (sum of items 1 through 11)

  

      2170        53,707,000      12
           

 

 

   

 

 

   

 

(1) Includes cash items in process of collection and unposted debits.
(2) Includes time certificates of deposit not held for trading.
(3) Includes all securities resale agreements in domestic and foreign offices, regardless of maturity.


DEUTSCHE BANK TRUST COMPANY AMERICAS

 

    FFIEC 031
Legal Title of Bank     Page 16a of 84
FDIC Certificate Number: 00623     RC-1a

 

Schedule RC—Continued

 

Dollar Amounts in Thousands

    RCON     Tril | Bil | Mil | Thou      

Liabilities

  

       
13.   

Deposits:

  

       
  

a.

  

In domestic offices (sum of totals of columns A and C from Schedule RC-E, part I)

        2200        41,933,000      13.a
     

(1) Noninterest-bearing (4)

    6631        24,928,000          13.a.1
     

(2) Interest-bearing

    6636        17,005,000          13.a.2
  

b.

  

In foreign offices, Edge and Agreement subsidiaries, and IBFs

        RCFN       
     

(from Schedule RC-E, part II)

        2200        0      13.b
     

(1) Noninterest-bearing

    6631        0          13.b.1
     

(2) Interest-bearing

    6636        0          13.b.2
14.   

Federal funds purchased and securities sold under agreements to repurchase:

        RCON       
  

a.

  

Federal funds purchased in domestic offices (5)

        B993        1,287,000      14.a
              RCFD       
  

b.

  

Securities sold under agreements to repurchase (6)

  

      B995        0      14.b
15.   

Trading liabilities (from Schedule RC-D)

  

      3548        34,000      15
16.   

Other borrowed money (includes mortgage indebtedness and obligations under capitalized leases) (from Schedule RC-M)

        3190        59,000      16
17.   

and 18. Not applicable

  

       

 

(4) Includes noninterest-bearing demand, time, and savings deposits.
(5) Report overnight Federal Home Loan Bank advances in Schedule RC, item 16, “Other borrowed money.”
(6) Includes all securities repurchase agreements in domestic and foreign offices, regardless of maturity.


DEUTSCHE BANK TRUST COMPANY AMERICAS

 

    FFIEC 031
Legal Title of Bank     Page 17 of 84
FDIC Certificate Number: 00623     RC-2

 

Schedule RC—Continued

 

Dollar Amounts in Thousands

  RCFD     Tril | Bil | Mil | Thou      

Liabilities—Continued

       
19.   

Subordinated notes and debentures (1)

        3200        0      19
20.   

Other liabilities (from Schedule RC-G)

        2930        1,508,000      20
           

 

 

   

 

 

   
21.   

Total liabilities (sum of items 13 through 20)

        2948        44,821,000      21
           

 

 

   

 

 

   
22.   

Not applicable

         

Equity Capital

         

        Bank Equity Capital

         
23.   

Perpetual preferred stock and related surplus

        3838        0      23
24.   

Common stock

        3230        2,127,500      24
25.   

Surplus (excludes all surplus related to preferred stock)

        3839        594,000      25
26.   

a.

  

Retained earnings

        3632        6,055,000      26.a
  

b.

  

Accumulated other comprehensive income (2)

        B530        -2,500      26.b
  

c.

  

Other equity capital components (3)

        A130        0      26.c
           

 

 

   

 

 

   
27.   

a.

  

Total bank equity capital (sum of items 23 through 26.c)

        3210        8,774,000      27.a
           

 

 

   

 

 

   
  

b.

  

Noncontrolling (minority) interests in consolidated subsidiaries

        3000        112,000      27.b
           

 

 

   

 

 

   
28.   

Total equity capital (sum of items 27.a and 27.b)

        G105        8,886,000      28
           

 

 

   

 

 

   
29.   

Total liabilities and equity capital (sum of items 21 and 28)

        3300        53,707,000      29
           

 

 

   

 

 

   

Memoranda

To be reported with the March Report of Condition.

1.    Indicate in the box at the right the number of the statement below that best describes the most comprehensive level of auditing work performed for the bank by independent external auditors as of any date during 2014   RCFD    
6724    
        Number      

2  

     M.1   
1       =       Independent audit of the bank conducted in accordance with generally accepted auditing standards by a certified public accounting firm which submits a report on the bank        4          =      Directors’ examination of the bank conducted in accordance with generally accepted auditing standards by a certified public accounting firm (may be required by state chartering authority)
2       =       Independent audit of the bank’s parent holding company conducted in accordance with generally accepted auditing standards by a certified public accounting firm which submits a report on the consolidated holding company (but not on the bank separately)        5          =      Directors’ examination of the bank performed by other external auditors (may be required by state chartering authority)
            6          =      Review of the bank’s financial statements by external auditors
3       =      

Attestation on bank management’s assertion on the effectiveness of the bank’s internal control over financial reporting by a certified public accounting firm.

       7          =      Compilation of the bank’s financial statements by external auditors
            8          =      Other audit procedures (excluding tax preparation work)
            9          =      No external audit work

 

To be reported with the March Report of Condition.   RCON         MMDD        
2.   

Bank’s fiscal year-end date

  8678   1231      M.2   

 

(1) Includes limited-life preferred stock and related surplus.
(2) Includes, but is not limited to, net unrealized holding gains (losses) on available-for-sale securities, accumulated net gains (losses) on cash flow hedges, cumulative foreign currency translation adjustments, and accumulated defined benefit pension and other postretirement plan adjustments.
(3) Includes treasury stock and unearned Employee Stock Ownership Plan shares.