Form T-1 - Application To Determine Eligibility Of A Trustee Page 2

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Item 4. Trusteeships under other indentures.
If the trustee is a trustee under another indenture under which any other securities, of certificates or interest or participation
in any other securities, of the obligor are outstanding, furnish the following information:
(a) Title of the securities outstanding under each such other indenture.
(b) A brief statement of the facts relied upon as a basis for the claim that no conflicting interest within the meaning of
Section 310(b)(1) of the Act arises as a result of the trusteeship under any such other indenture, including a statement as
to how the indenture securities will rank as compared with the securities issued under such other indenture.
Item 5. Interlocking directorates and similar relationships with the obligor or underwriters.
If the trustee or any of the directors or executive officers of the trustee is a director, officer, partner, employee, appointee,
or representative of the obligor or of any underwriter for the obligor, identify each such person having any connection and state
the nature of such condition.
Instructions.
1. Notwithstanding General Instruction F, the term “underwriter” as used in this item does not refer to any person who is not
currently engaged in the business of underwriting.
2. The term “employee,” “appointee,” and “representative,” as used in this item, do not include connections in the capacity of
transfer agent, registrant, custodian, paying agent, fiscal agent, escrow agent, or despositary, or in any other similar capacity
or connections in the capacity of trustee, whether under an indenture or otherwise.
Item 6. Voting securities of the trustee owned by the obligor or its officials.
Furnish the following information as to the voting securities of trustee owned beneficially by the obligor and each director,
partner, and executive officer of the obligor:
As of __________________________(Insert date within 31 days).
Instructions.
1. Names of persons who do not own beneficially any of the securities specified may be omitted.
2. No information need be given in any case where the amount of voting securities of the trustee, owned beneficially by the
obligor and its directors, partners, and executive officers, taken as a group, does not exceed 1 percent of the outstanding
voting securities of the trustee.
Col. A
Col. B
Col. C
Col. D
Percent of Voting
Amount Owned
Securities Represented by
Name of Owner
Title of Class
Beneficially
Amount given in Col. C
Item 7. Voting securities of the trustee owned by underwriters or their officials.
Furnish the following information as to the voting securities of the trustee owned beneficially by each underwriter for the
obligor and each director, partner, and executive officer of such underwriter:
As of ________________________________(Insert date within 31 days).
Instructions.
1. Instruction 1 to Item 6 shall be applicable to this item.
2. The name of each director, partner, or executive officer required to be given in Column A shall be set forth under the name
of the underwriter of which he is a director, partner, of executive officer.
3. No information need be given in any case where the amount of voting securities of the trustee owned beneficially by an
underwriter and its directors, partners, and executive officers, taken as a group, does not exceed 1 percent of the outstanding
voting securities of the trustee.
Col. A
Col. B
Col. C
Col. D
Percent of Voting
Amount Owned
Securities Represented by
Name of Owner
Title of Class
Beneficially
Amount given in Col. C

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