Form T-1 - Application To Determine Eligibility Of A Trustee Page 3

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Item 8. Securities of the obligor owned or held by the trustee.
Furnish the following information as to securities of the obligor owned beneficially or held as collateral security for obliga-
tions in default by the trustee:
As of __________________________(Insert date within 31 days).
Instructions.
1. As used in this item, the term “securities” includes only such securities as are generally known as corporate securities, but
shall not include any note or other evidence of indebtedness issued to evidence an obligation to repay monies lent to a person
by one or more banks, trust companies, or banking firms, or any certificate of interest or participation in any such note or
evidence of indebtedness.
2. For the purposes of this item the trustee shall not be deemed the owner of holder of (a) any security which it holds as
collateral security (as trustee or otherwise) for an obligation which is not in default, or (b) any security which it holds as
collateral security under the indenture to be qualified, irrespective of any default thereunder, or (c) any security which it
holds as agent for collection, or as custodian, escrow agent or depositary, of in any similar representative capacity.
3. No information will be furnished under this item as to holdings by the trustee of securities already issued under the indenture
to be qualified or securities issued under any other indenture under which the trustee is also a trustee.
4. No information need be given with respect to any class of securities where the amount of securities of the class which the
trustee owns beneficially or holds as collateral security for obligations in default does not exceed 1 percent of the outstand-
ing securities of the class.
Col. A
Col. B
Col. C
Col. D
Amount Owned
Percentage of Class
Whether the Securities
Beneficially or Held as
Represented by
Are Voting or
Collateral Security for
Amount Given
Title of Class
Nonvoting Securities
Obligations in Default
In Col. C
Item 9. Securities of underwriters owned or held by the trustee.
If the trustee owned beneficially or holds as collateral security for obligations in default any securities on an underwriter for
the obligor, furnish the following information as to each class of securities of such underwriter any of which are so owned or held
by the trustee:
As of _______________________(Insert date within 31 days).
Col. A
Col. B
Col. C
Col. D
Amount Owned
Beneficially or Hold as
Collateral Security for
Percentage of Class
Title of Issuer
Obligations in Default
Represented by Amount
And Title of Class
Amount Outstanding
by Trustee
Given in Col. C
Instruction. Instructions 1,2, and 4 to Item 8 shall be applicable to this item.
Item 10. Ownership or holdings by the trustee of voting securities of certain affiliates or security holders of the obligor.
If the trustee owns beneficially or holds as collateral security for obligations in default voting securities of a person who, to
the knowledge of the trustee (1) owns 10 percent or more of the voting securities of the obligor or (2) is an affiliate, other than a
subsidiary, of the obligor, furnish the following information as to the voting securities of such person:
As of _______________________(Insert date within 31 days).
Col. A
Col. B
Col. C
Col. D
Amount Owned
Beneficially or Hold as
Collateral Security for
Percentage of Class
Title of Issuer
Obligations in Default
Represented by Amount
And Title of Class
Amount Outstanding
by Trustee
Given in Col. C
Instruction. Instructions 1,2, and 4 to Item 8 shall be applicable to this item.

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