e305b2
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Registration No. 333-171711
 
 
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
 
þ CHECK IF AN APPLICATION TO DETERMINE ELIGIBILITY OF A TRUSTEE PURSUANT TO
SECTION 305(b) (2)
WELLS FARGO BANK, NATIONAL ASSOCIATION
(Exact name of trustee as specified in its charter)
     
A National Banking Association   94-1347393
(Jurisdiction of incorporation or   (I.R.S. Employer
organization if not a U.S. national   Identification No.)
bank)    
     
101 North Phillips Avenue    
Sioux Falls, South Dakota   57104
(Address of principal executive offices)   (Zip code)
Wells Fargo & Company
Law Department, Trust Section
MAC N9305-175

Sixth Street and Marquette Avenue, 17 th Floor
Minneapolis, Minnesota 55479
(612) 667-4608

(Name, address and telephone number of agent for service)
 
CARRIAGE SERVICES, INC.
(Exact name of obligor as specified in its charter)
     
Delaware   76-0423828
(State or other jurisdiction of   (I.R.S. Employer
incorporation or organization)   Identification No.)
     
3040 Post Oak Blvd., Suite 300    
Houston, Texas   77056
(Address of principal executive offices)   (Zip code)
 
All Debt Securities Registered
(Title of the indenture securities)
 
 

 


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Item 1. General Information. Furnish the following information as to the trustee:
Item 2. Affiliations with Obligor. If the obligor is an affiliate of the trustee, describe each such affiliation.
Item 15. Foreign Trustee. Not applicable.
Item 16. List of Exhibits. List below all exhibits filed as a part of this Statement of Eligibility.
SIGNATURE
EX-99.6
EX-99.7


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TABLE OF ADDITIONAL REGISTRANT GUARANTORS
             
Exact Name of Additional Registrants   Incorporation/Organization   Identification Number
Carriage Funeral Holdings, Inc.
  Delaware     76-0339922  
CFS Funeral Services, Inc.
  Delaware     76-0386580  
Carriage Holding Company, Inc.
  Delaware     76-0393194  
Carriage Funeral Services of Michigan, Inc.
  Michigan     38-3149715  
Carriage Funeral Services of Kentucky, Inc.
  Kentucky     61-1015339  
Carriage Funeral Services of California, Inc.
  California     76-0517196  
Carriage Cemetery Services of Idaho, Inc.
  Idaho     82-0210596  
Wilson & Kratzer Mortuaries
  California     94-2677490  
Rolling Hills Memorial Park
  California     94-1495168  
Carriage Services of Connecticut, Inc.
  Connecticut     06-1491781  
CSI Funeral Services of Massachusetts, Inc.
  Massachusetts     04-3406556  
CHC Insurance Agency of Ohio, Inc.
  Ohio     76-0584854  
Barnett Demrow & Ernst, Inc.
  Kentucky     61-0680428  
Carriage Services of New Mexico, Inc.
  New Mexico     76-0585891  
Forastiere Family Funeral Services, Inc.
  Massachusetts     76-0615410  
Carriage Cemetery Services, Inc.
  Texas     76-0592642  
Carriage Services of Oklahoma, L.L.C.
  Oklahoma     76-0590850  
Carriage Services of Nevada, Inc.
  Nevada     76-0595471  
Hubbard Funeral Home, Inc.
  Maryland     53-0226299  
Carriage Team California (Cemetery), LLC
  Delaware     76-0627583  
Carriage Team California (Funeral), LLC
  Delaware     76-0627584  
Carriage Team Florida (Cemetery), LLC
  Delaware     76-0627585  
Carriage Team Florida (Funeral), LLC
  Delaware     76-0627586  
Carriage Services of Ohio, LLC
  Delaware     76-0627588  
Carriage Team Kansas, LLC
  Delaware     76-0627587  
Carriage Municipal Cemetery Services of Nevada, Inc.
  Nevada     76-0635742  
Carriage Cemetery Services of California, Inc.
  California     76-0634987  
Carriage Insurance Agency of Massachusetts, Inc.
  Massachusetts     76-0644470  
Carriage Internet Strategies, Inc.
  Delaware     76-0642158  
Carriage Investments, Inc.
  Delaware     76-0651825  
Carriage Management, L.P.
  Texas     76-0651824  
Cochrane’s Chapel of the Roses, Inc.
  California     68-0458642  
Horizon Cremation Society, Inc.
  California     76-0653256  
Carriage Life Events, Inc.
  Delaware     76-0667598  
Carriage Merger I, Inc.
  Delaware     76-0695818  
Carriage Merger II, Inc.
  Delaware     76-0695815  
Carriage Florida Holdings, Inc.
  Delaware     76-0695816  
Cloverdale Park, Inc.
  Idaho     82-0251267  
Cataudella Funeral Home, Inc.
  Massachusetts     04-2588311  
The address, including zip code, and telephone number, including area code, of each Additional Registrant Guarantor’s principal executive offices is:
c/o Carriage Services, Inc.
3040 Post Oak Blvd., Suite 300
Houston, Texas 77056
Phone: 713-332-8400

 


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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
 
      Treasury Department
 
      Washington, D.C.
 
      Federal Deposit Insurance Corporation
 
      Washington, D.C.
 
      Federal Reserve Bank of San Francisco
 
      San Francisco, California 94120
 
  (b)   Whether it is authorized to exercise corporate trust powers.
 
      The trustee is authorized to exercise corporate trust powers.
Item 2. Affiliations with Obligor. If the obligor is an affiliate of the trustee, describe each such affiliation.
      None with respect to the trustee.
No responses are included for Items 3-14 of this Form T-1 because the obligor is not in default as provided under Item 13.
Item 15. Foreign Trustee. Not applicable.
Item 16. List of Exhibits. List below all exhibits filed as a part of this Statement of Eligibility.
     
Exhibit 1.
  A copy of the Articles of Association of the trustee now in effect.*
 
   
Exhibit 2.
  A copy of the Comptroller of the Currency Certificate of Corporate Existence and Fiduciary Powers for Wells Fargo Bank, National Association, dated February 4, 2004.**
 
   
Exhibit 3.
  See Exhibit 2
 
   
Exhibit 4.
  Copy of By-laws of the trustee as now in effect.***
 
   
Exhibit 5.
  Not applicable.
 
   
Exhibit 6.
  The consent of the trustee required by Section 321(b) of the Act.
 
   
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.

 


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*   Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form S-4 dated December 30, 2005 of Hornbeck Offshore Services LLC file number 333-130784-06.
 
**   Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form T-3 dated March 3, 2004 of Trans-Lux Corporation file number 022-28721.
 
***   Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form S-4 dated May 26, 2005 of Penn National Gaming Inc. file number 333-125274.

 


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SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the trustee, Wells Fargo Bank, National Association, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Dallas and State of Texas on the 7th day of March, 2011.
         
  WELLS FARGO BANK, NATIONAL ASSOCIATION
 
  -s- Patrick T. Giordano    
  Patrick T. Giordano   
  Vice President   
 

 

exv99w6
EXHIBIT 6
March 7, 2011
Securities and Exchange Commission
Washington, D.C. 20549
Gentlemen:
In accordance with Section 321(b) of the Trust Indenture Act of 1939, as amended, the undersigned hereby consents that reports of examination of the undersigned made by Federal, State, Territorial, or District authorities authorized to make such examination may be furnished by such authorities to the Securities and Exchange Commission upon its request thereof.
         
  Very truly yours,

WELLS FARGO BANK, NATIONAL ASSOCIATION
 
  -s- Patrick T. Giordano    
  Patrick T. Giordano   
  Vice President   

 

exv99w7
         
Exhibit 7
Consolidated Report of Condition of
Wells Fargo Bank National Association
of 101 North Phillips Avenue, Sioux Falls, SD 57104
And Foreign and Domestic Subsidiaries,
at the close of business December 31, 2010, filed in accordance with 12 U.S.C. §161 for National Banks.
                 
            Dollar Amounts  
            In Millions  
ASSETS
               
Cash and balances due from depository institutions:
               
Noninterest-bearing balances and currency and coin
          $ 17,518  
Interest-bearing balances
            57,228  
Securities:
               
Held-to-maturity securities
            0  
Available-for-sale securities
            150,439  
Federal funds sold and securities purchased under agreements to resell:
               
Federal funds sold in domestic offices
            1,656  
Securities purchased under agreements to resell
            16,821  
Loans and lease financing receivables:
               
Loans and leases held for sale
            38,095  
Loans and leases, net of unearned income
    691,483          
LESS: Allowance for loan and lease losses
    19,637          
Loans and leases, net of unearned income and allowance
            671,846  
Trading Assets
            30,824  
Premises and fixed assets (including capitalized leases)
            8,129  
Other real estate owned
            5,713  
Investments in unconsolidated subsidiaries and associated companies
            659  
Direct and indirect investments in real estate ventures
            111  
Intangible assets
               
Goodwill
            20,931  
Other intangible assets
            26,452  
Other assets
            55,856  
 
               
 
             
Total assets
          $ 1,102,278  
 
             
 
               
LIABILITIES
               
Deposits:
               
In domestic offices
          $ 747,742  
Noninterest-bearing
    165,559          
Interest-bearing
    582,183          
In foreign offices, Edge and Agreement subsidiaries, and IBFs
            99,235  
Noninterest-bearing
    2,029          
Interest-bearing
    97,206          
Federal funds purchased and securities sold under agreements to repurchase:
               
Federal funds purchased in domestic offices
            2,930  
Securities sold under agreements to repurchase
            16,102  

 


 

         
    Dollar Amounts  
    In Millions  
 
       
Trading liabilities
    15,647  
Other borrowed money
(includes mortgage indebtedness and obligations under capitalized leases)
    40,254  
Subordinated notes and debentures
    19,252  
Other liabilities
    37,554  
 
       
 
     
Total liabilities
  $ 978,716  
 
       
EQUITY CAPITAL
       
Perpetual preferred stock and related surplus
    0  
Common stock
    519  
Surplus (exclude all surplus related to preferred stock)
    98,971  
Retained earnings
    17,489  
Accumulated other comprehensive income
    5,280  
Other equity capital components
    0  
 
       
 
     
Total bank equity capital
    122,259  
Noncontrolling (minority) interests in consolidated subsidiaries
    1,303  
 
     
 
       
Total equity capital
    123,562  
 
       
 
     
Total liabilities, and equity capital
  $ 1,102,278  
 
     
I, Howard I. Atkins, EVP & CFO of the above-named bank do hereby declare that this Report of Condition has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true to the best of my knowledge and belief.
Howard I. Atkins
EVP & CFO
We, the undersigned directors, attest to the correctness of this Report of Condition and declare that it has been examined by us and to the best of our knowledge and belief has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true and correct.
John Stumpf                                        Directors
Dave Hoyt
Michael Loughlin