EX-25.3 18 v315961_ex25-3.htm EXHIBIT 25.3

 

Exhibit 25.3

  

 

 

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)

_______________________________________________________

 

U.S. BANK NATIONAL ASSOCIATION

(Exact name of Trustee as specified in its charter)

 

  31-0841368
(Jurisdiction of incorporation if not a U.S. national bank) (I.R.S. Employer Identification No.)

  

800 Nicollet Mall

Minneapolis, Minnesota

 

55402

(Address of principal executive offices) (Zip Code)

 

Pamela V. Cole

U.S. Bank National Association

10 W. Market St., Suite 1150

Indianapolis, IN 46204

(317) 264-2504

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

_______________________________________________________

 

Selective Insurance Group, Inc.

(Exact name of obligor as specified in its charter)

 

New Jersey 22-2168890
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)

 

40 Wantage Avenue

Branchville, NJ

07890
(Address of Principal Executive Offices) (Zip Code)

_______________________________________________________

 

Junior Subordinated Debt Securities

(Title of the Indenture Securities)

 

 

 

 
 

 

FORM T-1

 

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.

 

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

 

Items 3-15          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: List below all exhibits filed as a part of this statement of eligibility and qualification.

 

1.A copy of the Articles of Association of the Trustee.*

 

2.A copy of the certificate of authority of the Trustee to commence business, attached as Exhibit 2.

 

3.A copy of the certificate of authority of the Trustee to exercise corporate trust powers, attached as Exhibit 3.

 

4.A copy of the existing bylaws of the Trustee.**

 

5.A copy of each Indenture referred to in Item 4. Not applicable.

 

6.The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, attached as Exhibit 6.

 

7.Report of Condition of the Trustee as of December 31, 2011 published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7.

 

* Incorporated by reference to Exhibit 25.1 to Amendment No. 2 to registration statement on S-4, Registration Number 333-128217 filed on November 15, 2005.

** Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-166527 filed on May 5, 2010.

 

2
 

 

SIGNATURE

 

Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the Trustee, U.S. 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 and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Indianapolis, State of Indiana on the 15th of June, 2012.

 

  By: /s/ Pamela V. Cole
    Name: Pamela V. Cole
    Title: Vice President

 

3
 

 

Exhibit 2

 

 

 
 

 

Exhibit 3

 

 

 

 
 

 

Exhibit 6

 

CONSENT

 

In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.

 

Dated: June 15, 2012

 

  By: /s/ Pamela V. Cole
    Name: Pamela V. Cole
    Title: Vice President

 

 
 

 

Exhibit 7

 

U.S. Bank National Association

Statement of Financial Condition

As of 12/31/2011

 

($000’s)

 

   12/31/2011 
Assets     
Cash and Balances Due From  Depository Institutions  $13,960,499 
Securities   69,485,200 
Federal Funds   11,887 
Loans & Lease Financing Receivables   204,182,862 
Fixed Assets   5,472,961 
Intangible Assets   12,446,662 
Other Assets   24,910,739 
Total Assets  $330,470,810 
      
Liabilities     
Deposits  $236,091,541 
Fed Funds   7,936,151 
Treasury Demand Notes   0 
Trading Liabilities   377,634 
Other Borrowed Money   34,507,710 
Acceptances   0 
Subordinated Notes and Debentures   5,945,617 
Other Liabilities   10,944,902 
Total Liabilities  $295,803,555 
      
Equity     
Minority Interest in Subsidiaries  $1,926,211 
Common and Preferred Stock   18,200 
Surplus   14,133,323 
Undivided Profits   18,589,521 
Total Equity Capital  $34,667,255 
      
Total Liabilities and Equity Capital  $330,470,810