Blueprint
File
No. 333-221615
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)
WILMINGTON
TRUST, NATIONAL ASSOCIATION
(Exact
name of trustee as specified in its charter)
16-1486454
(I.R.S.
employer identification no.)
1100
North Market Street
Wilmington, DE
19890
(Address of
principal executive offices)
Daniel
Barnes
Assistant Vice
President
1100
North Market Street
Wilmington,
Delaware 19890
(302)
651-8049
(Name,
address and telephone number of agent for service)
Kingstone
Companies, Inc.
(Exact
name of obligor as specified in its charter)
|
Delaware
|
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36-2476480
|
|
(State of
incorporation)
|
|
(I.R.S. employer
identification no.)
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15 Joys
Lane
Kingston, New
York
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12401
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(Address of
principal executive offices)
|
|
(Zip
Code)
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Debt Securities
(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.
Comptroller of
Currency, Washington, D.C.
Federal
Deposit Insurance Corporation, Washington, D.C.
(b)
Whether it is authorized to exercise corporate trust
powers.
Yes.
Item 2.
AFFILIATIONS WITH THE
OBLIGOR.
If the obligor is an affiliate of
the trustee, describe each affiliation:
Based
upon an examination of the books and records of the trustee and
upon information
furnished by the
obligor, the obligor is not an affiliate of the
trustee.
Item 16.
LIST OF EXHIBITS. Listed below are all
exhibits filed as part of this Statement of Eligibility and
Qualification.
A copy of the
Charter for Wilmington Trust, National Association, incorporated by
reference to Exhibit 1 of Form T-1.
2.
The authority of
Wilmington Trust, National Association to commence business was
granted under the Charter for Wilmington Trust, National
Association, incorporated herein by reference to Exhibit 1 of Form
T-1.
3.
The authorization
to exercise corporate trust powers was granted under the Charter
for Wilmington Trust, National Association, incorporated herein by
reference to Exhibit 1 of Form T-1.
A copy of the
existing By-Laws of Trustee, as now in effect, incorporated herein
by reference to Exhibit 4 of form T-1.
The consent of
Trustee as required by Section 321(b) of the Trust Indenture Act of
1939, incorporated herein by reference to Exhibit 6 of Form
T-1.
Current Report of
the Condition of Trustee, published pursuant to law or the
requirements of its supervising or examining authority, attached as
Exhibit 7.
SIGNATURE
Pursuant
to the requirements of the Trust Indenture Act of 1939, as amended,
the trustee, Wilmington Trust, 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 Wilmington and State
of Delaware on the 13th day of December,
2017.
WILMINGTON
TRUST, NATIONAL ASSOCIATION
Name:
Michael H. Wass
Title:
Vice President