BlackRock Health Sciences Trust Sample Contracts

SUB-PLACEMENT AGENT AGREEMENT BlackRock Investments, LLC
Sub-Placement Agent Agreement • April 26th, 2022 • BlackRock Health Sciences Trust • New York

From time to time BlackRock Investments, LLC (the “Distributor,” “we” or “us”) will act as manager of registered at-the-market offerings by BlackRock Health Sciences Trust, a Delaware statutory trust (the “Fund”), of up to 4,000,000 common shares (the “Shares”) of beneficial interest, par value $0.001 per share, of the Fund (the “Common Shares”). In the case of such offerings, the Fund has agreed with the Distributor to issue and sell through or to the Distributor, as sales agent and/or principal, the Shares (the “Distribution Agreement”).

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INVESTMENT MANAGEMENT AGREEMENT
Investment Management Agreement • June 15th, 2015 • BlackRock Health Sciences Trust • New York

AGREEMENT, dated September 29, 2006, between BlackRock Health Sciences Trust (the "Trust"), a Delaware statutory trust, and BlackRock Advisors, LLC (the "Advisor"), a Delaware limited liability company.

SIXTH AMENDED AND RESTATED SECURITIES LENDING AGENCY AGREEMENT
Securities Lending Agency Agreement • April 27th, 2020 • BlackRock Health Sciences Trust • New York

This Sixth Amended and Restated Agreement, dated as of January 1, 2020, between each investment company, severally and not jointly, identified on Schedule A, as such schedule may be amended from time to time (each a “Client”), acting on behalf of itself or the funds listed on Schedule A hereto and any future series of a Client (each, a “Fund”), by and through BlackRock Advisors, LLC (“BlackRock”), not in its individual capacity but as agent and investment advisor, and BlackRock Investment Management, LLC (the “Lending Agent”), a Delaware limited liability company.

Amendment No. 1 to Amended and Restated Master Advisory Fee Waiver Agreement
Waiver Agreement • April 27th, 2020 • BlackRock Health Sciences Trust

This AMENDMENT NO. 1 (this “Amendment”) to the Amended and Restated Master Advisory Fee Waiver Agreement dated December 1, 2019 (the “Agreement”) is made as of this 24th day of January, 2020, by and among BlackRock Advisors, LLC (the “Adviser”) and each investment company listed on Schedule A attached hereto (each, a “Fund”).

THIRD AMENDED AND RESTATED DISTRIBUTION AGREEMENT
Distribution Agreement • April 26th, 2022 • BlackRock Health Sciences Trust • New York

This THIRD AMENDED AND RESTATED DISTRIBUTION AGREEMENT (the “Agreement”) is made as of April 26, 2022 by and between BlackRock Health Sciences Trust, a Delaware statutory trust (the “Fund”), and BlackRock Investments, LLC, a Delaware limited liability company (the “Distributor”).

THIRD AMENDED AND RESTATED SECURITIES LENDING AGENCY AGREEMENT
Securities Lending Agency Agreement • August 5th, 2015 • BlackRock Health Sciences Trust • New York

This Third Amended and Restated Agreement, dated as of January 1, 2015, between each investment company severally and not jointly, identified on Schedule A, as such schedule may be amended from time to time (each a “Client”), acting on behalf of itself or the funds listed on Schedule A thereto and any future series of a Client (each, a “Fund”), by and through BlackRock Advisors, LLC (“BlackRock”), not in its individual capacity but as agent and investment advisor, and BlackRock Investment Management, LLC (the “Lending Agent”), a Delaware limited liability company.

STOCK TRANSFER AGENCY AGREEMENT
Transfer Agency Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

AGREEMENT, made as of March 31, 2005, by and between BLACKROCK HEALTH SCIENCES TRUST, a statutory trust formed and existing under the laws of the State of Delaware (hereinafter referred to as the "Customer"), and THE BANK OF NEW YORK, a New York trust company (hereinafter referred to as the "Bank").

Amended and Restated Master Advisory Fee Waiver Agreement
Waiver Agreement • April 27th, 2020 • BlackRock Health Sciences Trust • New York

This AMENDED AND RESTATED MASTER ADVISORY FEE WAIVER AGREEMENT (this “Agreement”) is made as of December 1, 2019, by and among BlackRock Advisors, LLC (the “Adviser”) and each investment company listed on Schedule A attached hereto (each, a “Fund”).

Discount Management Program Standstill Agreement
Discount Management Program Standstill Agreement • July 18th, 2024 • BlackRock Health Sciences Trust • New York

This Discount Management Program Standstill Agreement is entered into as of May 3, 2024 (this “Agreement”), by and among Karpus Management, Inc., doing business as Karpus Investment Management (“Karpus”), BlackRock Advisors, LLC (the “Manager”) and BlackRock Health Sciences Trust (the “Fund”). Karpus, the Manager and the Fund are hereforth referred to as the “Parties,” and each individually as a “Party.”

BlackRock Health Sciences Trust (a Delaware statutory trust) [ ] Common Shares of Beneficial Interest (Par Value $.001 Per Share) PURCHASE AGREEMENT
Purchase Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

Merrill Lynch & Co. Merrill Lynch, Pierce, Fenner & Smith Incorporated A.G. Edwards & Sons, Inc. Wachovia Capital Markets, LLC Advest, Inc. BB&T Capital Markets, a division of Scott & Stringfellow, Inc. Robert W. Baird & Co. Incorporated H&R Block Financial Advisors, Inc. Ferris, Baker Watts, Incorporated Fixed Income Securities, L.P. J.J.B. Hilliard, W.L. Lyons, Inc. Janney Montgomery Scott LLC Oppenheimer & Co. Inc. PNC Capital Markets, Inc. RBC Capital Markets Corporation Raymond James & Associates, Inc. Stifel, Nicolaus & Company, Incorporated x c/o Merrill Lynch, Pierce, Fenner & Smith Incorporated 4 World Financial Center New York, New York 10080

FOREIGN CUSTODY MANAGER AGREEMENT
Manager Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

WHEREAS, BNY desires to serve as a Foreign Custody Manager and perform the duties set forth herein on the terms and conditions contained herein;

Closed-End Fund Master Advisory Fee Waiver Agreement
Waiver Agreement • April 27th, 2018 • BlackRock Health Sciences Trust • New York

This MASTER ADVISORY FEE WAIVER AGREEMENT (this “Agreement”) is made as of the 2nd day of December, 2016, by and among BlackRock Advisors, LLC (the “Adviser”) an “Adviser”) and each investment company listed on Schedule A attached hereto (each, a “Fund”).

INVESTMENT MANAGEMENT AGREEMENT
Management Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

AGREEMENT, dated March 10, 2005, between BlackRock Health Sciences Trust (the "Trust"), a Delaware statutory trust, and BlackRock Advisors, Inc. (the "Advisor"), a Delaware corporation.

CUSTODY AGREEMENT
Custody Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

AGREEMENT, dated as of March 10, 2005 between BlackRock Health Sciences Trust, a statutory trust formed and existing under the laws of the State of Delaware having its principal office and place of business at 100 Bellevue Parkway, Wilmington, Delaware 19809 (the "Fund") and The Bank of New York, a New York corporation authorized to do a banking business having its principal office and place of business at One Wall Street, New York, New York 10286 ("Custodian").

AGREEMENT BETWEEN STATE STREET BANK AND TRUST COMPANY AND EACH OF THE INVESTMENT COMPANIES LISTED ON SCHEDULE A ATTACHED HERETO
Agreement • April 25th, 2017 • BlackRock Health Sciences Trust

AGREEMENT made this 21st day of September, 2001 between each of the investment companies listed on Schedule A hereto, as the same may be amended from time to time and State Street Bank and Trust Company (the “Custodian”).

ADMINISTRATION SERVICES AGREEMENT
Administration Services Agreement • August 5th, 2015 • BlackRock Health Sciences Trust

THIS AGREEMENT is approved and ratified on January 12, 2012 by and between BNY MELLON INVESTMENT SERVICING (US) INC., a Massachusetts corporation (“BNY MELLON”), and BLACKROCK HEALTH SCIENCES TRUST, a Delaware statutory trust (the “Fund”). All capitalized terms not otherwise defined shall have the meanings set forth in Appendix A.

BLACKROCK HEALTH SCIENCES TRUST (the “Fund”) File No. 811-21702 Item G.1.b.iii: New or amended investment advisory contracts
Health Sciences Trust • March 18th, 2019 • BlackRock Health Sciences Trust

This MASTER ADVISORY FEE WAIVER AGREEMENT (this “Agreement”) is made as of the 2nd day of December, 2016, by and among BlackRock Advisors, LLC (the “Adviser”) an “Adviser”) and each investment company listed on Schedule A attached hereto (each, a “Fund”).

SUBSCRIPTION AGREEMENT
Subscription Agreement • March 25th, 2005 • BlackRock Health Sciences Trust

THIS SUBSCRIPTION AGREEMENT is entered into as of the 10th day of March, 2005, between BlackRock Health Sciences Trust, a statutory trust organized and existing under the laws of Delaware (the "Trust"), and BlackRock Funding, Inc. (the "Purchaser").

ADMINISTRATIVE SERVICES AGREEMENT
Administrative Services Agreement • April 25th, 2017 • BlackRock Health Sciences Trust • New York

THIS AGREEMENT (the “Agreement”) is dated as of December 29, 2000 by and among STATE STREET BANK AND TRUST COMPANY, a Massachusetts trust company (“State Street”), and each entity listed on Schedule I hereto, together with any other entity which may from time to time become a party to this Agreement by execution of an Instrument of Accession substantially in the form attached as Exhibit I hereto (each a “Fund” and collectively, the “Funds”).

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FUND ACCOUNTING AGREEMENT
Accounting Agreement • March 25th, 2005 • BlackRock Health Sciences Trust • New York

AGREEMENT made as of this 10th day of March, 2005 by and between BlackRock Health Sciences Trust, a Delaware statutory trust having its principal place of business at 100 Bellevue Parkway, Wilmington, Delaware 19809 (hereinafter called the "Fund") and The Bank of New York, a New York corporation authorized to do a banking business, having its principal place of business at One Wall Street, New York, New York 10286 (hereinafter called the "Bank").

ADMINISTRATION AND FUND ACCOUNTING SERVICES AGREEMENT Between Each BlackRock Management Investment Company Listed in Schedule A And State Street Bank and Trust Company Dated as of December 31, 2018
Administration and Fund Accounting Services Agreement • March 8th, 2019 • BlackRock Health Sciences Trust • New York

This Administration and Fund Accounting Services Agreement (“Agreement”) dated and effective as of December 31, 2018, is by and between State Street Bank and Trust Company, a Massachusetts trust company (the “Administrator”), and each management investment company identified on Schedule A hereto, together with each management investment company which becomes a party to this Agreement in accordance with the terms hereof (each a “Fund” and collectively, the “Funds”).

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