REGISTRATION RIGHTS AGREEMENT
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This Agreement dated as of August 9, 1996 is entered into by and among
Physicians Quality Care, Inc., a Delaware corporation (the "Company"), and the
shareholders of the Company listed on the signature page of this Agreement (the
"Physicians").
WHEREAS, the Company and each Physician have entered into either (1) a
merger agreement or (ii) an asset purchase agreement and an affiliation
agreement of even date herewith (the "Agreements"); and
WHEREAS, the Company and the Physicians desire to provide for certain
arrangements with respect to the registration of shares of capital stock of the
Company under the Securities Act of 1933;
NOW, THEREFORE, in consideration of the mutual promises and covenants
contained in this Agreement, the parties hereto agree as follows:
1. Certain Definitions. As used in this Agreement, the following terms
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shall have the following respective meanings:
"Commission" means the Securities and Exchange Commission, or any
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other Federal agency at the time administering the Securities Act.
"Common Stock" means the common stock, $0.01 par value per share, of
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the Company.
"Exchange Act" means the Securities Exchange Act of 1934, as amended,
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or any similar Federal statute, and the rules and regulations of the Commission
issued under such Act, as they each may, from time to time, be in effect.
"Registration Statement" means a registration statement filed by the
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Company with the Commission for a public offering and sale of Common Stock
(other than a registration statement on Form S-B or Form S-4, or their
successors, or any other form for a similar limited purpose, or any registration
statement covering only securities proposed to be issued in exchange for
securities or assets of another corporation).
"Registration Expenses" means the expenses described in Section 4.
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"Registrable Shares" means (i) the shares of Common Stock issued or
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issuable upon conversion of the capital stock of the Company issued to the
Physicians pursuant to the Affiliation Agreements and (ii) any other shares of
Common Stock issued in respect of such shares (because of stock splits, stock
dividends, reclassifications, recapitalizations, or similar events); provided,
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however,
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that shares of Common Stock which are Registrable Shares shall cease to be
Registrable Shares upon any sale or transfer whether pursuant to a Registration
Statement, Rule 144 under the Securities Act or otherwise.
"Securities Act" means the Securities Act of 1933, as amended, or any
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similar Federal statute, and the rules and regulations of the Commission issued
under such Act, as they each may, from time to time, be in effect.
"Shares" shall mean the Shares of Common Stock issued upon conversion
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of the capital stock of the Company issued to the Physicians pursuant to the
Agreements.
"Stockholders" means the Physicians and any persons or entities to
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whom the rights granted under this Agreement are transferred by a Stockholder
pursuant to Section 11 of this Agreement.
2. Registration.
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(a) Whenever the Company proposes to file a Registration Statement
registering shares of its Common Stock under the Securities Act at any time and
from time to time, it will, prior to such filing, give written notice to all
Stockholders of its intention to do so and, upon the written request of a
Stockholder or Stockholders given within twenty (20) days after the Company
provides such notice (which request shall state the intended method of
disposition of such Registrable Shares), the Company shall use its best efforts
to cause all Registrable Shares which the Company has been requested by such
Stockholder or Stockholders to register to be registered under the Securities
Act to the extent necessary to permit their sale or other disposition in
accordance with the intended methods of distribution specified in the request of
such Stockholder or Stockholders; provided that the Company shall have the right
to postpone or withdraw any registration effected pursuant to this Section 2
without obligation to any Stockholder; provided, further, that a Physician's
rights under this Agreement shall not apply to a Registration Statement filed in
connection with the Company's initial public offering of its Common Stock
registered under the Securities Act.
(b) In connection with any registration under this Section 2
involving an underwriting, the Company shall not be required to include any
Registrable Shares in such registration unless the holders thereof accept the
terms of the underwriting as agreed upon between the Company and the
underwriters selected by it. If in the opinion of the managing underwriter it is
appropriate because of marketing factors to limit the number of Registrable
Shares to be included in the offering, then the Company shall be required to
include in the registration only that number of Registrable Shares, if any,
which the managing underwriter believes should be included therein; provided
that if the number of Registrable Shares to be included in the offering in
accordance with the foregoing is less than the total number of shares which the
holders of Registrable Shares have requested to be
included, then the holders of Registrable Shares who have requested registration
and other holders of securities entitled to include them in such registration
shall participate in the registration pro rata based upon their total ownership
of shares of Common Stock (giving effect to the conversion into Common Stock of
all securities convertible thereinto). If any holder would thus be entitled to
include more securities than such holder requested to be registered, the excess
shall be allocated among other requesting holders pro rata in the manner
described in the preceding sentence.
3. Registration Procedures. If and whenever the Company is required by
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the provisions of this Agreement to use its best efforts to effect the
registration of any of the Registrable Shares under the Securities Act, the
Company shall:
(a) file with the Commission a Registration Statement with respect to
such Registrable Shares and use its best efforts to cause that Registration
Statement to become and remain effective;
(b) as expeditiously as possible prepare and file with the Commission
any amendments and supplements to the Registration Statement and the prospectus
included in the Registration Statement as may be necessary to keep the
Registration Statement effective, in the case of a firm commitment underwritten
public offering, until each underwriter has completed the distribution of all
securities purchased by it and, in the case of any other offering, until the
earlier of the sale of all Registrable Shares covered thereby or one hundred
twenty (120) days after the effective date thereof;
(c) as expeditiously as possible furnish to each selling Stockholder
such reasonable numbers of copies of the prospectus, including a preliminary
prospectus, in conformity with the requirements of the Securities Act, and such
other documents as the selling Stockholder may reasonably request in order to
facilitate the public sale or other disposition of the Registrable Shares owned
by the selling Stockholder; and
(d) as expeditiously as possible use its best efforts to register or
qualify the Registrable Shares covered by the Registration Statement under the
securities or Blue Sky laws of such states as the selling Stockholders shall
reasonably request, and do any and all other acts and things that may be
necessary or desirable to enable the selling Stockholders to consummate the
public sale or other disposition in such states of the Registrable Shares owned
by the selling Stockholder; provided, however, that the Company shall not be
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required in connection with this paragraph (d) to qualify as a foreign
corporation or execute a general consent to service of process in any
jurisdiction.
If the Company has delivered preliminary or final prospectuses to the
selling Stockholders and after having done so the prospectus is amended to
comply with the requirements of the Securities Act, the Company shall promptly
notify the selling Stockholders and, if requested, the selling Stockholders
shall immediately cease
making offers of Registrable Shares and return all prospectuses to the Company.
The Company shall promptly provide the selling Stockholders with revised
prospectuses and, following receipt of the revised prospectuses, the selling
Stockholders shall be free to resume making offers of the Registrable Shares.
4. Allocation of Expenses. The Company will pay all Registration
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Expenses of all registrations under this Agreement. For purposes of this Section
4, the term "Registration Expenses" shall mean all expenses incurred by the
Company in complying with this Agreement, including, without limitation, all
registration and filing fees, exchange listing fees, printing expenses, fees and
expenses of counsel for the Company, state Blue Sky fees and expenses, and the
expense of any special audits incident to or required by any such registration.
Registration Expenses shall not include any underwriting discounts, selling
commissions or the fees and expenses of selling Stockholders' own counsel.
5. Indemnification and Contribution.
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(a) In the event of any registration of any of the Registrable Shares
under the Securities Act pursuant to this Agreement, the Company will indemnify
and hold harmless the seller of such Registrable Shares, each underwriter of
such Registrable Shares, and each other person, if any, who controls such seller
or underwriter within the meaning of the Securities Act or the Exchange Act
against any losses, claims, damages or liabilities, joint or several, to which
such seller, underwriter or controlling person may become subject under the
Securities Act, the Exchange Act, state securities or Blue Sky laws or
otherwise, insofar as such losses, claims, damages or liabilities (or actions in
respect thereof) arise out of or are based upon any untrue statement or alleged
untrue statement of any material fact contained in any Registration Statement
under which such Registrable Shares were registered under the Securities Act,
any preliminary prospectus or final prospectus contained in the Registration
Statement, or any amendment or supplement to such Registration Statement, or
arise out of or are based upon the omission or alleged omission to state a
material fact required to be stated therein or necessary to make the statements
therein not misleading; and the Company will reimburse such seller, underwriter
and each such controlling person for any legal or any other expenses reasonably
incurred by such seller, underwriter or controlling person in connection with
investigating or defending any such loss, claim, damage, liability or action;
provided, however, that the Company will not be liable in any such case to the
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extent that any such loss, claim, damage or liability arises out of or is based
upon any untrue statement or omission made in such Registration Statement,
preliminary prospectus or final prospectus, or any such amendment or supplement,
in reliance upon and in conformity with information furnished to the Company, in
writing, by or on behalf of such seller, underwriter or controlling person
specifically for use in the preparation thereof.
(b) In the event of any registration of any of the Registrable Shares
under the Securities Act pursuant to this Agreement, each seller of Registrable
Shares,
severally and not jointly, will indemnify and hold harmless the Company, each of
its directors and officers and each underwriter (if any) and each person, if
any, who controls the Company or any such underwriter within the meaning of the
Securities Act or the Exchange Act, against any losses, claims, damages or
liabilities, joint or several, to which the Company, such directors and
officers, underwriter or controlling person may become subject under the
Securities Act, Exchange Act, state securities or Blue Sky laws or otherwise,
insofar as such losses, claims, damages or liabilities (or actions in respect
thereof) arise out of or are based upon any untrue statement or alleged untrue
statement of a material fact contained in any Registration Statement under which
such Registrable Shares were registered under the Securities Act, any
preliminary prospectus or final prospectus contained in the Registration
Statement, or any amendment or supplement to the Registration Statement, or
arise out of or are based upon any omission or alleged omission to state a
material fact required to be stated therein or necessary to make the statements
therein not misleading, if the statement or omission was made in reliance upon
and in conformity with information relating to such seller furnished in writing
to the Company by or on behalf of such seller specifically for use in connection
with the preparation of such Registration Statement, prospectus, amendment or
supplement; provided, however, that the obligations of such Stockholders
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hereunder shall be limited to an amount equal to the proceeds to each
Stockholder of Registrable Shares sold in connection with such registration.
(c) Each party entitled to indemnification under this Section 5 (the
"Indemnified Party") shall give notice to the party required to provide
indemnification (the "Indemnifying Party") promptly after such Indemnified Party
has actual knowledge of any claim as to which indemnity may be sought, and shall
permit the Indemnifying Party to assume the defense of any such claim or any
litigation resulting therefrom; provided, that counsel for the Indemnifying
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Party, who shall conduct the defense of such claim or litigation, shall be
approved by the Indemnified Party (whose approval shall not be unreasonably
withheld); and, provided, further, that the failure of any Indemnified Party to
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give notice as provided herein shall not relieve the Indemnifying Party of its
obligations under this Section 5. The Indemnified Party may participate in such
defense at such party's expense; provided, however, that the Indemnifying Party
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shall pay such expense if representation of such Indemnified Party by the
counsel retained by the Indemnifying Party would be inappropriate due to actual
or potential differing interests between the Indemnified Party and any other
party represented by such counsel in such proceeding. No Indemnifying Party, in
the defense of any such claim or litigation shall, except with the consent of
each Indemnified Party, consent to entry of any judgment or enter into any
settlement which does not include as an unconditional term thereof the giving by
the claimant or plaintiff to such Indemnified Party of a release from all
liability in respect of such claim or litigation, and no Indemnified Party shall
consent to entry of any judgment or settle such claim or litigation without the
prior written consent of the Indemnifying Party.
(d) In order to provide for just and equitable contribution to joint
liability under the Securities Act in any case in which either (i) any holder of
Registrable Shares exercising rights under this Agreement, or any controlling
person of any such holder, makes a claim for indemnification pursuant to this
Section 5 but it is judicially determined (by the entry of a final judgment or
decree by a court of competent jurisdiction and the expiration of time to appeal
or the denial of the last right of appeal) that such indemnification may not be
enforced in such case notwithstanding the fact that this Section 5 provides for
indemnification in such case, or (ii) contribution under the Securities Act may
be required on the part of any such selling Stockholder or any such controlling
person in circumstances for which indemnification is provided under this Section
5; then, in each such case, the Company and such Stockholder will contribute to
the aggregate losses, claims, damages or liabilities to which they may be
subject (after contribution from others) in such proportions so that such holder
is responsible for the portion represented by the percentage that the public
offering price of its Registrable Shares offered by the Registration Statement
bears to the public offering price of all securities offered by such
Registration Statement, and the Company is responsible for the remaining
portion; provided, however, that, in any such case, (A) no such holder will be
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required to contribute any amount in excess of the proceeds to it of all
Registrable Shares sold by it pursuant to such Registration Statement, and (B)
no person or entity guilty of fraudulent misrepresentation, within the meaning
of Section 11(f) of the Securities Act, shall be entitled to contribution from
any person or entity who is not guilty of such fraudulent misrepresentation.
6. Information by Holder. Each Stockholder including Registrable Shares
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in any registration shall furnish to the Company such information regarding such
Stockholder and the distribution proposed by such Stockholder as the Company may
reasonably request in writing and as shall be required in connection with any
registration, qualification or compliance referred to in this Agreement.
7. "Stand-Off" Agreement. Each Stockholder, if requested by the Company
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and the managing underwriter of an offering by the Company of Common Stock or
other securities of the Company pursuant to a Registration Statement, shall
agree not to sell publicly or otherwise transfer or dispose of any Registrable
Shares or other securities of the Company held by such Stockholder for a
specified period of time (not to exceed one hundred and eighty (180) days)
following the effective date of such Registration Statement.
8. Rule 144 Requirements. After the earliest of (i) the closing of the
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sale of securities of the Company pursuant to a Registration Statement, (ii) the
registration by the Company of a class of securities under Section 12 of the
Exchange Act, or (iii) the issuance by the Company of an offering circular
pursuant to Regulation A under the Securities Act, the Company agrees to:
(a) comply with the requirements of Rule 144(c) under the Securities
Act with respect to current public information about the Company;
(b) use its best efforts to file with the Commission in a timely
manner all reports and other documents required of the Company under the
Securities Act and the Exchange Act (at any time after it has become subject to
such reporting requirements); and
(c) furnish to any holder of Registrable Shares upon request (i) a
written statement by the Company as to its compliance with the requirements of
said Rule 144(c), and the reporting requirements of the Securities Act and the
Exchange Act (at any time after it has become subject to such reporting
requirements), (ii) a copy of the most recent annual or quarterly report of the
Company, and (iii) such other reports and documents of the Company as such
holder may reasonably request to avail itself of any similar rule or regulation
of the Commission allowing it to sell any such securities without registration.
9. Mergers, Etc. The Company shall not, directly or indirectly, enter
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into any merger, consolidation or reorganization in which the Company shall not
be the surviving corporation unless the proposed surviving corporation shall,
prior to such merger, consolidation or reorganization, agree in writing to
assume the obligations of the Company under this Agreement, and for that purpose
references hereunder to "Registrable Shares" shall be deemed to be references to
the securities which the Stockholders would be entitled to receive in exchange
for Registrable Shares under any such merger, consolidation or reorganization;
provided, however, that the provisions of this Section 9 shall not apply in the
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event of any merger, consolidation or reorganization in which the Company is not
the surviving corporation if all Stockholders are entitled to receive in
exchange for their Registrable Shares consideration consisting solely of (i)
cash, (ii) securities of the acquiring corporation which may be immediately sold
to the public without registration under the Securities Act, or (iii) securities
of the acquiring corporation which the acquiring corporation has agreed to
register within ninety (90) days of completion of the transaction for resale to
the public pursuant to the Securities Act.
10. Termination. All of the Company's obligations to register Registrable
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Shares under this Agreement shall terminate on the second anniversary of this
Agreement.
11. Transfers of Rights. This Agreement, and the rights and obligations
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of each Stockholder hereunder, may not be assigned by such Stockholder to any
person or entity except to a person or entity to whom the Shares are transferred
in accordance with the Stockholders Agreements dated the date hereof, between
the Company and each of the shareholders.
12. General.
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(a) Notices. All notices, requests, consents, and other
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communications under this Agreement shall be in writing and shall be delivered
by
hand or mailed by first class certified or registered mail, return receipt
requested, postage prepaid:
If to the Company, at 000 Xxxxxx Xxxxxx, Xxxxxxx, Xxxxxxxxxxxxx 00000,
Attention: Secretary, or at such other address or addresses as may have been
furnished in writing by the Company to the Physicians; or
If to a Stockholder, at his or its address set forth on Exhibit A or at
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such other address or addresses as may have been furnished to the Company in
writing by such Stockholder.
Notices provided in accordance with this Section 12(a) shall be deemed
delivered upon personal delivery or two business days after deposit in the mail.
(b) Entire Agreement. This Agreement embodies the entire agreement
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and understanding between the parties hereto with respect to the subject matter
hereof and supersedes all prior agreements and understandings relating to such
subject matter.
(c) Amendments and Waivers. Any term of this Agreement may be
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amended and the observance of any term of this Agreement may be waived (either
generally or in a particular instance and either retroactively or
prospectively), with the written consent of the Company and the holders of at
least a majority of the Registrable Shares; provided, that this Agreement may be
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amended with the consent of the holders of less than all Registrable Shares only
in a manner which affects all Registrable Shares in the same fashion. No waivers
of or exceptions to any term, condition or provision of this Agreement, in any
one or more instances, shall be deemed to be, or construed as, a further or
continuing waiver of any such term, condition or provision.
(d) Counterparts. This Agreement may be executed in one or more
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counterparts, each of which shall be deemed to be an original, but all of which
shall be one and the same document.
(e) Severability. The invalidity or unenforceability of any
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provision of this Agreement shall not affect the validity or enforceability of
any other provision of this Agreement.
(f) Governing Law. This Agreement shall be governed by and
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construed in accordance with the laws of the Commonwealth of Massachusetts.
Executed as of the date first written above.
PHYSICIANS QUALITY CARE, INC.:
By: /s/ Xxxxxxx Xxxxx
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Xxxxxxx Xxxxx
President
PHYSICIANS:
/s/ Xxxxx Xxxx MD
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Xxxxx Xxxx, M.D.
/s/ Xxxxxxxx Xxxxxxxxx
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Xxxxxxxx Xxxxxxxxx, M.D.
/s/ Xxxxxxx Xxxxxxxxx
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Xxxxxxx Xxxxxxxxx, M.D.
/s/ Xxxxx Xxxxxx
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Xxxxx Xxxxxx, M.D.
/s/ Xxx Xxxxx
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Xxx Xxxxx, M.D.
/s/ Xxxx Xxxxxxx
by Xxxx Xxxxxx, Attorney in Fact
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Xxxx Xxxxxxx, M.D.
/s/ Xxxx Xxxxxx
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Xxxx Xxxxxx, M.D.
/s/ Xxxxxxx Xxxxxx MD
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Xxxxxxx Xxxxxx, M.D.
/s/ X.X. Xxxxxxxxx
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X. X. Xxxxxxxxx, M.D.
/s/ Xxx Xxxxxx
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Xxx Xxxxxx, D.O.
/s/ Xxxxxxxx Xxxxxxx
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Xxxxxxxx Xxxxxxx, M.D.
/s/ Xxxxxxxx Xxxx MD
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Xxxxxxxx Xxxx, M.D.
/s/ Xxxxxxx Xxxxxxx MD
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Xxxxxxx Xxxxxxx, M.D.
/s/ Xxxx Xxxxxx MD
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Xxxx Xxxxxx, M.D.
/s/ Xxxxxx Xxxxxxx
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Xxxxxx Xxxxxxx, M.D.
/s/ Xxxxxx Xxxxxx
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Xxxxxx Xxxxxx, M.D.
/s/ Xxxxx Meth
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Xxxxx Meth, M.D.
/s/ Xxxxxxx Xxxx
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Xxxxxxx Xxxx, M.D.
/s/ Xxxxx Xxxxxxxxxx
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Xxxxx Xxxxxxxxxx, M.D.
/s/ Xxxxx Xxxxx
by Xxxx Xxxxxx, Attorney in Fact
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Xxxxx Xxxxx, M.D.
/s/ Xxxxxx Race
by Xxxx Xxxxxx, Attorney in Fact
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Xxxxxx Race, M.D.
/s/ Xxxxxxx Xxxxx
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Xxxxxxx Xxxxx, M.D.
/s/ Xxx Xxxxxxxxxx
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Xxx Xxxxxxxxxx, M.D.
/s/ Xxxx Xxxxxxxxx
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Xxxx Xxxxxxxxx, M.D.
/s/ Xxxxxxx Xxxxxxxx
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Xxxxxxx Xxxxxxxx, M.D.
/s/ Xxxxxx Xxxxxxxx
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Xxxxxx Xxxxxxxx, M.D.
/s/ Xxxxxxx Xxxx
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Xxxxxxx Xxxx, M.D.
/s/ Xxxxxxx Xxxxx by __ as Attorney in Fact
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Xxxxxxx Xxxxx, M.D.
Exhibit A
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Xxxxx Xxxx, M.D.
000 Xxxxxxxx Xxxxxx
Xxxx Xxxxxxxxxx, XX 00000
Xxxxxxxx Xxxxxxxxx, M.D.
000 Xxxxx Xxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxxxxx Xxxxxxxxx, M.D.
00 Xxxxxxxx Xxxx
Xxxxxxxxx, XX 00000
Xxxxx Xxxxxx, M.D.
000 Xxxxxxxx Xxxxxx
Xxxxxxxx, XX 00000
Xxx Xxxxx, M.D.
00 Xxxxxxxxx Xxxxx
Xxxxxxxxxx, XX 00000
Xxxx Xxxxxxx, M.D.
000 Xxxxxxxxx Xxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxx Xxxxxx, M.D.
00 Xxxxx Xxxx
Xxxxxxxxxxx, XX 00000
Xxxxxxx Xxxxxx, M.D.
000 Xxxxxxxxx Xxxx Xxxx
Xxxxxxxxxx, XX 00000
X. X. Xxxxxxxxx, M.D.
00 Xxxxxx Xxxxxx
Xxxxxxxxxx, XX 00000
Xxx Xxxxxx, O.D.
000 Xxxxxxxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxxxxxx Xxxxxxx, M.D.
000 Xxxxx Xxxxx Xxxx
Xxxxxxxxxxxx, XX 00000
Xxxxxxxx Xxxx, M.D.
000 Xxxxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxxxxx Xxxxxxx, M.D.
00 Xxxxxxx Xxxxx
Xxxxxxxxxx, XX 00000
Xxxx Xxxxxx, M.D.
00 Xxxxxxxx Xxxxxx
Xxxxxxxxxxx, XX 00000
Xxxxxx Xxxxxxx, M.D.
000 Xxxxx Xxxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxxxx Xxxxxx, M.D.
0 Xxxxxxxx Xxxx
Xxxxxxxxxxx, XX 00000
Xxxxx Meth, M.D.
000 Xxxxxxxxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxxxxx Xxxxxxxxx, M.D.
00 Xxxxxxxxxx Xxxxxx
Xxxxx Xxxxxx, XX 00000
Xxxxxxx Xxxx, M.D.
000 Xxxxxxx Xxxxx
Xxxxxxxxxx, XX 00000
Xxxxx Xxxxxxxxxx, M.D.
00 Xxxxxxxx Xxxxx
Xxxxxxxxx, XX 00000
Xxxxx Xxxxx, M.D.
00 Xxxxxxxx Xxxxxx
Xxxxxxxxxxx, XX 00000
Xxxxxx Race, M.D.
0 Xxxxxxx Xxxxx
Xxxxxxxxx, XX 00000
Xxxxxxx Xxxxx, M.D.
000 Xxxxxx Xxxx Xxxxxx
Xxxxxxxxxxx, XX 00000
Xxxxxxx Xxxxx, M.D.
000 Xxxxxxx Xxxx
Xxxxxxxxxx, XX 00000
Xxx Xxxxxxxxxx, M.D.
000 Xxxxxxxxxxx Xxxxx
Xxxxxxxxxx, XX 00000
Xxxxxxxxx Xxxxxxx
00 Xxxxx Xxxx
Xxxxxx, XX 00000
Xxxx Xxxxxxxxx, M.D.
Xxxxxxx Xxxxxxx, Xxx. 0000
Xxxxxxx, XX 00000
Xxxxxxx Xxxxxxxx, M.D.
00 Xxxxx Xxxxxx
Xxxx Xxxxxxxxxx, XX 00000
Xxxxxx Xxxxxxxx, M.D.
000 Xxxxxx Xxxx Xxxxxx
Xxxx Xxxxxxxxxxx, XX 00000
Xxxxxxx Xxxx, M.D.
00 Xxxxxx Xxxxxx
Xxxxxxxxx, XX 00000
Xxxxxxx Xxxxx, M.D.
00 Xxxxxxxx Xxxxx
Xxxxxxxxx, XX 00000
Xxxxxx Xxxxxxxx
Ayco Company
Executive Xxxxx, Suite 120
000 Xxxxx 000
Xxxxxxx Xxxx, XX 00000