Common Contracts

Contract

October 21st, 2016

• Filed
  October 21st, 2016

CONTRACT AMENDMENT # 3 DODATEK Č. 3 KE SMLOUVĚ THIS CONTRACT AMENDMENT# 3 (“Contract Amendment # 3”), dated as of last signature hereof (the “Effective Date”), is by and between Pharmaceutical Research Associates CZ, s.r.o. located at Jankovcova 1569/2c, Praha 7, 170 00, Czech Republic, Company ID number: 27636852, represented by MUDr. Andrea Klč, proxy (“PRA”), acting as an independent contractor for TEVA PHARMACEUTICAL INDUSTRIES LTDlocated at 5 Basel Street, Petach Tiqva, 49131, Israel (the “Sponsor”) and Fakultní nemocnice u sv. Anny v Brně located at Pekařská 53, Brno, 656 91, Czech Republic, Company ID number: 00159816, TAX ID number: CZ00159816represented by, Director (the“Institution”) and, with residentaddress at ,, date of birth: th(the “Investigator”). TENTO DODATEK Č. 3 KESMLOUVĚ (“Dodatek č. 3 ke Smlouvě”), nabývá účinnosti dnem podpisu všemi smluvními stranami (“Den účinnosti”), a je uzavřen meziPharmaceutical Research Associates CZ, s.r.o., se sídlem Jankovcova 1569/