AMENDMENT NO. 4 TO CREDIT AND SECURITY AGREEMENTCredit and Security Agreement • March 16th, 2009 • NxStage Medical, Inc. • Electromedical & electrotherapeutic apparatus • Illinois
Contract Type FiledMarch 16th, 2009 Company Industry JurisdictionTHIS AMENDMENT NO. 4 to Credit and Security Agreement (this “Amendment”) is entered into this [ • ]th day of March, 2009 (the “Fourth Amendment Date”), by and among (a) NXSTAGE MEDICAL, INC., a Delaware corporation, EIR MEDICAL, INC., a Massachusetts corporation, MEDISYSTEMS SERVICES CORPORATION, a Nevada corporation, and MEDISYSTEMS CORPORATION, a Washington corporation, and any additional Borrower that may hereafter be added to the Credit Agreement (as defined below) (each individually as a “Borrower” and collectively as “Borrowers”), (b) GE BUSINESS FINANCIAL SERVICES INC. (formerly known as Merrill Lynch Business Financial Services Inc.), individually as a Lender, and as Administrative Agent, and (c) the financial institutions or other entities signatory hereto as Lenders.