0001004724-10-000066 Sample Contracts

AMENDMENT NO. 1 TO SECURITIES PURCHASE AGREEMENT, AMENDMENT NO. 1 TO REGISTRATION RIGHTS AGREEMENT AND JOINDER AGREEMENT October 29, 2010
Securities Purchase Agreement • November 1st, 2010 • Adcare Health Systems Inc • Services-skilled nursing care facilities • New York

This Amendment No. 1 to Securities Purchase Agreement, Amendment No. 1 to Registration Rights Agreement and Joinder Agreement (the “Agreement”) is entered into as of the date first set forth above (the “Effective Date”), by and among AdCare Health Systems, Inc., an Ohio corporation (the “Company”), the investors listed under the heading “Existing Buyers” on the signature pages hereto (collectively, the “Existing Buyers”), and the investors listed under the heading “New Buyers” on the signature pages hereto (the “New Buyers”).

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ADCARE HEALTH SYSTEMS, INC.
Adcare Health Systems Inc • November 1st, 2010 • Services-skilled nursing care facilities • New York
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