0001047469-15-007605 Sample Contracts

EMPLOYMENT AGREEMENT
Employment Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Massachusetts

This EMPLOYMENT AGREEMENT (this “Agreement”) is entered into as of March 22, 2010, among American Renal Management LLC, a Delaware limited liability company (the “Company”), American Renal Holdings Inc., a Delaware corporation (“ARH”), and Syed T. Kamal, a resident of the State of Florida (the “Executive”).

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FIRST LIEN CREDIT AGREEMENT Dated as of February 20, 2013 among AMERICAN RENAL HOLDINGS INC., as the Borrower, AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, as Holdings, BANK OF AMERICA, N.A., as Administrative Agent, Swing Line Lender and L/C...
First Lien Credit Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This FIRST LIEN CREDIT AGREEMENT (as amended, modified, waived, amended and restated, or otherwise changed, in each case in accordance with the terms hereof, this “Agreement”) is entered into as of February 20, 2013, among AMERICAN RENAL HOLDINGS INC. (the “Borrower”), AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, a Delaware limited liability company (“Holdings”), each lender from time to time party hereto (collectively, the “Lenders” and individually, a “Lender”), and BANK OF AMERICA, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer.

AMENDED AND RESTATED STOCKHOLDERS AGREEMENT
Stockholders Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This AMENDED AND RESTATED STOCKHOLDERS AGREEMENT (as amended from time to time, this “Agreement”) is dated as of June 28, 2010, and is entered into by and among C.P. Atlas Holdings, Inc., a Delaware corporation (“Holdings”), Centerbridge Capital Partners, L.P., a Delaware limited partnership (“Centerbridge”), Centerbridge Capital Partners SBS, L.P., a Delaware limited partnership (“Centerbridge SBS”), Centerbridge Capital Partners Strategic, L.P., a Delaware limited partnership (“Centerbridge Strategic” and, collectively with Centerbridge and Centerbridge SBS, the “Centerbridge Stockholders”), and the other holders of Shares (as defined herein) party hereto, including such other holders who become party hereto as a result of executing the Joinder Agreement substantially in the form attached as Annex A hereto (such other holders are the “Other Stockholders”, and, together with the Centerbridge Stockholders, are collectively referred to herein as the “Stockholders”). The Other Stockholde

FORM OF LOAN SERVICING AGREEMENT Between AMERICAN RENAL ASSOCIATES LLC, a Delaware limited liability company, as Servicer, [NEWCO LLC], a Delaware limited liability company, as Lender
Loan Servicing Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

THIS LOAN SERVICING AGREEMENT (this “Agreement”) is made as of [·], 2015, among AMERICAN RENAL ASSOCIATES LLC, a Delaware limited liability company (“Servicer”) and [NEWCO LLC], a Delaware limited liability company (the “Lender”).

SECOND LIEN CREDIT AGREEMENT Dated as of February 20, 2013 among AMERICAN RENAL HOLDINGS INC., as the Borrower, AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, as Holdings, BANK OF AMERICA, N.A., as Administrative Agent, and The Other Lenders Party...
Second Lien Credit Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This SECOND LIEN CREDIT AGREEMENT (as amended, modified, waived, amended and restated, or otherwise changed, in each case in accordance with the terms hereof, this “Agreement”) is entered into as of February 20, 2013, among AMERICAN RENAL HOLDINGS INC. (the “Borrower”), AMERICAN RENAL HOLDINGS INTERMEDIATE COMPANY, LLC, a Delaware limited liability company (“Holdings”), each lender from time to time party hereto (collectively, the “Lenders” and individually, a “Lender”), and BANK OF AMERICA, N.A., as Administrative Agent.

FIRST][SECOND] AMENDMENT TO EMPLOYMENT AGREEMENT
Employment Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec

This [FIRST][SECOND] AMENDMENT TO EMPLOYMENT AGREEMENT (this “Amendment”) is entered into effective as of [ ], 2015 (the “Effective Date”) by and among American Renal Management LLC, a Delaware limited liability company (the “Company”), American Renal Holdings Inc., a Delaware corporation (“ARH”), and [ ], a resident of [ ] (“Executive”).

Contract
Incremental Nonqualified Stock Option Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Delaware

THIS AGREEMENT (the “Agreement”) between American Renal Associates Holdings, Inc. (the “Company”) and the executive listed on the signature page hereto (the “Participant”) is made effective as of the date set forth on the Company’s signature page.

SECOND AMENDMENT TO EMPLOYMENT AGREEMENT
Employment Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec

This SECOND AMENDMENT TO EMPLOYMENT AGREEMENT (this “Amendment”) is entered into effective as of [ ], 2015 (the “Effective Date”) by and among American Renal Management LLC, a Delaware limited liability company (the “Company”), American Renal Holdings Inc., a Delaware corporation (“ARH”), and Joseph A. Carlucci, a resident of the Commonwealth of Massachusetts (“Executive”).

FIRST AMENDMENT TO EMPLOYMENT AGREEMENT
Employment Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Massachusetts

This First Amendment to Employment Agreement (the “Amendment”), is made and entered into this 21st day of April, 2011, by and among American Renal Management, LLC, a Delaware limited liability company (the “Company”), American Renal Holdings, Inc., a Delaware corporation (“ARH”), and John M. McDonough (“Executive”).

EXCHANGE AGREEMENT
Exchange Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Delaware

THIS EXCHANGE AGREEMENT (the “Agreement”) between American Renal Associate Holdings, Inc. (the “Company”) and the executive named on the signature page hereto (the “Participant”) is made as of the date set forth on the Company’s signature page.

AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • New York

This AMENDED AND RESTATED REGISTRATION RIGHTS AGREEMENT (as amended from time to time, this “Agreement”) is dated as of May 7, 2010, and is entered into by and among C.P. Atlas Holdings, Inc., a Delaware corporation (“Holdings”), Centerbridge Capital Partners, L.P., a Delaware limited partnership (“Centerbridge”), Centerbridge Capital Partners SBS, L.P., a Delaware limited partnership (“Centerbridge SBS”), Centerbridge Capital Partners Strategic, L.P., a Delaware limited partnership (“Centerbridge Strategic” and, collectively with Centerbridge and Centerbridge SBS, the “Centerbridge Stockholders”), and the other holders of Shares (as defined below) party hereto (such other holders are the “Other Stockholders”, and, together with the Centerbridge Stockholders, are collectively referred to herein as the “Stockholders”). The Other Stockholders who are employed by Holdings and/or its Subsidiaries at any time during their ownership of the Shares (whether or not they continue to be so employ

NONQUALIFIED STOCK OPTION AGREEMENT 2010 C.P. ATLAS HOLDINGS, INC. STOCK INCENTIVE PLAN
Nonqualified Stock Option Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Delaware

THIS AGREEMENT (the “Agreement”), is made effective as of [DATE, 2010] (the “Date of Grant”), between C.P. Atlas Holdings, Inc. (the “Company”) and the executive listed on the signature page hereto (the “Participant”).

NONQUALIFIED STOCK OPTION AGREEMENT FOR NON-EMPLOYEE DIRECTORS
Nonqualified Stock Option Agreement • September 30th, 2015 • American Renal Associates Holdings, Inc. • Services-misc health & allied services, nec • Delaware

THIS AGREEMENT (the “Agreement”), is made effective as of the date set forth on the signature page hereto (the “Date of Grant”), between American Renal Associates Holdings, Inc. (the “Company”) and the non-employee director listed on the signature page hereto (the “Participant”).

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