0001075415-21-000005 Sample Contracts

FOURTH SUPPLEMENTAL INDENTURE among DIVERSIFIED HEALTHCARE TRUST THE SUBSIDIARY GUARANTORS NAMED HEREIN and as Trustee Dated as of February 8, 2021 SUPPLEMENTAL TO THE INDENTURE DATED AS OF FEBRUARY 18, 2016 DIVERSIFIED HEALTHCARE TRUST
Fourth Supplemental Indenture • February 25th, 2021 • Diversified Healthcare Trust • Real estate investment trusts • New York

This FOURTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) dated as of February 8, 2021 among Diversified Healthcare Trust, a real estate investment trust organized and existing under the laws of the State of Maryland (the “Company”) having its principal office at Two Newton Place, 255 Washington Street, Suite 300, Newton, Massachusetts 02458, the other entities (other than the Trustee (as defined below)) listed on the signature pages hereto (the “Initial Subsidiary Guarantors”) and U.S. Bank National Association, a national banking organization organized and existing under the laws of the United States, as Trustee (the “Trustee”).

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PLEDGE AMENDMENT February 12, 2021
Pledge Agreement • February 25th, 2021 • Diversified Healthcare Trust • Real estate investment trusts

Reference is hereby made to the Pledge Agreement (as the same may be amended, restated, supplemented or otherwise modified from time to time, the “Pledge Agreement”) dated as of January 29, 2021, by and among Diversified Healthcare Trust, a real estate investment trust formed under the laws of the State of Maryland (the “Borrower”), the undersigned Pledgors and the other Subsidiaries of the Borrower from time to time party thereto as Pledgors, and Wells Fargo Bank, National Association, as Collateral Agent for the Secured Parties (in such capacity, the “Collateral Agent”), whereby each of the undersigned has pledged certain capital stock, membership interests, beneficial interests and partnership interests, as applicable, of certain of its Subsidiaries as collateral to the Collateral Agent, for the ratable benefit of the Secured Parties, as more fully described in the Pledge Agreement. This Amendment is a “Pledge Amendment” as defined in the Pledge Agreement and is, together with the a

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