0001104659-07-050076 Sample Contracts

SECOND SUPPLEMENTAL INDENTURE
Second Supplemental Indenture • June 26th, 2007 • Genesis Healthcare Corp • Services-skilled nursing care facilities • New York

THIS SECOND SUPPLEMENTAL INDENTURE, dated as of June 20, 2007 (this “Supplemental Indenture”), is by and among Genesis HealthCare Corporation, a Pennsylvania corporation (the “Issuer”), the Subsidiary Guarantors signatory hereto, and The Bank of New York, as trustee (the “Trustee”).

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FOURTH SUPPLEMENTAL INDENTURE
Fourth Supplemental Indenture • June 26th, 2007 • Genesis Healthcare Corp • Services-skilled nursing care facilities • New York

THIS FOURTH SUPPLEMENTAL INDENTURE, dated as of June 20, 2007 (this “Supplemental Indenture”), is by and among Genesis HealthCare Corporation, a Pennsylvania corporation (the “Issuer”), the Subsidiary Guarantors signatory hereto, and The Bank of New York, as trustee (the “Trustee”).

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