0001193125-09-135390 Sample Contracts

AMERICAN DENTAL PARTNERS, INC. and , AS WARRANT AGENT FORM OF COMMON STOCK WARRANT AGREEMENT DATED AS OF
Common Stock Warrant Agreement • June 23rd, 2009 • American Dental Partners Inc • Services-misc health & allied services, nec • New York

This Common Stock Warrant Agreement (this “Agreement”), dated as of [ ], is entered into by and between American Dental Partners, Inc., a Delaware corporation (the “Company”) and [ ], a [corporation] [national banking association] organized and existing under the laws of [ ] and having a corporate trust office in [ ], as warrant agent (the “Warrant Agent”).

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