0001193125-11-168647 Sample Contracts

SECOND SUPPLEMENTAL INDENTURE
Second Supplemental Indenture • June 20th, 2011 • American Medical Systems Holdings Inc • Orthopedic, prosthetic & surgical appliances & supplies • New York

This Second Supplemental Indenture (“Supplemental Indenture”) is made as of the 17th day of June 2011 among American Medical Systems Holdings, Inc., a corporation duly organized under the laws of the State of Delaware (the “Company”), the Notes Guarantors (as defined in the Indenture defined below), and U.S. Bank National Association, a national banking association organized and existing under the laws of the United States, as Trustee (the “Trustee”), under the Indenture, dated as of June 27, 2006 (as amended and supplemented by the First Supplemental Indenture between Laserscope and the Trustee dated September 6, 2006, the “Indenture”).

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