0001193125-11-193822 Sample Contracts

REGISTRATION RIGHTS AGREEMENT by and between American Renal Holdings Company, Inc., and Merrill Lynch, Pierce, Fenner & Smith Incorporated Barclays Capital Inc. as Representatives of the several Initial Purchasers Dated as of March 4, 2011
Registration Rights Agreement • July 22nd, 2011 • American Renal Associates Holdings, Inc. • New York

This Registration Rights Agreement (this “Agreement”) is made and entered into as of March 4, 2011, by and between American Renal Holdings Company, Inc., a Delaware corporation (the “Company”) and Merrill Lynch, Pierce, Fenner & Smith Incorporated and Barclays Capital Inc., as Representatives of the several initial purchasers (collectively, the “Initial Purchasers” named on Schedule A to the Purchase Agreement), each of whom has agreed to purchase the Company’s 9.75% / 10.50% Senior PIK Toggle Notes due 2016 (the “Initial Notes”) pursuant to the Purchase Agreement (as defined below).

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