Fourth Amended and Restated Loan Note Sample Contracts

FIRST AMENDMENT TO FOURTH AMENDED AND RESTATED LOAN NOTE
Fourth Amended and Restated Loan Note • July 30th, 2021 • Fresenius Medical Care AG & Co. KGaA • Services-misc health & allied services, nec

FIRST AMENDMENT TO FOURTH AMENDED AND RESTATED LOAN NOTE (this “First Amendment”) made and effective as of the 2nd day of July, 2021 between Fresenius Medical Care AG & Co. KGaA, a German partnership limited by shares (“FME”) and Fresenius Medical Care Holdings, Inc., a New York corporation (collectively, the “Borrowers”), and Fresenius SE & Co. KGaA, a German partnership limited by shares (collectively with any specified subsidiary, the “Lender”).

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