Exhibit 10.1

AMENDMENT NO. 3 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT

AMENDMENT NO. 3, dated as of April 6, 2018 (this “Amendment”), among IQVIA Inc.
(formerly known as Quintiles IMS Incorporated), a Delaware corporation (the
“Parent Borrower”), IQVIA Holdings Inc., a Delaware corporation, IQVIA AG
(formerly known as IMS AG), a Swiss corporation and a subsidiary of the Parent
Borrower (the “Swiss Subsidiary Borrower”), IQVIA Solutions Japan K.K. (formerly
known as IMS Japan K.K.), a Japanese stock corporation (kabushiki kaisha) and a
subsidiary of the Parent Borrower (the “Japanese Subsidiary Borrower” and
together with the Parent Borrower and the Swiss Subsidiary Borrower, each a
“Borrower” and collectively, the “Borrowers”), the other guarantors party
hereto, Bank of America, N.A., as administrative agent and as collateral agent
(in such capacity, the “Administrative Agent”), and the Incremental Revolving
Credit Lenders (as defined below).

W I T N E S S E T H:

WHEREAS, the Borrowers, the Administrative Agent, the lenders from time to time
party thereto (the “Lenders”) and the other parties thereto have entered into
that certain Fourth Amended and Restated Credit Agreement, dated as of October
3, 2016 (as amended, restated, supplemented or otherwise modified prior to the
date hereof, the “Existing Credit Agreement”);

WHEREAS, pursuant to Section 2.14 of the Existing Credit Agreement and on the
terms and conditions set forth herein, (i) each Lender and Additional Lender (as
defined in the Existing Credit Agreement) executing this Amendment as an
Incremental U.S. Revolving Credit Lender (each such Lender and Additional
Lender, an “Incremental U.S. Revolving Credit Lender”) has agreed, severally, on
the terms and conditions set forth herein, to provide an Incremental Revolving
Credit Commitment in the form of a Revolving Commitment Increase to the U.S.
Revolving Credit Commitments in the aggregate principal amount set forth
opposite its name on Schedule I hereto (such Incremental Revolving Credit
Commitments of all Incremental U.S. Revolving Credit Lenders, the “Incremental
U.S. Revolving Credit Commitments”), (ii) each Lender and Additional Lender
executing this Amendment as an Incremental Japanese Revolving Credit Lender
(each such Lender and Additional Lender, an “Incremental Japanese Revolving
Credit Lender”) has agreed, severally, on the terms and conditions set forth
herein, to provide an Incremental Revolving Credit Commitment in the form of a
Revolving Commitment Increase to the Japanese Revolving Credit Commitments in
the aggregate principal amount set forth opposite its name on Schedule I hereto
(such Incremental Revolving Credit Commitments of all Incremental Japanese
Revolving Credit Lenders, the “Incremental Japanese Revolving Credit
Commitments”), and (iii) each Lender and Additional Lender executing this
Amendment as an Incremental Swiss/Multicurrency Revolving Credit Lender (each
such Lender and Additional Lender, an “Incremental Swiss/Multicurrency Revolving
Credit Lender” and together with each Incremental U.S. Revolving Credit Lender
and Incremental Japanese Revolving Credit Lender, the “Incremental Revolving
Credit Lenders”) has agreed, severally, to provide an Incremental Revolving
Credit Commitment in the form of a Revolving Commitment Increase to the
Swiss/Multicurrency Revolving Credit Commitments in the aggregate principal
amount set forth opposite its name on Schedule I hereto (such Incremental
Revolving Credit Commitments of all Incremental Swiss/Multicurrency Revolving
Credit Lenders, the “Incremental Swiss/Multicurrency Revolving Credit
Commitments”, and together with the Incremental U.S. Revolving Credit
Commitments and the Incremental Japanese Revolving Credit Commitments, the
“Incremental Revolving Credit Commitments”); and

 

WHEREAS, Merrill Lynch, Pierce, Fenner & Smith Incorporated (the “Amendment No.
3 Lead Arranger”) has acted as sole lead arranger and sole bookrunner in
connection with this Amendment;

 

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NOW, THEREFORE, in consideration of the premises and for other good and valuable
consideration, the sufficiency and receipt of all of which is hereby
acknowledged, the parties hereto hereby agree as follows:

SECTION 1.Definitions.  Capitalized terms not otherwise defined in this
Amendment shall have the same meanings as specified in the Existing Credit
Agreement.

SECTION 2.Incremental Revolving Credit Commitments.

(i)In accordance with Section 2.14 of the Existing Credit Agreement, the Parent
Borrower hereby requests (A) a Revolving Commitment Increase in the aggregate
principal amount of $225,000,000 to the U.S. Revolving Credit Commitments from
the Incremental U.S. Revolving Credit Lenders as set forth in Schedule I hereto,
(B) a Revolving Commitment Increase in the aggregate Dollar Equivalent principal
amount of $75,000,000 to the Japanese Revolving Credit Commitments from the
Incremental Japanese Revolving Credit Lenders as set forth in Schedule I hereto
and (C) a Revolving Commitment Increase in the aggregate Dollar Equivalent
principal amount of $200,000,000 to the Swiss/Multicurrency Revolving Credit
Commitments from the Incremental Swiss/Multicurrency Revolving Credit Lenders as
set forth in Schedule I hereto, in the case of all such Incremental Revolving
Credit Commitments, to be effective on the Amendment No. 3 Effective Date (it
being acknowledged, for the avoidance of doubt, that this Section 2(i) shall
constitute an Incremental Loan Request).

(ii)Each Incremental Revolving Credit Lender hereby agrees that effective on and
at all times after the Amendment No. 3 Effective Date, such Incremental
Revolving Credit Lender will be bound by all obligations of a Lender under the
Existing Credit Agreement in respect of its Incremental Revolving Credit
Commitment and Incremental Revolving Credit Loans (in addition to all other
Loans and Commitments of such Lender (if any) outstanding prior to the Amendment
No. 3 Effective Date).

(iii)The Incremental U.S. Revolving Credit Commitments shall have the same terms
as the U.S. Revolving Credit Commitments, and upon the establishment and
incurrence thereof pursuant to this Amendment, will constitute (x) a Revolving
Commitment Increase which increases the aggregate amount of the U.S. Revolving
Credit Commitments, (y) together with the U.S. Revolving Credit Commitments in
effect immediately prior to the Amendment No. 3 Effective Date, a single Class
of Revolving Credit Commitments and (z) automatically and without any further
action or notice by any party, U.S. Revolving Credit Commitments for all
purposes of the Existing Credit Agreement, as amended by this Amendment (the
“Credit Agreement”), except as otherwise set forth herein.

(iv)The Incremental Japanese Revolving Credit Commitments shall have the same
terms as the Japanese Revolving Credit Commitments, and upon the establishment
and incurrence thereof pursuant to this Amendment, will constitute (x) a
Revolving Commitment Increase which increases the aggregate amount of the
Japanese Revolving Credit Commitments, (y) together with the Japanese Revolving
Credit Commitments in effect immediately prior to the Amendment No. 3 Effective
Date, a single Class of Revolving Credit Commitments and (z) automatically and
without any further action or notice by any party, Japanese Revolving Credit
Commitments for all purposes of the Credit Agreement except as otherwise set
forth herein.

(v)The Incremental Swiss/Multicurrency Revolving Credit Commitments shall have
the same terms as the Swiss/Multicurrency Revolving Credit Commitments, and upon
the establishment and incurrence thereof pursuant to this Amendment, will
constitute (x) a Revolving

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Commitment Increase which increases the aggregate amount of the
Swiss/Multicurrency Revolving Credit Commitments, (y) together with the
Swiss/Multicurrency Revolving Credit Commitments in effect immediately prior to
the Amendment No. 3 Effective Date, a single Class of Revolving Credit
Commitments and (z) automatically and without any further action or notice by
any party, Swiss/Multicurrency Revolving Credit Commitments for all purposes of
the Credit Agreement except as otherwise set forth herein.

(vi)Reallocation of Revolving Credit Loans.  

(A)Each of the Applicable Revolving Credit Lenders shall assign to each of the
Incremental U.S. Revolving Credit Lenders, and each Incremental U.S. Revolving
Credit Lender shall purchase from each of the Applicable Revolving Credit
Lenders, at the principal amount thereof, such interests in the U.S. Revolving
Credit Loans outstanding on the Amendment No. 3 Effective Date as shall be
necessary in order that, after giving effect to all such assignments and
purchases, such U.S. Revolving Credit Loans will be held by Applicable Revolving
Credit Lenders and Incremental U.S. Revolving Credit Lenders ratably in
accordance with their U.S. Revolving Credit Commitments after giving effect to
the Revolving Commitment Increase in respect of the U.S. Revolving Credit
Commitments on the Amendment No. 3 Effective Date.

(B)Each of the Applicable Revolving Credit Lenders shall assign to each of the
Incremental Japanese Revolving Credit Lenders, and each Incremental Japanese
Revolving Credit Lender shall purchase from each of the Applicable Revolving
Credit Lenders, at the principal amount thereof, such interests in the Japanese
Revolving Credit Loans outstanding on the Amendment No. 3 Effective Date as
shall be necessary in order that, after giving effect to all such assignments
and purchases, such Japanese Revolving Credit Loans will be held by Applicable
Revolving Credit Lenders and Incremental Japanese Revolving Credit Lenders
ratably in accordance with their Japanese Revolving Credit Commitments after
giving effect to the Revolving Commitment Increase in respect of the Japanese
Revolving Credit Commitments on the Amendment No. 3 Effective Date.

(C)Each of the Applicable Revolving Credit Lenders shall assign to each of the
Incremental Swiss/Multicurrency Revolving Credit Lenders, and each Incremental
Swiss/Multicurrency Revolving Credit Lender shall purchase from each of the
Applicable Revolving Credit Lenders, at the principal amount thereof, such
interests in the Swiss/Multicurrency Revolving Credit Loans outstanding on the
Amendment No. 3 Effective Date as shall be necessary in order that, after giving
effect to all such assignments and purchases, such Swiss/Multicurrency Revolving
Credit Loans will be held by Applicable Revolving Credit Lenders and Incremental
Swiss/Multicurrency Revolving Credit Lenders ratably in accordance with their
Swiss/Multicurrency Revolving Credit Commitments after giving effect to the
Revolving Commitment Increase in respect of the Swiss/Multicurrency Revolving
Credit Commitments on the Amendment No. 3 Effective Date.

(D)The minimum borrowing and prepayment requirements set forth in Section 2.02
and 2.05(a) of the Credit Agreement shall not apply to the transactions effected
pursuant to this Section 2(vi).

SECTION 3.Amendments to the Existing Credit Agreement.  

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(a)Section 1.01 of the Existing Credit Agreement is hereby amended by adding the
following defined term in the appropriate alphabetical order:

“Amendment No. 3 Effective Date” means April 6, 2018.

(b)Section 1.01 of the Existing Credit Agreement is hereby amended by deleting
clause (a) in the definition of “Eurocurrency Rate” and substituting in lieu
thereof the following:

with respect to any Eurocurrency Rate Loan denominated in Dollars or a Foreign
Currency, the rate per annum equal to the offered rate administered by the ICE
Benchmark Administration Limited or such other rate per annum as is widely
recognized as the successor thereto if the ICE Benchmark Administration Limited
is no longer making a London Interbank Offer Rate available (“LIBOR”), as
published on the applicable Bloomberg screen page (or such other commercially
available source providing such quotations as may be designated by the
Administrative Agent from time to time) at approximately 11:00 a.m., London
time, two Business Days prior to the commencement of such Interest Period, for
deposits in the relevant currency (for delivery on the first day of such
Interest Period) with a term equivalent to such Interest Period; and

(c)Section 1.01 of the Existing Credit Agreement is hereby amended by deleting
the last sentence contained in the definition of “Japanese Revolving Credit
Commitment” and substituting in lieu thereof the following:

The aggregate Dollar Equivalent of the Japanese Revolving Credit Commitments as
of the Amendment No. 3 Effective Date is $225,000,000.

(d)Section 1.01 of the Existing Credit Agreement is hereby amended by deleting
the last sentence contained in the definition of “Revolving Credit Commitments”
and substituting in lieu thereof the following:

The aggregate Dollar Equivalent of the Revolving Credit Commitments as of the
Amendment No. 3 Effective Date is $1,500,000,000.

(e)Section 1.01 of the Existing Credit Agreement is hereby amended by deleting
the last sentence contained in the definition of “Swiss/Multicurrency Revolving
Credit Commitment” and substituting in lieu thereof the following:

The aggregate Dollar Equivalent of the Swiss/Multicurrency Revolving Credit
Commitments as of the Amendment No. 3 Effective Date is $600,000,000.

(f)Section 1.01 of the Existing Credit Agreement is hereby amended by deleting
the last sentence contained in the definition of “U.S. Revolving Credit
Commitment” and substituting in lieu thereof the following:

The aggregate amount of the U.S. Revolving Credit Commitments as of the
Amendment No. 3 Effective Date is $675,000,000.

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SECTION 4.Conditions of Effectiveness.  This Amendment shall become effective as
of the first date (such date being referred to as the “Amendment No. 3 Effective
Date”) when each of the following conditions shall have been satisfied:

(a)The Administrative Agent (or its counsel) shall have received (i)
counterparts of this Amendment signed by the Borrowers, the Guarantors, the
Administrative Agent, the L/C Issuer, the Swing Line Lender and the Incremental
Revolving Credit Lenders and (ii) the Swiss Reaffirmation duly executed and
delivered by the Swiss Guarantors.

(b)The Administrative Agent shall have received (w) the legal opinion of Ropes &
Gray LLP, counsel to the Loan Parties, (x) the legal opinion of Smith, Anderson,
Blount, Dorsett, Mitchell & Jernigan, L.L.P., North Carolina counsel to the Loan
Parties, (y) the legal opinion of Lenz & Staehelin, Swiss counsel for the
Amendment No. 3 Lead Arranger, and (z) the legal opinion of Nagashima Ohno &
Tsunematsu, Japanese counsel for the Loan Parties, in each case, dated as of the
Amendment No. 3 Effective Date and in form and substance reasonably satisfactory
to the Administrative Agent.

(c)The Administrative Agent shall have received (i) copies of each Organization
Document for each Borrower and each Guarantor, as applicable, and, to the extent
applicable, certified as of a recent date by the appropriate governmental
official, each dated the Amendment No. 3 Effective Date or a recent date prior
thereto; (ii) signature and incumbency certificates of the officers of each
Borrower and each Guarantor executing this Amendment; (iii) resolutions of the
Board of Directors or similar governing body of each Borrower and each Guarantor
approving and authorizing the execution, delivery and performance of this
Amendment and certified as of the Amendment No. 3 Effective Date by its
secretary, an assistant secretary or other appropriate Person as being in full
force and effect without modification or amendment and (iv) if available, a good
standing certificate from the applicable Governmental Authority of each
Borrower’s and each Guarantor’s jurisdiction of incorporation, organization or
formation, each dated a recent date prior to the Amendment No. 3 Effective Date.

(d)The Administrative Agent and the Amendment No. 3 Lead Arranger shall have
been paid all fees payable to the Administrative Agent and the Amendment No. 3
Lead Arranger, respectively, on the Amendment No. 3 Effective Date and, to the
extent invoiced at least three (3) Business Days prior to the Amendment No. 3
Effective Date (or as otherwise reasonably agreed by the Parent Borrower),
out-of-pocket expenses required to be paid by the Parent Borrower in connection
with this Amendment, including the Attorney Costs of Cahill Gordon & Reindel
LLP, in accordance with Section 10.04 of the Existing Credit Agreement.

(e)The Administrative Agent shall have received an officer’s certificate with
respect to the Borrowers and the Guarantors in form and substance reasonably
satisfactory to the Administrative Agent as to satisfaction of the conditions
set forth in clauses (j) and (k) of this Section 4.

(f)To the extent requested at least three (3) Business Days prior to the
Amendment No. 3 Effective Date (or as otherwise reasonably agreed by the Parent
Borrower), the Administrative Agent shall have received a Note executed by the
applicable Borrower in favor of each Incremental Revolving Credit Lender
requesting a Note, if any.

(g)The Administrative Agent shall have received for the account of each
Incremental Revolving Credit Lender a fee payable in Dollars equal to 0.25% of
the aggregate

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principal amount of the Incremental Revolving Credit Commitment of such
Incremental Revolving Credit Lender as of the Amendment No. 3 Effective Date.

(h)The Administrative Agent shall have received the results of searches of the
Uniform Commercial Code filings (or equivalent filings) made with respect to the
Parent Borrower and each Guarantor in the state of formation of such Person.

(i)At least three (3) Business Days prior to the Amendment No. 3 Effective Date,
the Administrative Agent shall have received all documentation and other
information required by regulatory authorities under applicable
“know-your-customer” and anti-money laundering rules and regulations, including
the USA PATRIOT Act, that has been requested in writing at least ten (10)
Business Days prior to the Amendment No. 3 Effective Date.

(j)The representations and warranties of each Loan Party set forth in Article V
of the Credit Agreement and in each other Credit Document shall be true and
correct in all material respects on and as of the Amendment No. 3 Effective
Date, except to the extent such representations and warranties expressly relate
to an earlier date, in which case they shall be true and correct in all material
respects as of such earlier date; provided that any representation and warranty
that is qualified as to “materiality,” “Material Adverse Effect” or similar
language shall be true and correct (after giving effect to any qualification
therein) in all respects on such respective dates.

(k)Immediately after giving effect to this Amendment and the establishment of
the Incremental Revolving Credit Commitments on the Amendment No. 3 Effective
Date as contemplated by this Amendment, no Default or Event of Default shall
exist.

(l)The Administrative Agent shall have received a Solvency Certificate from a
Responsible Officer of the Parent Borrower in substantially the form attached
hereto as Annex A.  

SECTION 5.Representations and Warranties.  The Loan Parties represent and
warrant as follows as of the date hereof:

(a)the execution, delivery and performance of this Amendment have been duly
authorized by all necessary corporate or other organizational action on the part
of the Borrowers and the Guarantors.  The execution, delivery and performance by
the Loan Parties of this Amendment will not (i) contravene the terms of any of
such Loan Party’s Organization Documents, (ii) result in the creation of any
Lien upon any of the property or assets of such Loan Party or any of the
Restricted Subsidiaries (other than as permitted by Section 7.01 of the Existing
Credit Agreement), or (iii) violate any applicable Law except with respect to
any breach, contravention or violation referred to in clauses (ii) and (iii), to
the extent that such breach, contravention or violation would not reasonably be
expected to have, individually or in the aggregate, a Material Adverse Effect;

(b)this Amendment has been duly executed and delivered by each Loan Party party
hereto and constitutes a legally valid and binding obligation of each such Loan
Party, enforceable against it in accordance with its terms, except as such
enforceability may be limited by Debtor Relief Laws and by general principles of
equity and principles of good faith and fair dealing; and

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(c)the representations and warranties of each Loan Party set forth in Article V
of the Credit Agreement and in each other Credit Document are true and correct
in all material respects on and as of the Amendment No. 3 Effective Date, except
to the extent such representations and warranties expressly relate to an earlier
date, in which case they are true and correct in all material respects as of
such earlier date; provided that any representation and warranty that is
qualified as to “materiality,” “Material Adverse Effect” or similar language is
true and correct (after giving effect to any qualification therein) in all
respects on such respective dates.

SECTION 6.Effect on the Existing Credit Agreement and the Credit Documents.

(a)

On and after the Amendment No. 3 Effective Date, each reference in the Credit
Agreement to “this Agreement”, “hereunder”, “hereof” or words of like import
referring to the Existing Credit Agreement, shall mean and be a reference to the
Existing Credit Agreement, as amended by, and after giving effect to, this
Amendment.  Each of the Collateral Documents, as specifically amended by this
Amendment, and all of the Collateral described therein do and shall continue to
secure the payment of all Obligations of the Loan Parties under the Credit
Documents, in each case, as amended by this Amendment.

(b)The execution, delivery and effectiveness of this Amendment shall not, except
as expressly provided herein, operate as a waiver of any right, power or remedy
of any Lender or the Administrative Agent under any of the Credit Documents, nor
constitute a waiver of any provision of any of the Credit Documents.  On and
after the effectiveness of this Amendment, this Amendment shall for all purposes
constitute a Credit Document.

(c)This Amendment shall not constitute a novation of the Existing Credit
Agreement or of any other Credit Document.

SECTION 7.Liens Unimpaired.  After giving effect to this Amendment, neither the
modification of the Existing Credit Agreement effected pursuant to this
Amendment nor the execution, delivery, performance or effectiveness of this
Amendment:

(a)impairs the validity, effectiveness or priority of the Liens granted pursuant
to any Credit Document prior to the Amendment No. 3 Effective Date, and such
Liens continue unimpaired with the same priority to secure repayment of all
Obligations (including, without limitation, the Incremental Revolving Credit
Commitments), whether heretofore or hereafter incurred; or

(b)requires that any new filings be made or other action taken to perfect or to
maintain the perfection of such Liens.

SECTION 8.Execution in Counterparts.  This Amendment may be executed in any
number of counterparts, each of which when so executed and delivered shall be
deemed an original, but all such counterparts together shall constitute one and
the same instrument.  Delivery by facsimile or electronic transmission of an
executed counterpart of a signature page to this Amendment shall be effective as
delivery of an original executed counterpart of this Amendment.

SECTION 9.Severability.  In case any provision in or obligation of this
Amendment shall be invalid, illegal or unenforceable in any jurisdiction, the
validity, legality and enforceability of the remaining provisions or
obligations, or of such provision or obligation in any other jurisdiction, shall
not in any way be affected or impaired thereby.

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SECTION 10.Successors.  The terms of this Amendment shall be binding upon, and
shall inure for the benefit of, the parties hereto and their respective
successors and permitted assigns.

SECTION 11.Governing Law; Jurisdiction.  This Amendment shall be governed by,
and construed and enforced in accordance with, the laws of the State of
New York.  The provisions of Sections 10.15(b) and (c) and Section 10.16 of the
Existing Credit Agreement shall apply to this Amendment, mutatis mutandis.

SECTION 12.Lender Signatures.  Each Lender that executes a counterpart to this
Amendment shall be deemed to have irrevocably approved this Amendment (and such
approval shall be binding upon Lender’s successors and assigns).  Each Lender
agrees that such Lender shall not be entitled to receive a copy of any other
Lender’s signature page to this Amendment, but agrees that a copy of such
signature page may be delivered to the Parent Borrower, the Administrative Agent
and the Amendment No. 3 Lead Arranger.

SECTION 13.Reaffirmation.  Each Borrower and each Guarantor hereby expressly
acknowledges the terms of this Amendment and reaffirms, as of the date hereof on
behalf of themselves and each other Loan Party, (i) the covenants and agreements
contained in each Credit Document to which it is a party, including, in each
case, such covenants and agreements as in effect immediately after giving effect
to this Amendment and the transactions contemplated hereby and (ii) its
guarantee of the Obligations under each Guaranty, as applicable, and its prior
grant of Liens on the Collateral to secure the Obligations pursuant to the
Collateral Documents which Liens continue in full force and effect after giving
effect to this Amendment.

SECTION 14.Roles. It is agreed that the Amendment No. 3 Lead Arranger shall be
deemed a Lead Arranger for all purposes under the Credit Agreement.  Anything
herein to the contrary notwithstanding, the Amendment No. 3 Lead Arranger shall
not have any powers, duties or responsibilities under this Amendment, except in
its capacity, as applicable, as the Administrative Agent or a Lender hereunder.

[The remainder of this page is intentionally left blank]

 

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed
by their respective officers thereunto duly authorized, as of the date first
above written.

IQVIA INC.,
as the Parent Borrower

By:

/s/ Eric Sherbet

Name:  

Eric Sherbet

Title:

President

IQVIA SOLUTIONS JAPAN K.K.,
as the Japanese Subsidiary Borrower

By:

/s/ Fumihiko Ugajin

Name:

Fumihiko Ugajin

Title:

Representative Director

IQVIA AG,
as the Swiss Subsidiary Borrower

By:

/s/ Sacha Cossar

Name:  

Sacha Cossar

Title:

Managing Director

 

By:

/s/ Angela Gisler

Name:  

Angela Gisler

Title:

Manager Finance

[Signature Page to Amendment No. 3]

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IQVIA HOLDINGS INC.,

as a Guarantor

By:

/s/ Eric M. Sherbet

Name:

Eric M. Sherbet  

Title:  

Secretary

[Signature Page to Amendment No. 3]

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Appature Inc., as a Guarantor

Arsenal Holding Company, as a Guarantor

Arsenal Holding (II) Company, as a Guarantor

BuzzeoPDMA LLC, as a Guarantor

Data Niche Associates, Inc., as a Guarantor

iqvia commercial india holdings corp., as a Guarantor

IMS Health Investing Corporation, as a Guarantor

IMS Health Investments, Inc., as a Guarantor

IMS Health HOLDING CORPORATION, as a Guarantor

IMS Health Purchasing, Inc., as a Guarantor

IMS Holding Inc., as a Guarantor

iqvia Trading Management Inc., as a Guarantor

RX India, LLC, as a Guarantor

The Amundsen Group, Inc., as a Guarantor

ValueMedics Research, LLC, as a Guarantor

IQVIA chinametrik INC., as a Guarantor

INTERCONTINENTAL MEDICAL STATISTICS INTERNATIONAL, LTD., as a Guarantor

TARGETED MOLECULAR DIAGNOSTICS, LLC, as a Guarantor

COTE ORPHAN LLC, as a Guarantor

Enterprise Associates L.L.C., as a Guarantor

iqvia transportation services corp., as a Guarantor

IMS Software Services Ltd., as a Guarantor

By:

/s/ Eric Sherbet

Name:  

Eric Sherbet

Title:

President

 

[Signature Page to Amendment No. 3]

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Med-Vantage, Inc., as a Guarantor

BENEFIT HOLDING, INC., as a Guarantor

ea institute, l.l.c., as a Guarantor

iguard, inc., as a Guarantor

innovex merger corp., as a Guarantor

IQVIA COMMERCIAL FINANCE INC., as a Guarantor

IQVIA COMMERCIAL services llc, as a Guarantor

IQVIA COMMERCIAL trading corp., as a Guarantor

market research management, inc. as a Guarantor

qcare site services, inc., as a Guarantor

iqvia rds asia inc., as a Guarantor

iqvia biosciences holdings llc, as a Guarantor

iqvia rds bt inc., as a Guarantor

quintiles commercial us, inc., as a Guarantor

iqvia rds consulting inc., as a Guarantor

iqvia rds latin america llc, as a Guarantor

iqvia market intelligence llc, as a Guarantor

iqvia medical communications & consulting inc., as a Guarantor

iqvia pharma services corp., as a Guarantor

iqvia pharma inc., as a Guarantor

iqvia phase one services llc, as a Guarantor

iqvia rds transfer llc, as a Guarantor

VCG&A, Inc., as a Guarantor

VCg-bio, Inc., as a Guarantor

outcome sciences, llc, as a Guarantor

By:

/s/ Eric Sherbet

Name:  

Eric Sherbet

Title:

President

 

[Signature Page to Amendment No. 3]

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IQVIA MEDICAL EDUCATION INC.,

as a Guarantor

 

By:

/s/ J. Stillman Hanson

Name:  

J. Stillman Hanson

Title:

Vice President and Assistant Secretary

 

[Signature Page to Amendment No. 3]

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Coordinated Management Holdings, L.L.C., as a Guarantor

Coordinated Management Systems, Inc., as a Guarantor

Spartan Leasing Corporation, as a Guarantor

By:

/s/ Cathy N. LoBosco

Name:  

Cathy N. LoBosco

Title:

President

[Signature Page to Amendment No. 3]

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iqvia commercial licensing associates llc, as a Guarantor

By:

/s/ Michael A. Knolker

Name:  

Michael A. Knolker

Title:

Responsible Officer

IQVIA GOVERNMENT SOLUTIONS INC., as a Guarantor

By:

/s/ Michael A. Knolker

Name:  

Michael A. Knolker

Title:

Vice President

novella clinical llc, as a Guarantor

By:

/s/ Eric M. Sherbet

Name:  

Eric M. Sherbet

Title:

Secretary

IQVIA RDS INC., as a Guarantor

By:

/s/ Eric M. Sherbet

Name:  

Eric M. Sherbet

Title:

Vice President  

[Signature Page to Amendment No. 3]

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BANK OF AMERICA, N.A., as Administrative Agent

By:

/s/ Kevin L. Ahart

Name:  

Kevin L. Ahart

Title:

Vice President

 

 

[Signature Page to Amendment No. 3]

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Consented to by:

 

BANK OF AMERICA, N.A., as L/C Issuer and Swing Line Lender

By:

/s/ Darren Merten

Name:  

Darren Merten

Title:

Vice President

 

[Signature Page to Amendment No. 3]

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BANK OF AMERICA, N.A., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Darren Merten

Name:  

Darren Merten

Title:

Vice President

 

[Signature Page to Amendment No. 3]

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BANK OF AMERICA, N.A., as an Incremental Swiss/Multicurrency Revolving Credit
Lender

By:

/s/ Darren Merten

Name:  

Darren Merten

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

BANK OF AMERICA, N.A., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Darren Merten

Name:  

Darren Merten

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

HSBC Bank USA, N.A., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Elizabeth Peck

Name:  

Elizabeth Peck

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

HSBC Bank USA, N.A., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Elizabeth Peck

Name:  

Elizabeth Peck

Title:

Director

 

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Wells Fargo Bank, N.A., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Christine Gardiner

Name:  

Christine Gardiner

Title:

Director

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Wells Fargo Bank, N.A., as an Incremental Swiss/Multicurrency Revolving Credit
Lender

By:

/s/ Christine Gardiner

Name:  

Christine Gardiner

Title:

Director

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Wells Fargo Bank, N.A., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Christine Gardiner

Name:  

Christine Gardiner

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Barclays Bank PLC, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Ronnie Glenn

Name:  

Ronnie Glenn

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Barclays Bank PLC, as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Ronnie Glenn

Name:  

Ronnie Glenn

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Barclays Bank PLC, as an Incremental Japanese Revolving Credit Lender

By:

/s/ Ronnie Glenn

Name:  

Ronnie Glenn

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

JPMORGAN CHASE BANK N.A., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Dawn Lee Lum

Name:  

Dawn Lee Lum

Title:

Executive Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

JPMORGAN CHASE BANK N.A., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Dawn Lee Lum

Name:  

Dawn Lee Lum

Title:

Executive Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

GOLDMAN SACHS BANK USA, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Annie Carr

Name:  

Annie Carr

Title:

Authorized Signatory

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

GOLDMAN SACHS BANK USA, as an Incremental Swiss/Multicurrency Revolving Credit
Lender

By:

/s/ Annie Carr

Name:  

Annie Carr

Title:

Authorized Signatory

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

GOLDMAN SACHS REALTY JAPAN LTD., as an Incremental Japanese Revolving Credit
Lender

By:

/s/ Hideo Michiba

Name:  

Hideo Michiba

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Citibank N.A., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Marni McManus

Name:  

Marni McManus

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Citibank N.A., as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Marni McManus

Name:  

Marni McManus

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Citibank N.A., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Marni McManus

Name:  

Marni McManus

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

PNC Bank, National Association, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Dawn Kondrat

Name:  

Dawn Kondrat

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

PNC Bank, National Association, as an Incremental Swiss/Multicurrency Revolving
Credit Lender

By:

/s/ Dawn Kondrat

Name:  

Dawn Kondrat

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

FIFTH THIRD BANK, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Vera B. McEvoy

Name:  

Vera B. McEvoy

Title:

Director II

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

FIFTH THIRD BANK, as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Vera B. McEvoy

Name:  

Vera B. McEvoy

Title:

Director II

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Mizuho Bank, Ltd., as an Incremental Japanese Revolving Credit Lender

By:

/s/ Raymond Ventura

Name:  

Raymond Ventura

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Mizuho Bank, Ltd., as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Raymond Ventura

Name:  

Raymond Ventura

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Mizuho Bank, Ltd., as an Incremental U.S. Revolving Credit Lender

By:

/s/ Raymond Ventura

Name:  

Raymond Ventura

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

MUFG Bank, Ltd. (formerly known as The Bank of Tokyo-Mitsubishi, UFJ, Ltd.), as
an Incremental U.S. Revolving Credit Lender

By:

/s/ Teuta Ghilaga

Name:  

Teuta Ghilaga

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

MUFG Bank, Ltd. (formerly known as The Bank of Tokyo-Mitsubishi, UFJ, Ltd.), as
an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Teuta Ghilaga

Name:  

Teuta Ghilaga

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

MUFG Bank, Ltd. (formerly known as The Bank of Tokyo-Mitsubishi, UFJ, Ltd.), as
an Incremental Japanese Revolving Credit Lender

By:

/s/ Teuta Ghilaga

Name:  

Teuta Ghilaga

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

SUNTRUST BANK, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Jason Crowley

Name:  

Jason Crowley

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

SUNTRUST BANK, as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Jason Crowley

Name:  

Jason Crowley

Title:

Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

TD BANK, N.A., as an Incremental U.S. Revolving Credit Lender, Incremental
Swiss/Multicurrency Revolving Lender, and Incremental Japanese Revolving Credit
Lender

By:

/s/ Shivani Agarwal

Name:  

Shivani Agarwal

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Compass Bank (dba BBVA Compass), as an Incremental U.S. Revolving Credit Lender

By:

/s/ Cameron D. Gateman

Name:  

Cameron D. Gateman

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Compass Bank (dba BBVA Compass), as an Incremental Swiss/Multicurrency Revolving
Credit Lender

By:

/s/ Cameron D. Gateman

Name:  

Cameron D. Gateman

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Compass Bank (dba BBVA Compass), as an Incremental Japanese Revolving Credit
Lender

By:

/s/ Cameron D. Gateman

Name:  

Cameron D. Gateman

Title:

Managing Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

BNP Paribas, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Mike Hoffman

Name:  

Mike Hoffman

Title:

Director

 

By:

/s/ Emma Petersen

Name:  

Emma Petersen

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

BNP Paribas, as an Incremental Swiss/Multicurrency Revolving Credit Lender

By:

/s/ Mike Hoffman

Name:  

Mike Hoffman

Title:

Director

 

By:

/s/ Emma Petersen

Name:  

Emma Petersen

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

BNP Paribas, as an Incremental Japanese Revolving Credit Lender

By:

/s/ Mike Hoffman

Name:  

Mike Hoffman

Title:

Director

 

By:

/s/ Emma Petersen

Name:  

Emma Petersen

Title:

Director

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

The Northern Trust Company, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Eric Siebert

Name:  

Eric Siebert

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

The Northern Trust Company, as an Incremental Swiss/Multicurrency Revolving
Credit Lender

By:

/s/ Eric Siebert

Name:  

Eric Siebert

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

The Northern Trust Company, as an Incremental Japanese Revolving Credit Lender

By:

/s/ Eric Siebert

Name:  

Eric Siebert

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Huntington National Bank, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Joseph D. Hricovsky

Name:  

Joseph D. Hricovsky

Title:

Senior Vice President

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

ROYAL BANK OF CANADA, as an Incremental U.S. Revolving Credit Lender

By:

/s/ Diana Lee

 

DIANA LEE

 

AUTHORIZED SIGNATORY

 

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

ROYAL BANK OF CANADA, as an Incremental Swiss/Multicurrency Revolving Credit
Lender

By:

/s/ Diana Lee

 

DIANA LEE

 

AUTHORIZED SIGNATORY

[Signature Page to Amendment No. 3]

--------------------------------------------------------------------------------

 

Schedule I

Incremental Revolving Credit Commitments

Name of Lender

Incremental U.S.

Revolving Credit Commitment

Incremental Japanese Revolving Credit Commitment

Incremental Swiss/Multicurrency Revolving Credit Commitment

Bank of America, N.A.

$14,601,994.07

$7,855,495.10

$15,042,510.83

HSBC Bank USA, National Association

14,601,994.07

7,855,495.10

15,042,510.83

Wells Fargo Bank, National Association

14,601,994.07

7,855,495.10

15,042,510.83

Barclays Bank PLC

14,601,994.07

7,855,495.10

15,042,510.83

JPMorgan Chase, N.A.

14,601,994.07

7,855,495.10

15,042,510.83

Goldman Sachs Bank USA

14,601,994.07

--

15,042,510.83

Goldman Sachs Realty Japan Ltd.

--

7,855,495.10

--

Citibank, N.A., New York Branch

11,684,470.48

6,278,965.11

--

Citibank, N.A., London Branch

--

--

12,036,564.41

PNC Bank, National Association

17,685,589.52

--

12,314,410.48

Fifth Third Bank

17,685,589.52

--

12,314,410.48

Mizuho Bank, Ltd.

9,737,537.93

5,231,565.77

10,030,896.30

The Bank of Tokyo-Mitsubishi UFJ, Ltd.

9,737,537.93

5,231,565.77

10,030,896.30

SunTrust Bank

14,737,991.27

--

10,262,008.73

TD Bank, N.A.

7,738,030.05

4,283,475.39

7,978,494.56

Compass Bank

6,895,591.37

3,512,279.12

7,092,129.51

BNP Paribas

2,824,695.27

1,751,872.38

2,923,432.35

The Northern Trust Company

2,917,112.82

1,577,305.86

3,005,581.32

The Huntington National Bank

7,500,000.00

--

--

Royal Bank of Canada

28,243,889.42

--

21,756,110.58

Total

$225,000,000.00

$75,000,000.00

$200,000,000.00

 

--------------------------------------------------------------------------------

 

Annex A

SOLVENCY CERTIFICATE
of
IQVIA INC.
AND ITS RESTRICTED SUBSIDIARIES

 

April 6, 2018

 

Reference is made to Amendment No. 3 to Fourth Amended and Restated Credit
Agreement, dated as of the date hereof (the “Amendment”), among IQVIA Inc., a
Delaware corporation (the “Parent Borrower”), IQVIA Holdings Inc., a Delaware
corporation (“Holdings”), IQVIA AG, a Swiss corporation and a subsidiary of the
Parent Borrower (the “Swiss Subsidiary Borrower”), IQVIA Solutions Japan K.K., a
Japanese stock corporation (kabushiki kaisha) and a subsidiary of the Parent
Borrower (the “Japanese Subsidiary Borrower” and together with the Parent
Borrower and the Swiss Subsidiary Borrower, each a “Borrower” and collectively,
the “Borrowers”), the other guarantors party thereto, Bank of America, N.A., as
administrative agent and as collateral agent (in such capacity, the
“Administrative Agent”), and the Incremental Revolving Credit Lenders (as
defined therein), which amends that certain Fourth Amended and Restated Credit
Agreement, dated as of October 3, 2016 (as amended, restated, amended and
restated, supplemented or otherwise modified prior to the date hereof, and as
amended by the Amendment, the “Credit Agreement”), among the Borrowers,
Holdings, the Lenders party thereto from time to time, Bank of America, N.A., as
administrative agent and collateral agent, and the other agents party
thereto.  Pursuant to Section 4(l) of the Amendment, the undersigned hereby
certifies, solely in such undersigned’s capacity as President of the Parent
Borrower, and not individually, as follows:

As of the date hereof, after giving effect to the transactions contemplated by
the Amendment (the “Transactions”), including the incurrence of the Incremental
Revolving Credit Commitments, and after giving effect to the Transactions:

a.

The fair value of the assets of the Parent Borrower and its Restricted
Subsidiaries exceeds, on a consolidated basis, their debts and liabilities,
subordinated, contingent or otherwise;

b.

The present fair saleable value of the property of the Parent Borrower and its
Restricted Subsidiaries, on a consolidated basis, is greater than the amount
that will be required to pay the probable liability, on a consolidated basis, of
their debts and other liabilities, subordinated, contingent or otherwise, as
such debts and other liabilities become absolute and matured;

c.

the Parent Borrower and its Restricted Subsidiaries, on a consolidated basis,
are able to pay their debts and liabilities, subordinated, contingent or
otherwise, as such liabilities become absolute and matured; and

 

--------------------------------------------------------------------------------

 

d.

the Parent Borrower and its Restricted Subsidiaries, on a consolidated basis,
are not engaged in, and are not about to engage in, business for which they have
unreasonably small capital.

For purposes of this Certificate, the amount of any contingent liability at any
time shall be computed as the amount that would reasonably be expected to become
an actual and matured liability.  Capitalized terms used but not otherwise
defined herein shall have the meanings assigned to them in the Amendment or the
Credit Agreement, as applicable.

The undersigned is familiar with the business and financial position of the
Parent Borrower and its Restricted Subsidiaries.  In reaching the conclusions
set forth in this Certificate, the undersigned has made such other
investigations and inquiries as the undersigned has deemed appropriate, having
taken into account the nature of the particular business anticipated to be
conducted by the Parent Borrower and its Restricted Subsidiaries after
consummation of the Transactions.

[Signature Page Follows]

 

 

--------------------------------------------------------------------------------

 

IN WITNESS WHEREOF, the undersigned has executed this Certificate in such
undersigned’s capacity as President of the Parent Borrower, on behalf of the
Parent Borrower, and not individually, as of the date first stated above.

IQVIA INC.

By:

 

Name:  

[    ]

Title:    

[    ]