Exhibit 10.6

EXECUTION VERSION

SECOND AMENDMENT TO CREDIT AGREEMENT

THIS SECOND AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) dated as of
October 2, 2015 to the Credit Agreement referenced below is by and among AAC
Holdings, Inc., a Nevada corporation (the “Borrower”), the Guarantors, the
Lenders identified on the signature pages hereto and Bank of America, N.A., in
its capacities as Administrative Agent, Swingline Lender and L/C Issuer.

W I T N E S S E T H

WHEREAS, a credit facility has been extended to the Borrower pursuant to the
terms of that certain Credit Agreement dated as of March 9, 2015 (as amended,
modified, supplemented, increased and extended from time to time, the “Credit
Agreement”) among the Borrower, the Guarantors, the Lenders, the Swingline
Lender, the L/C Issuer and the Administrative Agent; and

WHEREAS, the Deerfield Lenders (as defined herein) have agreed to provide to the
Borrower up to $25,000,000 in unsecured subordinated indebtedness and
$25,000,000 of unsecured convertible indebtedness pursuant to that certain
Facility Agreement dated as of October 2, 2015;

WHEREAS, the Borrower has requested that it have the ability to prepay such
unsecured convertible indebtedness with the proceeds of the issuance of common
Equity Interests in the Borrower subject to the terms of the Credit Agreement
(as amended hereby) and in accordance with the subordination agreement(s)
executed by the Deerfield Lenders, the Administrative Agent and the Loan Parties
in connection therewith;

WHEREAS, the Lenders (by act of the Required Lenders) have agreed to provide
such requested amendments subject to the terms and conditions herein;

NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows:

1. Introductory Paragraph and Recitals. The above introductory paragraph and
recitals of this Amendment are incorporated herein by reference as if fully set
forth herein.

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2. Defined Terms. Capitalized terms used herein but not otherwise defined herein
shall have the meanings provided to such terms in the Credit Agreement.

3. Amendments to Credit Agreement.

(a) Section 1.01 of the Credit Agreement is amended by adding the following
definitions in the appropriate alphabetical order:

“Deerfield Convertible Debt” means that certain unsecured convertible
subordinated indebtedness of the Borrower in an initial amount of $25,000,000
payable to the Deerfield Lenders and an incremental facility of up to
$50,000,000 of unsecured convertible subordinated indebtedness pursuant to the
Deerfield Facility Agreement.

“Deerfield Documents” means the Deerfield Facility Agreement, the Guaranty dated
October 2, 2015 executed by the Borrower’s Subsidiaries party thereto in favor
of the Deerfield Lenders, certain Convertible Notes dated October 2, 2015
executed by the Borrower to each of the Deerfield Lenders, the Registration
Rights Agreement dated October 2, 2015 by and between the Borrower and the
Deerfield Lenders and the Senior Subordinated Notes to be executed by the
Borrower from time to time in connection with the Deerfield Subordinated Debt,
the form of which is attached to the Deerfield Facility Agreement and any
amendments, modifications, extensions or renewals of the foregoing entered into
in accordance with applicable Subordination Agreements.

“Deerfield Facility Agreement” means that certain Facility Agreement dated as of
October 2, 2015 by and between the Borrower and the Deerfield Lenders.

“Deerfield Lenders” means Deerfield Private Design Fund III, L.P., Deerfield
Partners, L.P. and Deerfield International Master Fund, L.P. or their registered
assigns.

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“Deerfield Subordinated Debt” means that certain unsecured subordinated
indebtedness of the Borrower in an amount not to exceed $25,000,000 pursuant to
the Deerfield Facility Agreement.

“Second Amendment Effective Date” means October 2, 2015.

(b) In Section 1.01, the definition of “Subordinated Indebtedness” is amended in
its entirety as follows:

“Subordinated Indebtedness” means (a) Indebtedness of the Borrower evidenced by
any Seller Note, (b) the Deerfield Subordinated Debt, (c) the Deerfield
Convertible Debt and (d) other Indebtedness of the Borrower which by its terms
is subordinated to the Obligations in a manner and to an extent reasonably
acceptable to the Administrative Agent.

(c) In Section 1.01, the definition of “Subordinated Note Documents is amended
in its entirety as follows:

“Subordinated Note Documents” means (a) any Seller Notes, (b) the Deerfield
Documents, including any amendments, modifications, extensions or renewals
thereof entered into in accordance with applicable Subordination Agreements and
(c) other agreements, instruments and other documents pursuant to which other
Subordinated Indebtedness of the Borrower has been issued.

(d) Section 5.19 of the Credit Agreement is amended by replacing “Closing Date”
with “Second Amendment Effective Date”.

(e) A new section 5.23 is added to the Credit Agreement as follows:

5.23 Subordination of Permitted Subordinated Debt. Except as otherwise provided
in any Subordination Agreement, this Agreement, and all amendments,
modifications, extensions, renewals, refinancings and refundings hereof, shall
constitute the “Senior Credit Agreement” (or analogous term) within the meaning
of each

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applicable Subordination Agreement and Subordinated Note Document. Except as
otherwise provided in any Subordination Agreement, this Agreement, together with
each of the other Loan Documents and all amendments, modifications, extensions,
renewals, refinancings and refundings hereof and thereof, constitute “Senior
Loan Documents” (or analogous term) within the meaning of each applicable
Subordination Agreement and Subordinated Note Document. Except as otherwise
provided in any Subordination Agreement, the Revolving Loans, the Term Loans and
all other Obligations, and all amendments, modifications, extensions, renewals,
refinancings and refundings of any of the foregoing, constitute “Senior
Indebtedness” (or analogous term) of the Borrower within the meaning of each
applicable Subordination Agreement, and the holders thereof from time to time
shall be entitled to all of the rights of a holder of “Senior Indebtedness”
pursuant to the applicable Subordinated Note Document.

(f) Section 6.12 of the Credit Agreement is amended in its entirety to read as
follows:

(a) The Loan Parties will cause each of their Material Domestic Subsidiaries
whether newly formed, after acquired or otherwise existing to promptly (and in
any event within thirty (30) days (or such later date as the Administrative
Agent may agree in its sole discretion)) after such Subsidiary is formed or
acquired become a Guarantor hereunder by way of execution of a Guarantor Joinder
Agreement; provided, however, neither (x) any Domestic Subsidiary of a Foreign
Subsidiary nor (y) any Foreign Subsidiary Holding Company shall be required to
become a Guarantor to the extent such Guaranty would result in a material
adverse tax consequence for the Borrower. In connection with the foregoing, the
Loan Parties shall deliver to the Administrative Agent, with respect to each new
Guarantor to the extent applicable, substantially the same documentation
required pursuant to Sections 4.01(b) – (g) and 6.13 and such other documents or
agreements as the Administrative Agent may reasonably request.

(b) Notwithstanding the foregoing, if at any time any Domestic Subsidiary that
is not a Guarantor provides a guarantee of any Person’s obligations with respect
to any Subordinated Indebtedness or other Indebtedness for borrowed money in a
principal amount in excess of the Threshold Amount, then promptly (and in any
event within thirty (30) days), the Loan Parties will cause such Domestic
Subsidiary to (i) become a Guarantor by executing and delivering to the
Administrative Agent a Guarantor Joinder Agreement and (ii) deliver to the
Administrative Agent such Organization Documents, resolutions and favorable
opinions of counsel (which shall cover, among other things, the legality,
validity, binding effect and enforceability of the documentation referred to in
clause (a)), all in form, content and scope reasonably satisfactory to the
Administrative Agent.

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(g) Clause (g) of Section 7.02 of the Credit Agreement is amended by adding a
proviso at the end thereof to read as follows:

; provided that, notwithstanding anything to the contrary in the foregoing,
documentation for the Deerfield Subordinated Debt and the Deerfield Convertible
Debt may include (A) a financial covenant limiting Indebtedness to the extent
set forth in the Deerfield Documents as of the Second Amendment Effective Date
and (B) such covenants as set forth in the Deerfield Documents as of the Second
Amendment Effective Date.

(h) Section 7.14 of the Credit Agreement is amended in its entirety to read as
follows:

Section 7.14. Prepayments, Etc. of Subordinated Indebtedness. Prepay, redeem,
purchase, defease or otherwise satisfy or obligate itself to do so prior to the
scheduled maturity thereof in any manner (including by the exercise of any right
of setoff), or make any payment in violation of any subordination, standstill or
collateral sharing terms of or governing any Subordinated Indebtedness, provided
that the Borrower may (w) pay scheduled amortization payments for any Seller
Notes and scheduled payments of interest on the Deerfield Subordinated Debt and
Deerfield Convertible Debt, each in accordance with their terms and subject to
the applicable Subordination Agreements, (x) satisfy the Deerfield Convertible
Debt through conversion of the Deerfield Convertible Debt into common Equity
Interests in accordance with the terms of the applicable Deerfield Documents and
applicable Subordination Agreement, so long as no cash payment, other than
accrued and unpaid interest, is made by any Loan Party on account of or in
connection with such satisfaction (whether conversion premium, prepayment or
otherwise) of any principal amount then outstanding, (y) satisfy the Deerfield
Subordinated Debt through conversion into common Equity Interests subject to the
applicable Subordination Agreement, so long as no cash payment, other than
accrued and unpaid interest, is made by any Loan Party on account of or in
connection with such satisfaction of any principal amount then outstanding and
(z) prepay, redeem, purchase, defease or otherwise satisfy all or any portion of
the Deerfield Subordinated Debt, so long as, in the case of this clause (z),
(i) such prepayment, redemption, purchase, defeasance or satisfaction is made
solely with the proceeds of Equity Issuance of common stock in the Borrower
after the Second Amendment Effective Date and (ii) at the time of such
prepayment, (A) no Default or Event of Default then exists or would arise
therefrom, (B) after giving effect thereto on a Pro Forma Basis, (1) the Loan
Parties are in compliance with Section 7.11(c) and (2) the Consolidated Total
Leverage Ratio and the Consolidated Senior Secured Leverage Ratio are each 0.50
to 1.0 (a “half turn”) less than the

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applicable covenant level set forth in Section 7.11(a) and (b), respectively,
calculated using the same Measurement Period used to determine Pro Forma
Compliance and (C) all representations and warranties contained in Article V and
the other Loan Documents are true and correct in all material respects (and in
all respects if any such representation or warranty is already qualified by
materiality or reference to Material Adverse Effect), except (1) to the extent
that such representations and warranties specifically refer to an earlier date,
in which case they are true and correct in all material respects (and in all
respects if any such representation or warranty is already qualified by
materiality or reference to Material Adverse Effect) as of such earlier date and
(2) for representations and warranties that may have become untrue or inaccurate
solely because of changes permitted by the terms of the this Agreement.

(i) Schedule 1.01(c) to the Credit Agreement is amended and restated to read as
Schedule 1.01(c) attached hereto.

4. Condition Precedent. This Amendment shall become effective as of the date
hereof upon receipt by the Administrative Agent of the following:

(a) counterparts of this Amendment duly executed by the Borrower, the
Guarantors, the Administrative Agent and the Required Lenders;

(b) a duly executed Subordination Agreement with respect to the Deerfield
Subordinated Debt and the Deerfield Convertible Debt; and

(c) certified copies of all documentation related to the Deerfield Subordinated
Debt and the Deerfield Convertible Debt.

5. Amendment is a “Loan Document”. This Amendment shall be deemed to be, and is,
a Loan Document and all references to a “Loan Document” in the Credit Agreement
and the other Loan Documents (including, without limitation, all such references
in the representations and warranties in the Credit Agreement and the other Loan
Documents) shall be deemed to include this Amendment.

6. Representations and Warranties; No Default. Each Loan Party hereby represents
and warrants to the Administrative Agent, each Lender, the Swingline Lender and
the L/C Issuer that, after giving effect to this Amendment, (a) the
representations and warranties of each Loan Party contained in

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the Credit Agreement or any other Loan Document, or which are contained in any
document furnished at any time under or in connection with the Credit Agreement
or any other Loan Document, are true and correct in all material respects (other
than any representation and warranty that is expressly qualified by materiality,
in which case such representation and warranty is true and correct in all
respects) on and as of the date hereof, except (i) to the extent that such
representations and warranties specifically refer to an earlier date, in which
case they are true and correct in all material respects (other than any
representation and warranty that is expressly qualified by materiality, in which
case such representation and warranty is true and correct in all respects) as of
such earlier date and (ii) for representations and warranties that may have
become untrue or inaccurate solely because of changes permitted by the terms of
the Credit Agreement and (b) no Default or Event of Default exists.

7. Reaffirmation of Obligations. Each Loan Party (a) acknowledges and consents
to all of the terms and conditions of this Amendment, (b) affirms all of its
obligations under the Loan Documents and (c) agrees that this Amendment and all
documents, agreements and instruments executed in connection with this Amendment
do not operate to reduce or discharge such Loan Party’s obligations under the
Loan Documents.

8. Reaffirmation of Security Interests. Each Loan Party (a) affirms that each of
the Liens granted in or pursuant to the Loan Documents is valid and subsisting
and (b) agrees that this Amendment and all documents, agreements and instruments
executed in connection with this Amendment do not in any manner impair or
otherwise adversely affect any of the Liens granted in or pursuant to the Loan
Documents.

9. Subordination Agreement. In furtherance of the authority granted pursuant to
the Credit Agreement, the Lenders (by act of the Required Lenders) affirm and
agree that (a) the Administrative Agent may enter into one or more subordination
agreement reasonably acceptable to the Administrative Agent in connection with
the Deerfield Subordinated Debt and the Deerfield Convertible Debt and (b) such
subordination agreements shall constitute a “Subordination Agreement” under the
Credit Agreement.

10. No Other Changes. Except as modified hereby, all of the terms and provisions
of the Loan Documents shall remain in full force and effect.

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11. Counterparts; Delivery. This Amendment may be executed in any number of
counterparts, each of which when so executed and delivered shall be deemed an
original and it shall not be necessary in making proof of this Amendment to
produce or account for more than one such counterpart. Delivery of an executed
counterpart of this Amendment by facsimile or form of electronic attachment
(e.g., “.pdf”) shall be effective as such party’s original executed counterpart
and shall constitute a representation that such party’s original executed
counterpart will be delivered.

12. Fees and Expenses. The Loan Parties agree to pay all reasonable
out-of-pocket fees and expenses of the Administrative Agent in connection with
the preparation, execution and delivery of this Amendment, including without
limitation the reasonable fees and expenses of Moore & Van Allen, PLLC, counsel
to the Administrative Agent.

13. Governing Law. THIS AMENDMENT AND ANY CLAIMS, CONTROVERSY, DISPUTE OR CAUSE
OF ACTION (WHETHER IN CONTRACT OR TORT OR OTHERWISE) BASED UPON, ARISING OUT OF
OR RELATING TO THIS AMENDMENT AND THE TRANSACTIONS CONTEMPLATED HEREBY SHALL BE
GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

[Signature Pages Follow]

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IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this
Amendment to be duly executed and delivered as of the date first above written.

 

BORROWER:     AAC HOLDINGS, INC., a Nevada corporation     By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Chairman and Chief Executive
Officer

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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GUARANTORS:     AMERICAN ADDICTION CENTERS, INC.,     a Nevada corporation    
By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Chairman and Chief Executive
Officer    

FORTERUS HEALTH CARE SERVICES, INC.,

a Delaware corporation

   

SAN DIEGO ADDICTION TREATMENT CENTER, INC.,

a Delaware corporation

    By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Chairman

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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B&B HOLDINGS INTL LLC,

a Florida limited liability company

   

GREENHOUSE TREATMENT CENTER, LLC,

a Texas limited liability company

   

CONCORDE TREATMENT CENTER, LLC,

a Nevada limited liability company

   

SINGER ISLAND RECOVERY CENTER LLC,

a Florida limited liability company

   

RECOVERY FIRST OF FLORIDA, LLC,

a Delaware limited liability company

 

RI – CLINICAL SERVICES, LLC,

a Delaware limited liability company

   

NEW JERSEY ADDICTION TREATMENT CENTER, LLC,

a Delaware limited liability company

    By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Manager

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  FITRX, LLC,   a Tennessee limited liability company  

AAC LAS VEGAS OUTPATIENT CENTER, LLC,

a Delaware limited liability company

 

AAC DALLAS OUTPATIENT CENTER, LLC,

a Delaware limited liability company

 

ADDICTION LABS OF AMERICA, LLC,

a Delaware limited liability company

  RIVER OAKS TREATMENT CENTER, LLC, a Delaware limited liability company  
OXFORD TREATMENT CENTER, LLC, a Delaware limited liability company   LAGUNA
TREATMENT HOSPITAL, LLC, a Delaware limited liability company   BHR OXFORD REAL
ESTATE, LLC, a Delaware limited liability company     By:   American Addiction
Centers, Inc.,       its sole member     By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Chairman and Chief Executive
Officer

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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  CLINICAL REVENUE MANAGEMENT SERVICES, LLC, a Tennessee limited liability
company     By:   AAC Holdings, Inc.,       its sole member     By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Chairman and Chief Executive
Officer  

BEHAVIORAL HEALTHCARE REALTY, LLC,

a Delaware limited liability company

 

CONCORDE REAL ESTATE, LLC,

a Nevada limited liability company

 

GREENHOUSE REAL ESTATE, LLC,

a Texas limited liability company

 

BHR ALISO VIEJO REAL ESTATE, LLC,

a Delaware limited liability company

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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    BHR RINGWOOD REAL ESTATE, LLC,     a Delaware limited liability company    
By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Manager

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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  THE ACADEMY REAL ESTATE, LLC, a Delaware limited liability company     By:  
Behavioral Healthcare Realty, LLC, its sole member     By:  

/s/ Michael T. Cartwright

    Name:   Michael T. Cartwright     Title:   Manager   PALM BEACH PROFESSIONAL
GROUP, PROFESSIONAL CORPORATION, a Florida professional corporation   LAS VEGAS
PROFESSIONAL GROUP – CALARCO, P.C., a Nevada professional corporation   GRAND
PRAIRIE PROFESSIONAL GROUP, P.A., a Texas professional association

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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    By:  

/s/ Mark A. Calarco

    Name:   Mark A. Calarco     Title:   President, Secretary and Treasurer    
BRENTWOOD PROFESSIONAL GROUP, P.C., a Tennessee professional corporation     By:
 

/s/ Mark A. Calarco

    Name:   Mark A. Calarco     Title:   President and Treasurer     SAN DIEGO
PROFESSIONAL GROUP, P.C., a California professional corporation

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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    By:  

/s/ Mark A. Calarco

    Name:   Mark A. Calarco     Title:   President, Secretary and Chief
Financial Officer    

BANK OF AMERICA, N.A.,

as Administrative Agent

    By:  

/s/ Erik M. Truette

    Name:   Erik M. Truette     Title:   Vice President

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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LENDERS:     BANK OF AMERICA, N.A.,     as a Lender, L/C Issuer and Swingline
Lender     By:  

/s/ Mark Hadison

    Name:   Mark Hadison     Title:   Senior Vice President

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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    SUNTRUST BANK,     as a Lender     By:  

/s/ Mary E. Coke

    Name:   Mary E. Coke     Title:   Vice President

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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BMO HARRIS BANK, N.A.,

as a Lender

        By:  

/s/ Eric Oppenheimer

    Name:   Eric Oppenheimer     Title:   Director

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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    RAYMOND JAMES BANK, N.A.,     as a Lender     By:  

/s/ Alexander L. Rody

    Name:   Alexander L. Rody     Title:   Senior Vice President

 

AAC HOLDINGS, INC.

SECOND AMENDMENT TO CREDIT AGREEMENT

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Schedule 1.01(c)

[See Attached]

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Schedule 1.01(c)

Responsible Officers

AAC Holdings, Inc.,

American Addiction Centers, Inc.

American Addiction Centers, Inc. acting as sole member of AAC Dallas Outpatient
Center, LLC, AAC Las Vegas Outpatient Center, LLC, Addiction Labs of America,
LLC, Fitrx, LLC and Clinical Revenue Management Services, LLC

 

Name

 

Title

Michael T. Cartwright   Chairman and Chief Executive Officer Kirk R. Manz  
Chief Financial Officer Kathryn Sevier Phillips   General Counsel and Secretary
Andrew W. McWilliams   Chief Accounting Officer

B&B Holdings Intl LLC, Greenhouse Treatment Center, LLC, Concorde Treatment
Center, LLC, Singer Island Recovery Center LLC, Recovery First of Florida, LLC,
RI – Clinical Services, LLC, New Jersey Addiction Treatment Center, LLC, Laguna
Treatment Hospital, LLC, Oxford Treatment Center, LLC and River Oaks Treatment
Center, LLC

 

Name

 

Title

Michael T. Cartwright   Manager Kathryn Sevier Phillips   General Counsel and
Secretary

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Forterus Health Care Services, Inc. and San Diego Addiction Treatment Center,
Inc.

 

Name

 

Title

Michael T. Cartwright   Chairman Kirk R. Manz   Chief Financial Officer Kathryn
Sevier Phillips   General Counsel and Secretary

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Behavioral Healthcare Realty, LLC, Concorde Real Estate, LLC, Greenhouse Real
Estate, LLC, BHR Aliso Viejo Real Estate, LLC, BHR Ringwood Real Estate, LLC and
BHR Oxford Real Estate, LLC

Behavioral Healthcare Realty, LLC acting as sole member of The Academy Real
Estate, LLC

 

Name

 

Title

Michael T. Cartwright   Manager Kathryn Sevier Phillips   General Counsel and
Secretary

Palm Beach Professional Group, Professional Corporation, Las Vegas Professional
Group – Calarco, P.C. and Grand Prairie Professional Group, P.A.

 

Name

 

Title

Mark A. Calarco, D.O.   President, Secretary and Treasurer

Brentwood Professional Group, P.C.

 

Name

 

Title

Mark A. Calarco, D.O.   President and Secretary

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San Diego Professional Group, P.C.

 

Name

 

Title

Mark A. Calarco, D.O.   President, Chief Financial Officer and Secretary