EX-4.1



 Exhibit 4.1 

EXECUTION VERSION 
 MOLINA
HEALTHCARE, INC. 
 THE GUARANTORS PARTY HERETO 

$700,000,000 
 5.375% Senior Notes
due 2022 
 INDENTURE 
 Dated as
of November 10, 2015 
 U.S. BANK NATIONAL ASSOCIATION 

as Trustee 







 TABLE OF CONTENTS 

 

							
	 	 	 	  	Page	 
	 ARTICLE 1 DEFINITIONS AND INCORPORATION BY REFERENCE
	  	 	1	  
			
	 Section 1.01
	 	 Definitions.
	  	 	1	  
	 Section 1.02
	 	 Other Definitions.
	  	 	26	  
	 Section 1.03
	 	 Incorporation by Reference of Trust Indenture Act.
	  	 	27	  
	 Section 1.04
	 	 Rules of Construction.
	  	 	27	  
		
	 ARTICLE 2 THE NOTES
	  	 	28	  
			
	 Section 2.01
	 	 Form Generally.
	  	 	28	  
	 Section 2.02
	 	 Execution, Authentication, Delivery and Dating.
	  	 	28	  
	 Section 2.03
	 	 [Reserved].
	  	 	29	  
	 Section 2.04
	 	 Amount of Notes.
	  	 	29	  
	 Section 2.05
	 	 Note Registrar and Paying Agent.
	  	 	30	  
	 Section 2.06
	 	 Paying Agent to Hold Money in Trust.
	  	 	30	  
	 Section 2.07
	 	 Holder Lists.
	  	 	30	  
	 Section 2.08
	 	 Registration; Registration of Transfer and Exchange.
	  	 	30	  
	 Section 2.09
	 	 Replacement Notes.
	  	 	31	  
	 Section 2.10
	 	 Outstanding Notes.
	  	 	32	  
	 Section 2.11
	 	 Treasury Notes.
	  	 	32	  
	 Section 2.12
	 	 Temporary Notes.
	  	 	32	  
	 Section 2.13
	 	 Cancellation.
	  	 	32	  
	 Section 2.14
	 	 Payment of Interest; Defaulted Interest.
	  	 	33	  
	 Section 2.15
	 	 CUSIP or ISIN Numbers.
	  	 	33	  
	 Section 2.16
	 	 Additional Notes; Exchange Notes.
	  	 	33	  
	 Section 2.17
	 	 Record Date.
	  	 	34	  
	 Section 2.18
	 	 Persons Deemed Owners.
	  	 	34	  
	 Section 2.19
	 	 Computation of Interest.
	  	 	34	  
		
	 ARTICLE 3 REDEMPTION AND PREPAYMENT
	  	 	34	  
			
	 Section 3.01
	 	 Notices to Trustee.
	  	 	34	  
	 Section 3.02
	 	 Selection of Notes to Be Redeemed.
	  	 	35	  
	 Section 3.03
	 	 Notice of Redemption.
	  	 	35	  
	 Section 3.04
	 	 Effect of Notice of Redemption.
	  	 	36	  
	 Section 3.05
	 	 Deposit of Redemption Price.
	  	 	36	  
	 Section 3.06
	 	 Notes Redeemed in Part.
	  	 	37	  
	 Section 3.07
	 	 Mandatory Redemption.
	  	 	37	  
	 Section 3.08
	 	 Offer To Purchase.
	  	 	37	  
		
	 ARTICLE 4 COVENANTS
	  	 	39	  
			
	 Section 4.01
	 	 Payment of Notes.
	  	 	39	  
	 Section 4.02
	 	 Maintenance of Office or Agency.
	  	 	40	  
	 Section 4.03
	 	 SEC Reports.
	  	 	40	  
	 Section 4.04
	 	 Compliance Certificate.
	  	 	41	  


  
 -i- 









							
	 Section 4.05
	 	 Taxes.
	  	 	42	  
	 Section 4.06
	 	 Stay, Extension and Usury Laws.
	  	 	42	  
	 Section 4.07
	 	 Corporate Existence.
	  	 	42	  
	 Section 4.08
	 	 Payments for Consent.
	  	 	42	  
	 Section 4.09
	 	 Incurrence of Indebtedness and Issuance of Preferred Stock.
	  	 	42	  
	 Section 4.10
	 	 Restricted Payments.
	  	 	46	  
	 Section 4.11
	 	 Liens.
	  	 	50	  
	 Section 4.12
	 	 Asset Sales.
	  	 	50	  
	 Section 4.13
	 	 Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries.
	  	 	52	  
	 Section 4.14
	 	 Affiliate Transactions.
	  	 	54	  
	 Section 4.15
	 	 Designation of Restricted and Unrestricted Subsidiaries.
	  	 	55	  
	 Section 4.16
	 	 Repurchase at the Option of Holders Upon a Change of Control.
	  	 	56	  
	 Section 4.17
	 	 Limitation on Issuances of Guarantees of Indebtedness.
	  	 	57	  
	 Section 4.18
	 	 Covenant Termination.
	  	 	57	  
		
	 ARTICLE 5 SUCCESSORS
	  	 	58	  
			
	 Section 5.01
	 	 Merger, Consolidation or Sale of Assets.
	  	 	58	  
	 Section 5.02
	 	 Successor Corporation Substituted.
	  	 	59	  
		
	 ARTICLE 6 DEFAULTS AND REMEDIES
	  	 	60	  
			
	 Section 6.01
	 	 Events of Default.
	  	 	60	  
	 Section 6.02
	 	 Acceleration.
	  	 	61	  
	 Section 6.03
	 	 Other Remedies.
	  	 	62	  
	 Section 6.04
	 	 Waiver of Defaults.
	  	 	62	  
	 Section 6.05
	 	 Control by Majority.
	  	 	63	  
	 Section 6.06
	 	 Limitation on Suits.
	  	 	63	  
	 Section 6.07
	 	 Rights of Holders to Receive Payment.
	  	 	63	  
	 Section 6.08
	 	 Collection Suit by Trustee.
	  	 	63	  
	 Section 6.09
	 	 Trustee May File Proofs of Claim.
	  	 	64	  
	 Section 6.10
	 	 Priorities.
	  	 	64	  
	 Section 6.11
	 	 Undertaking for Costs.
	  	 	64	  
		
	 ARTICLE 7 TRUSTEE
	  	 	65	  
			
	 Section 7.01
	 	 Duties of Trustee.
	  	 	65	  
	 Section 7.02
	 	 Rights of Trustee.
	  	 	66	  
	 Section 7.03
	 	 Individual Rights of Trustee.
	  	 	67	  
	 Section 7.04
	 	 Trustee’s Disclaimer.
	  	 	67	  
	 Section 7.05
	 	 Notice of Defaults.
	  	 	67	  
	 Section 7.06
	 	 Reports by Trustee to Holders.
	  	 	68	  
	 Section 7.07
	 	 Compensation and Indemnity.
	  	 	68	  
	 Section 7.08
	 	 Replacement of Trustee.
	  	 	69	  
	 Section 7.09
	 	 Successor Trustee by Merger, etc.
	  	 	70	  
	 Section 7.10
	 	 Eligibility; Disqualification.
	  	 	70	  
	 Section 7.11
	 	 Preferential Collection of Claims Against Company.
	  	 	70	  
		
	 ARTICLE 8 LEGAL DEFEASANCE AND COVENANT DEFEASANCE
	  	 	71	  
			
	 Section 8.01
	 	 Option to Effect Legal Defeasance or Covenant Defeasance.
	  	 	71	  


  
 -ii- 









							
	 Section 8.02
	 	 Legal Defeasance and Discharge.
	  	 	71	  
	 Section 8.03
	 	 Covenant Defeasance.
	  	 	71	  
	 Section 8.04
	 	 Conditions to Legal or Covenant Defeasance.
	  	 	72	  
	 Section 8.05
	 	 Deposited Cash and Government Securities to be Held in Trust; Other Miscellaneous Provisions.
	  	 	73	  
	 Section 8.06
	 	 Repayment to Company.
	  	 	73	  
	 Section 8.07
	 	 Reinstatement.
	  	 	74	  
		
	 ARTICLE 9 AMENDMENT, SUPPLEMENT AND WAIVER
	  	 	74	  
			
	 Section 9.01
	 	 Without Consent of Holders of Notes.
	  	 	74	  
	 Section 9.02
	 	 With Consent of Holders of Notes.
	  	 	75	  
	 Section 9.03
	 	 Compliance with Trust Indenture Act.
	  	 	76	  
	 Section 9.04
	 	 Revocation and Effect of Consents.
	  	 	76	  
	 Section 9.05
	 	 Notation on or Exchange of Notes.
	  	 	77	  
	 Section 9.06
	 	 Trustee to Sign Amendments, etc.
	  	 	77	  
		
	 ARTICLE 10 SUBSIDIARY GUARANTEE
	  	 	77	  
			
	 Section 10.01
	 	 Subsidiary Guarantees.
	  	 	77	  
	 Section 10.02
	 	 Limitation on Guarantors’ Liability.
	  	 	79	  
	 Section 10.03
	 	 Execution and Delivery of Subsidiary Guarantee.
	  	 	79	  
	 Section 10.04
	 	 Guarantors May Consolidate, etc., on Certain Terms.
	  	 	80	  
	 Section 10.05
	 	 Releases Following Merger, Consolidation or Sale of Assets, Etc.
	  	 	80	  
		
	 ARTICLE 11 SATISFACTION AND DISCHARGE
	  	 	81	  
			
	 Section 11.01
	 	 Satisfaction and Discharge.
	  	 	81	  
	 Section 11.02
	 	 Deposited Cash and Government Securities to be Held in Trust; Other Miscellaneous Provisions.
	  	 	82	  
	 Section 11.03
	 	 Repayment to Company.
	  	 	82	  
		
	 ARTICLE 12 MISCELLANEOUS
	  	 	83	  
			
	 Section 12.01
	 	 Trust Indenture Act Controls.
	  	 	83	  
	 Section 12.02
	 	 Notices.
	  	 	83	  
	 Section 12.03
	 	 Communication by Holders of Notes with Other Holders of Notes.
	  	 	84	  
	 Section 12.04
	 	 Certificate and Opinion as to Conditions Precedent.
	  	 	84	  
	 Section 12.05
	 	 Statements Required in Certificate or Opinion.
	  	 	85	  
	 Section 12.06
	 	 Rules by Trustee and Agents.
	  	 	85	  
	 Section 12.07
	 	 No Personal Liability of Directors, Officers, Incorporators, Employees or Stockholders.
	  	 	85	  
	 Section 12.08
	 	 Governing Law.
	  	 	85	  
	 Section 12.09
	 	 No Adverse Interpretation of Other Agreements.
	  	 	85	  
	 Section 12.10
	 	 Successors.
	  	 	86	  
	 Section 12.11
	 	 Severability.
	  	 	86	  
	 Section 12.12
	 	 Counterpart Originals.
	  	 	86	  
	 Section 12.13
	 	 Table of Contents, Headings, etc.
	  	 	86	  
	 Section 12.14
	 	 Qualification of this Indenture.
	  	 	86	  
	 Section 12.15
	 	 Waiver of Jury Trial.
	  	 	86	  
	 Section 12.16
	 	 Force Majeure.
	  	 	86	  


  
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	 APPENDIX & EXHIBITS

	
	 Rule 144A / Regulation S Appendix

	 EXHIBIT 1 to Rule 144A / Regulation S Appendix – Form of Initial Note

	 EXHIBIT 2 to Rule 144A / Regulation S Appendix – Form of Transferee Letter of Representation

	 EXHIBIT 3 to Rule 144A / Regulation S Appendix – Form of Non-U.S. Beneficial Ownership Certification by Euroclear or Clearstream
Luxembourg

	
	 EXHIBIT A – Form of Exchange Note

	 EXHIBIT B – Form of Notation of Guarantee



  
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 CROSS-REFERENCE TABLE 

 

			
	TIA Section Reference	  	Indenture Section
	 310(a)(1)
	  	7.10
	 (a)(2)
	  	7.10
	 (a)(3)
	  	N.A.
	 (a)(4)
	  	N.A.
	 (a)(5)
	  	7.10
	 (b)
	  	7.08, 7.10
	 311(a)
	  	7.11
	 (b)
	  	7.11
	 312(a)
	  	2.06
	 (b)
	  	12.03
	 (c)
	  	12.03
	 313(a)
	  	7.06
	 (b)(1)
	  	N.A.
	 (b)(2)
	  	7.07
	 (c)
	  	7.06, 12.02
	 (d)
	  	7.06
	 314(a)
	  	4.03, 4.04, 12.02
	 314(b)
	  	N.A.
	 (c)(1)
	  	12.04
	 (c)(2)
	  	12.04
	 (c)(3)
	  	N.A.
	 (d)
	  	N.A.
	 (e)
	  	12.05
	 315(a)
	  	7.01
	 (b)
	  	7.05, 12.02
	 (c)
	  	7.01
	 (d)
	  	7.01
	 (e)
	  	6.11
	 316(a) (last sentence)
	  	2.11
	 (a)(1)(A)
	  	6.05
	 (a)(1)(B)
	  	6.04
	 (a)(2)
	  	N.A.
	 (b)
	  	6.07
	 317(a)(1)
	  	6.08
	 (a)(2)
	  	6.09
	 (b)
	  	6.09
	 318(a)
	  	12.01

 N.A. means Not Applicable. 

Note: This Cross-Reference Table shall not, for any purpose, be deemed to be part of this Indenture. 

  
 -v- 








 INDENTURE 

This INDENTURE dated as of November 10, 2015, is by and among Molina Healthcare, Inc., a Delaware corporation (the
“Company”), the Guarantors (as defined herein) party hereto from time to time and U.S. Bank National Association, a national banking association, as trustee (the “Trustee”). 

RECITALS OF THE COMPANY 

A. The Company has duly authorized the execution and delivery of this Indenture to provide for (i) the issuance of 5.375% Senior Notes
due 2022 issued on the date hereof (the “Initial Notes”) and (ii) if and when issued as required by the Registration Rights Agreement dated as of the date hereof, among the Company, the Guarantors and SunTrust Robinson
Humphrey, Inc., as representative of the Initial Purchasers (the “Registration Rights Agreement”), 5.375% Senior Exchange Notes due 2022 issued in an Exchange Offer in exchange for any Initial Notes (the “Exchange
Notes,” and collectively with the Initial Notes, the “Notes”), of substantially the tenor and amount hereinafter set forth. 

B. All things and acts necessary to make this Indenture the legal, valid and binding obligation of the Company have been done. 

RECITALS OF THE GUARANTORS 

A. Each of the Guarantors is a Subsidiary of the Company and desires to make the Subsidiary Guarantees provided for herein. 

B. All things and acts necessary to make this Indenture the legal, valid and binding obligation of each of the Guarantors have been done. 

NOW, THEREFORE, THIS INDENTURE WITNESSETH: 

For, and in consideration of the premises and the purchase of the Notes by the Holders (as defined herein) thereof, the Company, the
Guarantors and the Trustee mutually covenant and agree, for the equal and ratable benefit of the Holders of the Notes, as follows: 

ARTICLE 1 
 DEFINITIONS
AND INCORPORATION BY REFERENCE 
 Section 1.01 Definitions. 

For all purposes of this Indenture, except as otherwise expressly provided or unless the context otherwise requires: 

“Acquired Debt” means, with respect to any specified Person: 

(1) Indebtedness of any other Person existing at the time such other Person is merged with or into or became a Subsidiary of
such specified Person, whether or not such Indebtedness is incurred in connection with, or in contemplation of, such other Person merging with or into, or becoming a Subsidiary of, such specified Person; and 

(2) Indebtedness secured by a Lien encumbering any asset acquired by such specified Person. 







 “Additional Interest” means all additional interest then owing pursuant
to the Registration Rights Agreement. 
 “Additional Interest Notice” has the meaning specified in Section 4.01
of this Indenture. 
 “Additional Notes” means, subject to the Company’s compliance with Section 4.09, any
additional 5.375% Senior Notes due 2022 issued from time to time after the Issue Date under the terms of this Indenture other than pursuant to Sections 2.08, 2.09, 2.12, 3.06 or 9.05 of this Indenture. 

“Affiliate” of any specified Person means any other Person directly or indirectly controlling or controlled by or
under direct or indirect common control with such specified Person. For purposes of this definition, “control,” as used with respect to any Person, means the possession, directly or indirectly, of the power to direct or cause
the direction of the management or policies of such Person, whether through the ownership of voting securities, by agreement or otherwise. For purposes of this definition, the terms “controlling,” “controlled
by” and “under common control with” have correlative meanings. 
 “Agent” means
any Note Registrar, co-registrar, Paying Agent or additional paying agent. 
 “Appendix” has the meaning specified
in Section 2.01 of this Indenture. 
 “Applicable Premium” means, with respect to any Note on any redemption
date, the greater of: 
 (1) 1.0% of the then outstanding principal amount of the Note; or 

(2) the excess of: 

(a) the present value at such redemption date of (i) the principal amount at maturity of the Note being redeemed
plus (ii) all required interest payments due on the Note through August 15, 2022 (three months prior to the maturity of the Notes) (excluding accrued but unpaid interest to the redemption date), computed using a discount rate equal
to the Treasury Rate as of such redemption date plus 50 basis points; over 
 (b) the then outstanding principal
amount of the Note. 
 The Company shall calculate or cause the Applicable Premium to be calculated. 

“Applicable Procedures” means, with respect to any transfer, redemption or exchange of or for beneficial interests in
any Global Note, the rules and procedures of the Depositary that apply to such transfer, redemption or exchange. 
 “Asset
Sale” means the sale, lease, transfer, conveyance or other disposition of any assets or rights (including the issuance or sale of Equity Interests of any Restricted Subsidiary of the Company), other than sales, leases, transfers,
conveyances or other dispositions of products, services, accounts receivable or inventory in the ordinary course of business; provided that the sale, conveyance or other disposition of all or substantially all of the assets of the
Company and its Restricted Subsidiaries taken as a whole will be governed by Section 4.16 and/or Section 5.01 and not by Section 4.12 hereof. 

  
 -2- 








 Notwithstanding the preceding, the following items will not be deemed to be Asset Sales: 

(1) any single transaction or series of related transactions that involves assets having a Fair Market Value of less than the
greater of (a) $50.0 million and (b) 1.0% of Consolidated Total Assets; 
 (2) a sale, lease, transfer, conveyance
or other disposition of assets between or among the Company and its Restricted Subsidiaries; 
 (3) an issuance of Equity
Interests by a Restricted Subsidiary to the Company or to another Restricted Subsidiary; 
 (4) a sale, lease, transfer,
conveyance or other disposition effected in compliance with the provisions described under Section 5.01; 
 (5) a
Restricted Payment or Permitted Investment that does not violate Section 4.10; 
 (6) the disposition of Equity
Interests in Permitted Joint Ventures; 
 (7) a transfer of property or assets that are obsolete, damaged or worn out
equipment and that are no longer useful in the conduct of the Company or its Subsidiaries’ business and that is disposed of in the ordinary course of business (including the abandonment or other disposition of intellectual property that is, in
the reasonable judgment of the Company, no longer economically practicable to maintain or useful in the conduct of the business of the Company and its Restricted Subsidiaries taken as a whole); 

(8) a Sale/Leaseback Transaction entered into within 180 days after the acquisition of the property to which such
Sale/Leaseback Transaction relates, provided that at least 75% of the consideration paid to the Company or the Restricted Subsidiary for such Sale/Leaseback Transaction consists of cash received at closing; 

(9) any Asset Swap; 

(10) the unwinding of any Hedging Obligations; 

(11) the termination, surrender or sublease of leases (as lessee), licenses (as licensee), subleases (as sublessee) and
sublicenses (as sublicensee) in the ordinary course of business; 
 (12) the sale or other disposition of cash or Cash
Equivalents; 
 (13) transfers, conveyances or other dispositions of any real property resulting from any condemnation or
eminent domain; 
 (14) the settlement or write-off of accounts receivable in the ordinary course of business; 

(15) any surrender or waiver of contract rights or the settlement, release, recovery on or surrender of contract, tort or other
claims of any kind; 
 (16) the granting of Liens not prohibited by Section 4.11; and 

(17) the lease, sublease or license or sublicense in the ordinary course of business of real or personal property, including
patents, trademarks and other intellectual property rights that do not materially interfere with the business of the Company or any of its Restricted Subsidiaries (as determined in good faith by an officer of the Company). 

  
 -3- 








 “Asset Swap” means any substantially contemporaneous (and in any event
occurring within 180 days of each other) purchase and sale or exchange of any properties or assets or interests used or useful in a Permitted Business between the Company or any of its Restricted Subsidiaries and another Person; provided, that any
cash received from such purchase and sale or exchange must be applied in accordance with Section 4.12 hereof. 
 “Bankruptcy
Law” means Title 11, U.S. Code or any similar federal or state law for the relief of debtors, or the law of any other jurisdiction relating to bankruptcy, insolvency, winding up, liquidation, reorganization or relief of debtors. 

“Beneficial Owner” has the meaning assigned to such term in Rule 13d-3 and Rule 13d-5 under the Exchange Act, except
that in calculating the beneficial ownership of any particular “person” (as that term is used in Section 13(d)(3) of the Exchange Act), such “person” will be deemed to have beneficial ownership of all securities that such
“person” has the right to acquire by conversion or exercise of other securities, whether such right is currently exercisable or is exercisable only upon the occurrence of a subsequent condition. The terms “Beneficially
Owns” and “Beneficially Owned” have a corresponding meaning. 
 “Board of
Directors” means: 
 (1) with respect to a corporation, the board of directors of the corporation or any
committee thereof duly authorized to act on behalf of such board; 
 (2) with respect to a partnership, the Board of
Directors of the general partner of the partnership; 
 (3) with respect to a limited liability company, the managing member
or members or any controlling committee or managing members thereof; and 
 (4) with respect to any other Person, the board
or committee of such Person serving a similar function. 
 “Board Resolution” of a Person means a copy of a
resolution certified by the secretary or an assistant secretary (or individual performing comparable duties) of the applicable Person to have been duly adopted by the Board of Directors of such Person and to be in full force and effect on the date
of such certification, and delivered to the Trustee. 
 “Business Day” means any day other than a Legal Holiday.

 “Capital Lease Obligation” means, at the time any determination is to be made, the amount of the liability in
respect of a capital lease that would at that time be required to be capitalized on a balance sheet in accordance with GAAP as in effect on the date of this Indenture. In the event of a change under GAAP (or the application thereof) requiring all
leases to be capitalized, only those leases that would result or would have resulted in Capital Lease Obligations on the date of this Indenture (assuming for purposes hereof that they were in existence on the date of this Indenture) shall be
considered Capital Lease Obligations and all calculations and deliverables under this Indenture shall be made in accordance therewith. 

  
 -4- 








 “Capital Stock” means: 

(1) in the case of a corporation, corporate stock; 

(2) in the case of an association or business entity, any and all shares, interests, participations, rights or other
equivalents (however designated) of corporate stock; 
 (3) in the case of a partnership or limited liability company,
partnership or membership interests (whether general or limited); and 
 (4) any other interest or participation that confers
on a Person the right to receive a share of the profits and losses of, or distributions of assets of, the issuing Person. 

“Cash Equivalents” means: 

(1) United States dollars; 

(2) securities issued or directly and fully guaranteed or insured by the United States government or any agency or
instrumentality of the United States government (provided that the full faith and credit of the United States is pledged in support of those securities) having maturities of not more than 24 months from the date of acquisition; 

(3) certificates of deposit and Eurodollar time deposits with maturities of 12 months or less from the date of acquisition,
bankers’ acceptances with maturities not exceeding 12 months and overnight bank deposits, in each case, with any lender party to the Credit Agreement or with any domestic commercial bank having capital and surplus in excess of $250.0 million;

 (4) repurchase obligations with a term of not more than thirty days for underlying securities of the types described in
clauses (2) and (3) above entered into with any financial institution meeting the qualifications specified in clause (3) above; 

(5) commercial paper rated at least A-1 by S&P or at least P-1 by Moody’s (or reasonably equivalent ratings of another
internationally recognized ratings agency) and in each case maturing within 12 months after the date of acquisition; 
 (6)
readily marketable direct obligations issued by any state of the United States or any political subdivision with a rating of AA- or higher from S&P or Aa3 or higher from Moody’s (or reasonably equivalent ratings of another internationally
recognized ratings agency) with maturities of 24 months or less from the date of acquisition; 
 (7) Indebtedness issued by
Persons with a rating of A or higher from S&P or A-2 or higher from Moody’s (or reasonably equivalent ratings of another internationally recognized ratings agency) in each case with maturities not exceeding 24 months from the date of
acquisition; and 
 (8) money market funds substantially all of the assets of which constitute Cash Equivalents of the kinds
described in clauses (1) through (7) of this definition. 

  
 -5- 








 “Change of Control” means the occurrence of any of the following: 

(1) the direct or indirect sale, transfer, conveyance or other disposition (other than by way of merger or consolidation), in
one or a series of related transactions, of all or substantially all of the properties or assets of the Company and its Restricted Subsidiaries, taken as a whole, to any “person” or “group” (as such terms are used in Sections
13(d) and 14(d) of the Exchange Act); 
 (2) the consummation of any transaction (including, without limitation, any merger
or consolidation) the result of which is that any “person” or “group” (as defined above) becomes the Beneficial Owner, directly or indirectly, of more than 50% of the Voting Stock of the Company, measured by voting power rather
than number of shares; or 
 (3) the approval by the holders of Capital Stock of the Company of any plan or proposal for the
liquidation or dissolution of the Company (whether or not otherwise in compliance with the provisions of this Indenture). 
 Notwithstanding
the foregoing, a transaction will not be deemed to involve a Change of Control under clause (2) above if (i) the Company becomes a direct or indirect wholly-owned Subsidiary of a holding company and (ii) the direct or indirect holders
of the Voting Stock of such holding company immediately following that transaction are substantially the same as the holders of the Company’s Voting Stock immediately prior to that transaction. 

“Code” means the U.S. Internal Revenue Code of 1986, as amended. 

“Company” means Molina Healthcare, Inc., and any successor thereto. 

“Company Order” means a written order signed in the name of the Company by an Officer and delivered to the Trustee or,
with respect to Sections 2.02, 2.08, 2.09, 2.12 and 9.05 any other employee of the Company named in an Officer’s Certificate delivered to the Trustee. 

“Consolidated Adjusted EBITDA” means, with respect to any specified Person for any period, the Consolidated Net Income
of such Person for such period plus, without duplication: 
 (1) provision for taxes or assessments based on income
(and excluding, for the avoidance of doubt, any amounts under the line item “premium tax expenses” but including, for the avoidance of doubt, income taxes based on reimbursement amounts attributable to the Health Insurer Fee), plus
franchise or similar taxes, of such Person and its Restricted Subsidiaries for such period, to the extent that such provision for taxes was deducted in computing such Consolidated Net Income; plus 

(2) Consolidated Interest Expense, plus amounts excluded from Consolidated Interest Expense pursuant to clause (1) of the
definition thereof, to the extent such expense was deducted in computing Consolidated Net Income; plus 
 (3) any
fees, expenses or charges related to any Equity Offering, Permitted Investment, Hedging Obligation, acquisition, disposition, recapitalization or the incurrence of Indebtedness permitted to be incurred by this Indenture (including a refinancing
thereof) (whether or not successful), including such fees, expenses and charges relating to the offering of the Notes (and the use of proceeds thereof), in each case, to the extent that such fees, expenses or charges were deducted in computing
Consolidated Net Income; plus  

  
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 (4) depreciation, depletion, amortization and write-downs of goodwill and other
non-cash charges or expenses (excluding any cash payment made during the period with respect to any non-cash charge in a prior period) of such Person and its Restricted Subsidiaries for such period to the extent that such depreciation, depletion,
amortization, write-downs of goodwill and other non-cash charges or expenses were deducted in computing such Consolidated Net Income; plus 

(5) non-cash charges associated with stock-based compensation expenses pursuant to the financial reporting guidance of the
Financial Accounting Standards Board concerning stock-based compensation as in effect from time to time, to the extent such charges or expenses were deducted in computing Consolidated Net Income; plus 

(6) any extraordinary, non-recurring or unusual items (excluding any cash payment made during the period with respect to any
extraordinary, non-recurring or unusual item in a prior period) of such Person and its Restricted Subsidiaries for such period to the extent that such extraordinary, non-recurring or unusual items were deducted in computing such Consolidated Net
Income; minus 
 (7) non-cash gains and all non-cash items of income increasing such Consolidated Net Income for such
period (provided that, to the extent previously subtracted from Consolidated Adjusted EBITDA for the purposes of this Indenture, any cash payment received during such period in respect of any non-cash gains or non-cash items of income in a prior
period shall be added in computing Consolidated Adjusted EBITDA during the period in which such cash payment is received), in each case, on a consolidated basis and determined in accordance with GAAP. 

“Consolidated Interest Expense” means, with respect to any Person for any period, the sum, without duplication, of:

 (1) consolidated interest expense of such Person and its Restricted Subsidiaries for such period (including amortization
of original issue discount and bond premium, the interest component of Capital Lease Obligations, and net payments and receipts (if any) pursuant to interest rate Hedging Obligations (provided, however, that if interest rate Hedging
Obligations result in net benefits rather than costs, such benefits shall be credited to reduce Consolidated Interest Expense unless, pursuant to GAAP, such net benefits are otherwise reflected in Consolidated Net Income) and excluding amortization
of deferred financing fees, debt issuance costs, commissions, fees and expenses and expensing of any financing fees); plus 

(2) consolidated capitalized interest of such Person and the Restricted Subsidiaries for such period, whether paid or accrued;
minus 
 (3) interest income for such period; minus 

(4) any amortization of deferred charges resulting from the application of Accounting Principles Board Opinion No. APB
14-1—Accounting for Convertible Debt Instruments that may be settled in cash upon conversion (including partial cash settlement). 

For purposes of this definition, interest on a Capital Lease Obligation shall be deemed to accrue at an interest rate reasonably determined by
the Company to be the rate of interest implicit in such Capital Lease Obligation in accordance with GAAP. 

  
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 “Consolidated Net Income” means, with respect to any Person for any
period, the consolidated Net Income of such Person and its Restricted Subsidiaries determined in accordance with GAAP; provided, however, that there will not be included in such Consolidated Net Income: 

(1) any Net Income (loss) of any Person if such Person is not a Restricted Subsidiary except that subject to the limitations
contained in clauses (2), (3) and (4) below, the Company’s equity in the Net Income of any such Person for such period will be included in such Consolidated Net Income up to the aggregate amount of cash actually distributed by such
Person during such period to the Company or a Restricted Subsidiary as a dividend or other distribution; 
 (2) solely for
the purposes of determining the amount available for Restricted Payments under Section 4.10(a)(4)(C), the net income of any Restricted Subsidiary (other than a Guarantor) will be excluded to the extent that the declaration or payment of
dividends or similar distributions by that Restricted Subsidiary of that Net Income is not at the date of determination permitted without any prior governmental approval (that has not been obtained) or, directly or indirectly, by operation of the
terms of its charter or any agreement, instrument, judgment, decree, order, statute, rule or governmental regulation applicable to that Restricted Subsidiary or its stockholders; 

(3) Net Income or loss of any Person for any period prior to the acquisition of such Person by the Company or a Restricted
Subsidiary, or the Net Income or loss of any Person who succeeds to the obligations of the Company under this Indenture for any period prior to such succession; 

(4) the cumulative effect of a change in accounting principles; 

(5) any net after-tax income (loss) from disposed or discontinued operations and any net after-tax gains or losses on disposal
of disposed or discontinued operations; 
 (6) the net after-tax effect of any extraordinary, non-recurring or unusual items;

 (7) any after tax gains (losses) attributable to sales of assets out of the ordinary course of business or the write-up of
assets; 
 (8) any fees, expenses or charges related to any Equity Offering, Permitted Investment, Hedging Obligation,
acquisition, disposition, recapitalization or the incurrence of Indebtedness permitted to be incurred by this Indenture (including a refinancing thereof) (whether or not successful), including such fees, expenses and charges relating to the offering
of the Notes (and the use of proceeds thereof); and 
 (9) any non-cash compensation charge or expense realized for the grant
of stock appreciation or similar rights, stock options or other rights to officers, directors and employees. 
 “Consolidated
Total Assets” means, as of the date of any determination thereof, the total assets of the Company and its Restricted Subsidiaries calculated in accordance with GAAP on a consolidated basis as of such date. 

“Contractual Obligation” means, as to any Person, any provision of any security issued by such Person or of any
agreement, instrument or other undertaking to which such Person is a party or by which it or any of its property is bound. 

  
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 “Corporate Trust Office of the Trustee” shall be at the address of the
Trustee specified in Section 12.02 hereof, or such other address as to which the Trustee may give notice to the Company. 

“Credit Agreement” means that certain Credit Agreement, dated as of June 12, 2015, by and among the Company, the
other loan parties party thereto, the lenders party thereto and SunTrust Bank, as administrative agent, including any related notes, Guarantees, collateral documents, instruments and agreements executed in connection therewith, and, in each case, as
amended, restated, modified, renewed, refunded, replaced (whether upon or after termination or otherwise) or refinanced (including by means of sales of debt securities to institutional investors) in whole or in part from time to time. 

“Credit Facilities” means one or more debt facilities or agreements (including, without limitation, the Credit
Agreement), note purchase agreements, indentures or commercial paper facilities, in each case with banks or other institutional lenders or investors providing for revolving credit loans, term loans, receivables financing (including through the sale
of receivables to such lenders or to special purpose entities formed to borrow from such lenders against such receivables), debt securities or letters of credit, in each case, as amended, restated, modified, renewed, refunded, replaced or refinanced
(including any agreement to extend the maturity thereof and adding additional borrowers or guarantors and by means of sales of debt securities to institutional investors) in whole or in part from time to time under the same or any other agent,
lender or group of lenders, underwriter or group of underwriters and including increasing the amount of available borrowings thereunder; provided that such increase is permitted by Section 4.09 hereof. 

“Custodian” means, with respect to the Notes issuable or issued in whole or in part in global form, the Person
specified in Section 2.05 as Custodian with respect to the Notes, and any and all successors thereto appointed as custodian hereunder and having become such pursuant to the applicable provisions of this Indenture. 

“Default” means any event that is, or with the passage of time or the giving of notice or both would be, an Event of
Default. 
 “Definitive Note” means a certificated Note registered in the name of the Holder thereof and issued in
accordance with Sections 2.08 or 2.12 hereof, in substantially the form of Exhibit 1 to the Appendix (as defined herein) except that such Note shall not bear the Global Note legend set forth in Exhibit 1 to the Appendix and shall not
have the “Schedule of Exchanges of Interests in the Global Note” attached thereto. 
 “Depositary” means,
with respect to the Notes issuable or issued in whole or in part in global form, the Person specified in Section 2.05 hereof as the Depositary with respect to the Notes, and any and all successors thereto appointed as Depositary hereunder and
having become such pursuant to the applicable provisions of this Indenture. 
 “Designated HMO Subsidiary” means a
Subsidiary of the Company designated or intended to be an HMO subject to obtaining the required licenses and certificates of authority necessary to operate as an HMO; provided that such Subsidiary is pursuing obtaining such required licenses and
certificates of authority in a commercially reasonable manner in good faith. 
 “Designated Insurance Subsidiary”
means a Subsidiary of the Company designated or intended to be doing business (or required to qualify or to be licensed) under the Insurance Regulations subject to obtaining the required licenses and certificates of authority necessary to operate as
a Person doing business (or required to qualify or to be licensed) under the Insurance Regulations; provided that such Subsidiary is pursuing obtaining such required licenses and certificates of authority in a commercially reasonable manner in
good faith. 

  
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 “Designated Non-cash Consideration” means any non-cash consideration
received by the Company or one of its Restricted Subsidiaries in connection with an Asset Sale that is designated as Designated Non-cash Consideration pursuant to an Officer’s Certificate executed by the principal financial or accounting
officer of the Company or such Restricted Subsidiary at the time of such Asset Sale. Any particular item of Designated Non-cash Consideration will cease to be considered to be outstanding once it has been sold for cash or Cash Equivalents. 

“Disqualified Stock” means any Capital Stock that, by its terms (or by the terms of any security into which it is
convertible, or for which it is exchangeable, in each case at the option of the holder of the Capital Stock), or upon the happening of any event, matures or is mandatorily redeemable, pursuant to a sinking fund obligation or otherwise, or redeemable
at the option of the holder of the Capital Stock, in whole or in part, on or prior to the date that is 91 days after the date on which the Notes mature; provided, however, that only the portion of Capital Stock which so matures or is
mandatorily redeemable, is so convertible or exchangeable at the option of the holder thereof or is so redeemable at the option of the holder thereof prior to such date shall be deemed to be Disqualified Stock; provided, further,
however, that if such Capital Stock is issued to any employee or to any plan for the benefit of employees of the Company or its Subsidiaries or by any such plan to such employees, such Capital Stock shall not constitute Disqualified Stock
solely because it may be required to be repurchased by the Company in order to satisfy applicable statutory or regulatory obligations or as a result of such employee’s termination, death or disability; provided, further, that any
class of Capital Stock of such Person that by its terms authorizes such Person to satisfy its obligations thereunder by delivery of Capital Stock that is not Disqualified Stock shall not be deemed to be Disqualified Stock. Notwithstanding the
preceding sentence, any Capital Stock that would constitute Disqualified Stock solely because the holders of the Capital Stock have the right to require the Company to repurchase such Capital Stock upon the occurrence of a change of control or an
asset sale will not constitute Disqualified Stock if the terms of such Capital Stock provide that the Company may not repurchase or redeem any such Capital Stock pursuant to such provisions unless such repurchase or redemption complies with
Section 4.10 hereof. 
 “dollars” and the sign “$” mean the lawful money of the United
States of America. 
 “Domestic Subsidiary” means any Restricted Subsidiary of the Company that was formed under the
laws of the United States or any state of the United States or the District of Columbia. 
 “Equity Interests” means
Capital Stock and all warrants, options or other rights to acquire Capital Stock (but excluding any debt security that is convertible into, or exchangeable for, Capital Stock). 

“Equity Offering” means any private or public sale of Capital Stock (other than Disqualified Stock) of the Company.

 “Exchange Act” means the Securities Exchange Act of 1934, as amended. 

“Exchange Notes” has the meaning specified in the first recital of this Indenture. 

“Exchange Offer” means the Exchange Offer as defined in the Registration Rights Agreement. 

“Exchange Offer Registration Statement” means the Exchange Offer Registration Statement as defined in the Registration
Rights Agreement. 

  
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 “Existing Indebtedness” means Indebtedness existing on the Issue Date
(other than Indebtedness under this Indenture and the Credit Agreement). 
 “Fair Market Value” means, with respect
to any Asset Sale or Restricted Payment or other item, the price that would be negotiated in an arm’s-length transaction for cash between a willing seller and a willing and able buyer, neither of which is under any compulsion to complete the
transaction, as such price is determined in good faith by an officer of the Company. 
 “Fixed Charge Coverage
Ratio” means with respect to any specified Person for any period, the ratio of the Consolidated Adjusted EBITDA of such Person and its Restricted Subsidiaries for such period to the Fixed Charges of such Person and its Restricted
Subsidiaries for such period. In the event that the specified Person or any of its Restricted Subsidiaries incurs, assumes, Guarantees, repays, repurchases or redeems any Indebtedness (other than ordinary working capital borrowings) or issues,
repurchases or redeems Disqualified Stock or preferred stock subsequent to the commencement of the period for which the Fixed Charge Coverage Ratio is being calculated and on or prior to the date on which the event for which the calculation of the
Fixed Charge Coverage Ratio is made (the “Calculation Date”), then the Fixed Charge Coverage Ratio will be calculated giving pro forma effect to such incurrence, assumption, Guarantee, repayment, repurchase or redemption of
Indebtedness, or such issuance, repurchase or redemption of Disqualified Stock or preferred stock, and the use of the proceeds therefrom as if the same had occurred at the beginning of the applicable four-quarter reference period. 

In addition, for purposes of calculating the Fixed Charge Coverage Ratio: 

(1) Investments, dispositions and acquisitions that have been made by the specified Person or any of its Restricted
Subsidiaries, including through mergers or consolidations and including any related financing transactions, during the four-quarter reference period or subsequent to such reference period and on or prior to the Calculation Date will be given pro
forma effect as if they had occurred on the first day of the four-quarter reference period; and 
 (2) the Fixed Charges
attributable to discontinued operations, as determined in accordance with GAAP, and operations or businesses disposed of prior to the Calculation Date, will be excluded, but only to the extent that the obligations giving rise to such Fixed Charges
will not be obligations of the specified Person or any of its Restricted Subsidiaries following the Calculation Date. 
 For purposes of
this definition, whenever pro forma effect is to be given to an Investment, acquisition, disposition, merger or consolidation and the amount of income or earnings relating thereto, the pro forma calculations shall be determined in good faith by a
responsible financial or accounting officer of the Company and such pro forma calculations may include operating expense reductions, cost-savings and synergies for such period resulting from the transaction which is being given pro forma effect that
(A) have been realized or (B) for which the steps necessary for realization have been taken (or are taken concurrently with such transaction) or (C) for which the steps necessary for realization are reasonably expected to be taken
within the twelve-month period following such transaction and, in each case, including, but not limited to, (a) reduction in personnel expenses, (b) reduction of costs related to administrative functions, (c) reduction of costs
related to leased or owned properties and (d) reductions from the consolidation of operations and streamlining of corporate overhead; provided that, in each case, such adjustments are set forth in an Officer’s Certificate signed by
the Company’s principal financial or accounting officer which states (i) the amount of such adjustment or adjustments, (ii) in the case of items (B) or (C) above, that such adjustment or adjustments are based on the
reasonable good faith belief of the officer executing such Officer’s Certificate at the time of such execution, (iii) that any related incurrence of Indebtedness is permitted pursuant to this Indenture and (iv) any such adjustments
made for operating 

  
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expense reductions, cost-savings and synergies shall not increase Consolidated Adjusted EBITDA by more than 10% of Consolidated Adjusted EBITDA for any period as calculated before giving effect
to any such adjustments. If any Indebtedness bears a floating rate of interest and is being given pro forma effect, the interest on such Indebtedness shall be calculated as if the rate in effect on the Calculation Date had been the applicable
rate for the entire period (taking into account any Hedging Obligations applicable to such Indebtedness if the related hedge has a remaining term in excess of twelve months). 

Interest on a Capital Lease Obligation shall be deemed to accrue at the interest rate reasonably determined by a responsible financial or
accounting officer of the Company to be the rate of interest implicit in such Capital Lease Obligation in accordance with GAAP. For purposes of making the computation referred to above, interest on any Indebtedness under a revolving credit facility
computed on a pro forma basis shall be computed based upon the average daily balance of such Indebtedness during the applicable period. Interest on Indebtedness that may optionally be determined at an interest rate based upon a factor of a prime or
similar rate, a Eurocurrency interbank offered rate, or other rate, shall be deemed to have been based upon the rate actually chosen, or, if none, then based upon such optional rate chosen as the Company may designate. 

“Fixed Charges” means, with respect to any specified Person for any period, the sum, without duplication, of: 

(1) Consolidated Interest Expense of such Person for such period; plus 

(2) all cash dividend payments (excluding items eliminated in consolidation) on any series of preferred stock or Disqualified
Stock of such Person and its Restricted Subsidiaries for such period. 
 “GAAP” means generally accepted accounting
principles set forth in the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and statements and pronouncements of the Financial Accounting Standards Board or in such other
statements by such other entity as have been approved by a significant segment of the accounting profession, which are in effect from time to time. 

“Global Note” has the meaning specified in the Appendix. 

“Government Securities” means securities that are: 

(1) direct obligations of the United States of America for the timely payment of which its full faith and credit is pledged, or

 (2) obligations of a Person controlled or supervised by and acting as an agency or instrumentality of the United States of
America or a member of the European Union, the timely payment of which is unconditionally guaranteed as a full faith and credit obligation by the United States of America, which, in each case, are not callable or redeemable at the option of the
issuer thereof, and shall also include a depository receipt issued by a bank (as defined in Section 3(a)(2) of the Securities Act) as custodian with respect to any such Government Securities or a specific payment of principal of or interest on
any such Government Securities held by such custodian for the account of the holder of such depository receipt; provided, however, that (except as required by law) such custodian is not authorized to make any deduction from the amount payable
to the holder of such depository receipt from any amount received by the custodian in respect of the Government Securities or the specific payment of principal of or interest on the Government Securities evidenced by such depository receipt. 

  
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 “Guarantee” means a guarantee other than by endorsement of negotiable
instruments for collection in the ordinary course of business, direct or indirect, in any manner, including, without limitation, by way of a pledge of assets or through letters of credit or reimbursement agreements in respect thereof, of all or any
part of any Indebtedness. The terms “Guaranteed” and “Guarantees” have a corresponding meaning. 

“Guarantor” means any Subsidiary that executes a Subsidiary Guarantee in accordance with the provisions of this
Indenture and its respective successors and assigns. 
 “Hedging Obligations” means, with respect to the Company or
any of its Restricted Subsidiaries, the obligations of such Person under (a) interest rate swap agreements (whether from fixed to floating or from floating to fixed), interest rate cap agreements and interest rate collar agreements,
(b) other agreements or arrangements designed to manage interest rates or interest rate risk and (c) other arrangements or arrangements designed to protect such Person against fluctuations in currency exchange rates or commodity prices.

 “HMO” means any health maintenance organization or managed care organization, any Person doing business as a
health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable law (including HMO Regulations). 

“HMO Business” means the business of operating an HMO or other similar regulated entity or business. 

“HMO Regulations” means all laws, rules, regulations, directives and administrative orders applicable under Federal or
state law to any HMO Subsidiary, including Part 422 of Chapter IV of Title 42 of the Code of Federal Regulations and Subchapter XI of Title 42 of the United States Code Annotated (and any regulations, orders and directives
promulgated or issued pursuant thereto, including Part 417 of Chapter IV of Title 42 of the Code of Federal Regulations). 

“HMO Subsidiary” means Molina Healthcare of California, Molina Healthcare of Florida, Inc., Molina Healthcare of
Illinois, Inc., Molina Healthcare of Michigan, Inc., Molina Healthcare of New Mexico, Inc., Molina Healthcare of Ohio, Inc., Molina Healthcare of Puerto Rico, Inc., Molina Healthcare of South Carolina, Inc., Molina Healthcare of Texas, Inc., Molina
Healthcare of Utah, Inc., Molina Healthcare of Virginia, Inc., Molina Healthcare of Washington, Inc., Molina Healthcare of Wisconsin, Inc. and any other existing or future U.S. Subsidiary that shall become capitalized or licensed as an HMO, shall
conduct HMO Business or shall provide managed care services. 
 “Holder” means a Person in whose name a Note is
registered in the Note Register. 
 “Indebtedness” means, with respect to any specified Person, any indebtedness of
such Person, whether or not contingent: 
 (1) in respect of borrowed money; 

(2) evidenced by bonds, notes, debentures or similar instruments or letters of credit (or, without duplication, reimbursement
agreements in respect thereof), but excluding letters of credit, surety bonds and performance bonds entered into in the ordinary course of business to the extent such letters of credit, surety bonds and performance bonds are not drawn upon or are
cash collateralized; 

  
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 (3) the principal component in respect of banker’s acceptances; 

(4) representing Capital Lease Obligations; 

(5) representing the balance deferred and unpaid of the purchase price of any property, except (a) any such balance that
constitutes an accrued expense or Trade Payable or (b) any earn-out obligations until such obligation becomes a liability on the balance sheet of such Person in accordance with GAAP; or 

(6) representing the net termination value of any Hedging Obligations, if and to the extent any of the preceding items (other
than letters of credit and Hedging Obligations) would appear as a liability upon a balance sheet (excluding the footnotes thereto) of the specified Person prepared in accordance with GAAP. In addition, the term “Indebtedness” includes all
Indebtedness of others secured by a Lien on any asset of the specified Person (whether or not such Indebtedness is assumed by the specified Person), provided, however, that the amount of such Indebtedness will be the lesser of (a) the
Fair Market Value of such asset at such date of determination and (b) the amount of such Indebtedness of such other Person and, to the extent not otherwise included, the Guarantee by the specified Person of any indebtedness of any other Person.

 The amount of any Indebtedness outstanding as of any date will be: 

(a) the accreted value of the Indebtedness, in the case of any Indebtedness issued with original issue discount; and 

(b) the principal amount of the Indebtedness, together with any interest on the Indebtedness that is more than 30 days past
due, in the case of any other Indebtedness. 
 Notwithstanding the foregoing, Indebtedness shall be deemed to exclude (a) contingent
obligations incurred in the ordinary course of business (not in respect of borrowed money); (b) deferred or prepaid revenues or marketing fees; (c) purchase price holdbacks in respect of a portion of the purchase price of an asset to
satisfy warranty or other unperformed obligations of the respective seller; and (d) obligations to make payments in respect of funds held under escrow arrangements in the ordinary course of business. 

Notwithstanding anything in this Indenture to the contrary, Indebtedness shall not include, and shall be calculated without giving effect to,
the effects of Accounting Standards Codification 815 and related interpretations to the extent such effects would otherwise increase or decrease an amount of Indebtedness for any purpose under this Indenture as a result of accounting for any
embedded derivatives created by the terms of such Indebtedness; and any such amounts that would have constituted Indebtedness under this Indenture but for the application of this sentence shall not be deemed an incurrence of Indebtedness under this
Indenture. 
 “Indenture” means this instrument, as originally executed or as it may from time to time be
supplemented or amended in accordance with Article 9 hereof. 
 “Initial Notes” has the meaning specified in the
first recital of this Indenture. 
 “Initial Purchasers” means SunTrust Robinson Humphrey, Inc., Merrill Lynch,
Pierce, Fenner & Smith Incorporated, UBS Securities LLC, Wells Fargo Securities, LLC, Barclays Capital Inc., Mitsubishi UFJ Securities (USA), Inc. and U.S. Bancorp Investments, Inc. 

  
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 “Insurance Regulations” means all laws, rules, regulations, directives
and administrative orders applicable under Federal or state law to any Insurance Subsidiary. 
 “Insurance
Subsidiary” means any Subsidiary that is engaged in the insurance business and that is regulated by the relevant governmental authority. 

“Interest Payment Dates” shall have the meaning set forth in paragraph 1 of each Note. 

“Investment Grade Rating” means a rating equal to or higher than Baa3 (or the equivalent) by Moody’s or BBB- (or
the equivalent) by S&P, in each case, with a stable or better outlook. 
 “Investments” means, with respect to
any Person, all direct or indirect investments by such Person in other Persons (including Affiliates) in the forms of loans (including Guarantees or other obligations), advances or capital contributions (excluding accounts receivable, trade credit,
security deposits and advances to customers or suppliers, and commission, travel and similar advances, fees and compensation paid to officers, directors, independent contractors and employees made in the ordinary course of business), purchases or
other acquisitions for consideration of Indebtedness, Equity Interests or other securities, together with all items that are or would be classified as investments on a balance sheet prepared in accordance with GAAP. If the Company or any Subsidiary
of the Company sells or otherwise disposes of any Equity Interests of any direct or indirect Subsidiary of the Company such that, after giving effect to any such sale or disposition, such Person is no longer a Subsidiary of the Company, the Company
will be deemed to have made an Investment on the date of any such sale or disposition equal to the Fair Market Value of the Equity Interests of such Subsidiary not sold or disposed of in an amount determined as provided in Section 4.10(c)
hereof. The acquisition by the Company or any Subsidiary of the Company of a Person that holds an Investment in a third Person will be deemed to be an Investment by the Company or such Subsidiary in such third Person in an amount equal to the Fair
Market Value of the Investment held by the acquired Person in such third Person in an amount determined as provided in Section 4.10(c) hereof. Except as otherwise provided in this Indenture, the amount of an Investment will be determined at the
time the Investment is made and without giving effect to subsequent changes in value 
 “Issue Date” means
November 10, 2015. 
 “Legal Holiday” means a Saturday, a Sunday or a day on which banking institutions in the
City of New York, the city in which the Corporate Trust Office of the Trustee is located or any other place of payment on the Notes are authorized by law, regulation or executive order to remain closed. 

“Lien” means, with respect to any asset, any mortgage, lien, pledge, charge, security interest or encumbrance of any
kind in respect of such asset, whether or not filed, recorded or otherwise perfected under applicable law, including any conditional sale or other title retention agreement, any lease in the nature thereof, any option or other agreement to sell or
give a security interest in and any filing of or agreement to give any financing statement under the Uniform Commercial Code (or equivalent statutes) of any jurisdiction; provided that in no event shall an operating lease or an option or an
agreement to sell be deemed to constitute a Lien. 
 “Moody’s” means Moody’s Investors Service, Inc. or
any successor to the ratings agency business thereof. 

  
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 “Net Income” means, with respect to any specified Person, the net income
(loss) of such Person, determined in accordance with GAAP and before any reduction in respect of preferred stock dividends, excluding, however: 

(1) any gain or loss, together with any related provision for taxes on such gain or loss, realized in connection with:
(a) any asset sale other than in the ordinary course of business; or (b) the disposition of any securities by such Person or any of its Restricted Subsidiaries or the extinguishment of any Indebtedness or Hedging Obligations or other
derivative instruments of such Person or any of its Restricted Subsidiaries; and 
 (2) any extraordinary gain or loss,
together with any related provision for taxes on such extraordinary gain or loss. 
 “Net Proceeds” means the
aggregate cash or Cash Equivalents received by the Company or any of its Restricted Subsidiaries in respect of any Asset Sale (including, without limitation, any cash received upon the sale or other disposition of any non-cash consideration received
in any Asset Sale and any cash payments received by way of deferred payment of principal pursuant to a note or installment receivable or otherwise, but only as and when received, but excluding the assumption by the acquiring person of Indebtedness
relating to the disposed assets or other consideration received in any other non-cash form), net of the direct costs relating to such Asset Sale, including, without limitation, legal, accounting and investment banking fees, and sales commissions,
and any relocation expenses incurred as a result of the Asset Sale, taxes paid or payable as a result of the Asset Sale, in each case, after taking into account any available tax credits or deductions and any tax sharing arrangements, and amounts
required to be applied to the repayment of Indebtedness secured by a Lien on the asset or assets that were the subject of such Asset Sale, and any reserve established in accordance with GAAP against liabilities associated with such Asset Sale or any
amount placed in escrow for adjustment in respect of the purchase price of such Asset Sale, until such time as such reserve is reversed or such escrow arrangement is terminated, in which case Net Proceeds shall be increased by the amount of the
reserve so reversed or the amount returned to the Company or its Restricted Subsidiaries from such escrow agreement, as the case may be. 

“Non-Recourse Debt” means Indebtedness: 

(1) as to which neither the Company nor any of its Restricted Subsidiaries (a) provides credit support of any kind
(including any undertaking, agreement or instrument that would constitute Indebtedness), (b) is directly or indirectly liable as a guarantor or otherwise, or (c) constitutes the lender; and 

(2) as to which the lenders have been notified in writing that they will not have any recourse to the stock or assets of the
Company or any of its Restricted Subsidiaries, in each case other than with respect to the pledge of Equity Interests of any obligor securing such Indebtedness. 

“Notes” has the meaning stated in the first recital of this Indenture and more particularly means any Notes
authenticated and delivered under this Indenture. The Initial Notes and any Additional Notes shall be treated as a single class for all purposes of this Indenture, including waivers, amendments, redemptions and offers to purchase, and unless the
context otherwise requires, all references to the Notes shall include the Initial Notes, any Additional Notes and the Exchange Notes issued in exchange for the Initial Notes and any Additional Notes. 

“Obligations” means any principal, interest, penalties, fees, indemnifications, reimbursements, damages and other
liabilities payable under the documentation governing any Indebtedness. 
 “Offering Memorandum” means the Offering
Memorandum dated November 5, 2015 relating to the Notes. 

  
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 “Officer” means, with respect to the Company, the Chairman of the Board,
Chief Executive Officer, Chief Financial Officer, President, Chief Accounting Officer, Chief Legal Officer, any Executive Vice President, Senior Vice President or Vice President, the Treasurer or the Secretary of the Company and, with respect to a
Guarantor, the President, Chief Financial Officer, Chief Operating Officer, any Vice President or the Secretary of such Guarantor. 

“Officer’s Certificate” means a certificate signed by an Officer of the Company. 

“Opinion of Counsel” means a written opinion from legal counsel which meets the requirements of Section 12.05
hereof. The counsel may be an employee of or counsel to the Company. 
 “Permitted Business” means the lines of
business conducted by the Company and its Restricted Subsidiaries on the Issue Date and any other health care business related, ancillary or complementary (including any reasonable extension, development or expansion) to any such business. 

“Permitted Investments” means: 

(1) any Investment in the Company or a Restricted Subsidiary of the Company; 

(2) any Investment in Cash Equivalents; 

(3) any Investment by the Company or any of its Restricted Subsidiaries in a Person, if as a result of such Investment: 

(a) such Person becomes a Restricted Subsidiary of the Company; or 

(b) such Person is, in one transaction or a series of related transactions, merged, consolidated or amalgamated with or into,
or transfers or conveys substantially all of its assets to, or is liquidated into, the Company or a Subsidiary of the Company; 

(4) any Investment made as a result of the receipt of non-cash consideration from an Asset Sale that was made pursuant to and
in compliance with Section 4.12 hereof or any other disposition of assets not constituting an Asset Sale; 
 (5) any
acquisition of assets or Capital Stock solely in exchange for the issuance of Equity Interests (other than Disqualified Stock) of the Company; provided that such Equity Interests will not increase the amount available for Restricted Payments under
Section 4.10(a)(4)(C)(II); 
 (6) any Investments received in compromise or resolution of (A) obligations of trade
creditors, health care providers or customers that were incurred in the ordinary course of business, including pursuant to any plan of reorganization or similar arrangement upon the bankruptcy or insolvency of any trade creditor, health care
provider or customer or (B) litigation, arbitration or other disputes; 
 (7) Hedging Obligations; 

(8) Investments the payment for which is Capital Stock (other than Disqualified Stock) of the Company; provided that such
Equity Interests will not increase the amount available for Restricted Payments under Section 4.10(a)(4)(C)(II); 

  
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 (9) Investments in prepaid expenses, negotiable instruments held for collection,
utility and workers’ compensation, performance and similar deposits made in the ordinary course of business; 
 (10)
loans and advances to directors, officers and employees of the Company or any of its Restricted Subsidiaries in an aggregate amount for all such loans and advances not to exceed $10.0 million at any time outstanding; 

(11) any Investments existing on, or made pursuant to binding commitments existing on, the Issue Date and any Investments
consisting of an extension, modification or renewal of any Investments existing on, or made pursuant to a binding commitment existing on, the Issue Date; 

(12) Investments acquired after the Issue Date as a result of the acquisition by the Company or any Restricted Subsidiary of
another Person, by way of a merger, amalgamation or consolidation with or into the Company or any of its Restricted Subsidiaries in a transaction that is not prohibited by Section 5.01 after the Issue Date to the extent that such Investments
were not made in contemplation of such acquisition, merger, amalgamation or consolidation and were in existence on the date of such acquisition, merger, amalgamation or consolidation; 

(13) loans and advances to directors, officers and employees of the Company or any of its Restricted Subsidiaries for
business-related travel expenses, moving expenses and other similar expenses, in each case incurred in the ordinary course of business; 

(14) Investments consisting of the licensing or contribution of intellectual property pursuant to joint marketing arrangements
with another Person or Persons; 
 (15) Guarantees issued in accordance with Section 4.09; 

(16) Investments consisting of purchases and acquisitions of inventory, supplies, materials, services and equipment or
purchases of contract rights or licenses or leases of intellectual property, in each case in the ordinary course of business; 

(17) Guarantees by the Company or any of its Restricted Subsidiaries of operating leases (other than Capital Lease
Obligations), trademarks, licenses, purchase agreements or of other obligations that do not constitute Indebtedness, in each case entered into by the Company or any Restricted Subsidiary in the ordinary course of business; 

(18) Investments in Permitted Joint Ventures in an amount not to exceed at any one time outstanding 5.0% of Consolidated Total
Assets; 
 (19) deposits in the ordinary course of business to secure the performance of leases; 

(20) other Investments in any Person having an aggregate Fair Market Value (measured on the date each such investment was made
and without giving effect to subsequent changes in value), when taken together with all other Investments made pursuant to this clause (20) that are at the time outstanding, not to exceed the greater of (a) $200.0 million and
(b) 3.50% of Consolidated Total Assets; 
 (21) Investments consisting of extensions of credit in the nature of accounts
receivable or notes receivable arising from the grant of trade credit, in each case in the ordinary course of business; 

  
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 (22) receivables owing to the Company or any of its Restricted Subsidiaries in
connection with deferred premium obligations or endorsements for collection or deposit, in each case created or acquired in the ordinary course of business and payable or dischargeable in accordance with customary terms; 

(23) Investments consisting of, or made pursuant to, capital support or other similar keep-well agreements, or Guarantees
thereof, Guaranteed by the Company or any Restricted Subsidiary of the Company that constitute insurance contracts, or Guarantees of insurance products written by, or the performance of, any Restricted Subsidiary, in each case in the ordinary course
of business consistent with business practices in effect on the date of this Indenture; 
 (24) Investments in any HMO
Subsidiary or any Insurance Subsidiary (other than any Designated HMO Subsidiary or any Designated Insurance Subsidiary) in an aggregate amount reasonably necessary to ensure that such HMO Subsidiary or Insurance Subsidiary maintains the
minimum Statutory Net Worth threshold required pursuant to applicable law or any applicable rule, regulation or order of, or arrangement with, any regulatory body or agency; and 

(25) Investments in any Designated HMO Subsidiary or any Designated Insurance Subsidiary in an aggregate amount necessary to
ensure that such HMO Subsidiary or Insurance Subsidiary maintains the minimum amount of capital as required pursuant to applicable law or any applicable rule, regulation or order of, or arrangement with, any regulatory body or agency; provided that
such investments may not be made at any time after the occurrence and during the continuance of an Event of Default. 

“Permitted Joint Venture” means any joint venture that the Company or any of its Restricted Subsidiaries is a party to
that is engaged in a Permitted Business. 
 “Permitted Liens” means: 

(1) Liens in favor of the Company or the Restricted Subsidiaries; 

(2) Liens on assets of the Company or any of its Restricted Subsidiaries securing Indebtedness and other Obligations that were
permitted by the terms of this Indenture to be incurred pursuant to Section 4.09(b)(1) and/or securing Hedging Obligations related thereto; 

(3) Liens on any property or assets existing at the time of acquisition thereof by the Company or any Restricted Subsidiary of
the Company or on the property or assets of a Person existing at the time such Person becomes a Restricted Subsidiary of the Company or is merged with or into or consolidated with the Company or any Restricted Subsidiary of the Company;
provided that such Liens were in existence prior to the contemplation of such acquisition, merger or consolidation and do not extend to any other property or assets of the Company or any Restricted Subsidiary of the Company; 

(4) Liens for taxes, assessments or other governmental charges or claims not at the time delinquent or thereafter payable
without penalty or being contested in good faith by appropriate proceedings; provided that any reserve or other appropriate provision as is required in conformity with GAAP has been made therefore; 

(5) Liens to secure the performance of statutory obligations, surety or appeal bonds, tenders, bids, trade contracts, leases,
government contracts, performance bonds, landlords, carriers, warehousemen, mechanics and materialmen Liens and other similar Liens imposed by 

  
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law, Liens in the form of deposits or pledges incurred in connection with workers’ compensation, unemployment compensation and other types of social security and/or other obligations of a
like nature incurred in the ordinary course of business; 
 (6) Liens existing on the Issue Date; 

(7) survey exceptions, easements or reservations of, or rights of others for, licenses, rights-of-way, sewers, electric lines,
telegraph and telephone lines and other similar purposes, or zoning or other restrictions as to the use of real property that were not incurred in connection with Indebtedness and that do not in the aggregate materially adversely affect the value of
said properties or materially impair their use in the ordinary course of business of such Person; 
 (8) Liens created for
the benefit of (or to secure) the Notes (or any Subsidiary Guarantees); 
 (9) Liens arising from Uniform Commercial Code
financing statement filings regarding leases entered into by the Company or any of its Restricted Subsidiaries in the ordinary course of business; 

(10) Liens securing Permitted Refinancing Indebtedness incurred to refinance Indebtedness that was previously so secured as
permitted by this Indenture; provided that any such Lien is limited to all or part of the same property or assets (plus improvements, accessions, proceeds or dividends or distributions in respect thereof) that secured (or, under the written
arrangements under which the original Lien arose, could secure) the Indebtedness being refinanced or is in respect of property that is the security for a Permitted Lien; 

(11) Liens securing Hedging Obligations of the Company or any of its Restricted Subsidiaries, which transactions or obligations
are incurred for bona fide hedging purposes (and not for speculative purposes) of the Company or its Restricted Subsidiaries; 

(12) Liens to secure Indebtedness (including Capital Lease Obligations) permitted by Section 4.09(b)(4); provided
that any such Lien (a) covers only the assets acquired, leased, designed, installed, constructed or improved with such Indebtedness and (b) is created within 270 days of such acquisition, lease, design, installation, construction or
improvement; 
 (13) Liens securing Indebtedness permitted by Section 4.09(b)(16); 

(14) Liens required by any regulation, or order of or arrangement or agreement with any regulatory body or agency, so long as
such Liens do not secure Indebtedness; 
 (15) other Liens incurred in the ordinary course of business of the Company or any
of its Restricted Subsidiaries with respect to Indebtedness other than in respect of borrowed money in an aggregate principal amount, together with all Indebtedness incurred to refund, refinance or replace such Indebtedness (or refinancings,
refundings or replacements thereof), that does not exceed the greater of (a) $275.0 million and (b) 5.0% of Consolidated Total Assets at any one time outstanding; 

(16) Liens securing judgments, decrees or attachments (or appeal or other surety bonds relating to such judgments), provided
that no such judgment constitutes an Event of Default under Section 6.01(h) or Liens securing appeal or surety bonds related thereto; 

  
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 (17) licenses, leases or subleases and other intellectual property rights granted
to others not interfering in any material respect with the business of the Company or any Restricted Subsidiary of the Company; 

(18) Liens in the nature of normal and customary rights of setoff upon deposits of cash in favor of banks or other depository
institutions; 
 (19) Liens of a collection bank arising in the ordinary course of business under Section 4-210 of the
UCC in effect in the relevant jurisdiction covering only the items being collected upon; 
 (20) Liens of sellers of goods to
the Company or any Restricted Subsidiary of the Company arising under Article 2 of the UCC in effect in the relevant jurisdiction or similar provisions of applicable law in the ordinary course of business, covering only the goods sold and
securing only the unpaid purchase price for such goods and related expenses; 
 (21) Liens in the nature of municipal
ordinances, zoning, entitlement, land use and environmental regulation; 
 (22) Liens solely on any cash earnest money
deposits made by the Company or any of its Restricted Subsidiaries in connection with any letter of intent or purchase agreement permitted hereunder; 

(23) Liens in favor of customs and revenue authorities arising as a matter of law to secure payment of customs duties in
connection with the importation of goods; and 
 (24) Liens on assets of the Company or any of its Restricted Subsidiaries
securing Indebtedness; provided that at the time of incurrence of such Indebtedness and Liens and after giving pro forma effect thereto, the Secured Debt Ratio would be no greater than 2.00 to 1.0. 

“Permitted Refinancing Indebtedness” means any Indebtedness of the Company or any of its Restricted Subsidiaries
issued in exchange for, or the net proceeds of which are used to extend, refinance, renew, replace, defease, discharge or refund other Indebtedness of the Company or any of its Restricted Subsidiaries (other than intercompany Indebtedness);
provided, however, that: 
 (1) the principal amount (or accreted value, if applicable) of such Permitted
Refinancing Indebtedness does not exceed the principal amount (or accreted value, if applicable) of the Indebtedness extended, refinanced, renewed, replaced, defeased or refunded (plus all accrued interest on the Indebtedness and the amount
of all fees and expenses, including premiums (including tender premiums) and defeasance costs, incurred in connection therewith); 

(2) such Permitted Refinancing Indebtedness has a final maturity date the same as or later than the final maturity date of, and
has a Weighted Average Life to Maturity that is (a) equal to or greater than the Weighted Average Life to Maturity of, the Indebtedness being extended, renewed, refunded, refinanced, replaced, defeased or discharged or (b) more than 90
days after the final maturity date of the Notes; 
 (3) if Subordinated Obligations are being extended, refinanced, renewed,
replaced, defeased, discharged or refunded, such Permitted Refinancing Indebtedness has a final maturity date later than the final maturity date of, and is subordinated in right of payment to, the Notes on terms at least as favorable to the Holders
of Notes as those contained in the documentation governing the Subordinated Obligations being extended, refinanced, renewed, replaced, defeased, discharged or refunded; and 

  
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 (4) such Indebtedness is incurred either by the Company or by the Subsidiary who
is the obligor on the Indebtedness being extended, refinanced, renewed, replaced, defeased, discharged or refunded. 

“Person” means any individual, corporation, partnership, joint venture, association, joint-stock company, trust,
unincorporated organization, limited liability company or government or other entity. 
 “Predecessor Note” of any
particular Note means every previous Note evidencing all or a portion of the same Indebtedness as that evidenced by such particular Note; and any Note authenticated and delivered under Section 2.09 in lieu of a lost, destroyed or stolen Note
shall be deemed to evidence the same Indebtedness as the lost, destroyed or stolen Note. 
 “Qualified Cash”
means cash and Cash Equivalents of the Company and the Guarantors (a) in excess of $50.0 million and (b) that does not appear or would not be required to appear as “restricted” on a
consolidated balance sheet of the Company. 
 “Redemption Date” when used with respect to any Note to be redeemed,
shall mean the date specified for redemption of such Note in accordance with the terms of such Note and this Indenture. 

“Redemption Price” when used with respect to any Note to be redeemed, means the price at which it is to be redeemed
pursuant to the terms of such Note and this Indenture. 
 “Registration Rights Agreement” has the meaning specified
in the first recital of this Indenture with respect to the Initial Notes and, with respect to any Additional Notes, one or more registration rights agreements among the Company, the Guarantors and the other parties thereto, as such agreement(s) may
be amended, modified or supplemented from time to time, relating to rights given by the Company to the purchasers of Additional Notes to register such Additional Notes under the Securities Act. 

“Regular Record Date” for the interest payable on any Interest Payment Date means the applicable date specified as a
“Record Date” on the face of the Note. 
 “Responsible Officer,” when used with respect to
the Trustee, means any officer within the corporate trust department of the Trustee (or any successor group of the Trustee) with direct responsibility for the administration of this Indenture and also means, with respect to a particular corporate
trust matter relating to this Indenture, any other officer to whom such matter is referred because of his or her knowledge of and familiarity with the particular subject, and who shall have direct responsibility for the administration of this
Indenture. 
 “Restricted Investment” means an Investment other than a Permitted Investment. 

“Restricted Subsidiary” of a Person means any Subsidiary of the referent Person that is not an Unrestricted
Subsidiary. 
 “S&P” means Standard & Poor’s Ratings Service, a division of The McGraw Hill
Companies, Inc., or any successor to the ratings agency business thereof. 

  
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 “Sale/Leaseback Transaction” means an arrangement relating to property
now owned or hereafter acquired whereby the Company or a Restricted Subsidiary thereof transfers such property to a Person and the Company or a Restricted Subsidiary leases it from such Person. 

“SAP” means, with respect to each HMO Subsidiary (other than a Designated HMO Subsidiary), the statutory accounting
principles and procedures prescribed or permitted by applicable HMO Regulations for such HMO Subsidiary, applied on a consistent basis, as interpreted by the state in which the applicable HMO Subsidiary operates and (ii) with respect to each
Insurance Subsidiary (other than a Designated Insurance Subsidiary), the statutory accounting principles and procedures prescribed or permitted by applicable Insurance Regulations for such Insurance Subsidiary, applied on a consistent basis, as
interpreted by the state in which the applicable Insurance Subsidiary operates. 
 “SEC” means the United States
Securities and Exchange Commission. 
 “Secured Debt” means all Indebtedness secured by Liens of the Company and its
Restricted Subsidiaries, determined on a consolidated basis. 
 “Secured Debt Ratio” as of the date of any event for
which a calculation is required (the “date of determination”) means the ratio of (a) the aggregate amount of Secured Debt as of the date of determination to (b) the Consolidated Adjusted EBITDA of the Company for
the most recently ended four full fiscal quarters for which internal financial statements are available immediately preceding the date of determination, in each case with such pro forma adjustments as are appropriate and consistent with the
pro forma adjustment provisions set forth in the definition of “Fixed Charge Coverage Ratio.” 
 “Securities
Act” means the Securities Act of 1933, as amended. 
 “Senior Debt” means: 

(1) all Indebtedness of the Company or any Guarantor outstanding under Credit Facilities, and all Hedging Obligations and all
banking service, treasury management and other similar Obligations with respect thereto; 
 (2) any other Indebtedness of the
Company or any Guarantor permitted to be incurred under the terms of this Indenture, unless the instrument under which such Indebtedness is incurred expressly provides that it is subordinated in right of payment to the Notes or any Subsidiary
Guarantee; and 
 (3) all Obligations with respect to the items listed in the preceding clauses (1) and
(2) (including any interest accruing subsequent to the filing of a petition of bankruptcy at the rate provided for in the documentation with respect thereto, whether or not such interest is an allowed claim under applicable law). 

Notwithstanding anything to the contrary in the preceding, Senior Debt will not include: 

(1) any liability for federal, state, local or other taxes owed or owing by the Company; 

(2) any Indebtedness of the Company or any of its Subsidiaries to Company or any of its Subsidiaries or other Affiliates; 

(3) any Trade Payables; or 

  
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 (4) the portion of any Indebtedness that is incurred in violation of this
Indenture. 
 “Shelf Registration Statement” means the Shelf Registration Statement as defined in the Registration
Rights Agreement. 
 “Significant Subsidiary” means any Subsidiary that would be a “significant
subsidiary” as defined in Article 1, Rule 1-02 of Regulation S-X, promulgated pursuant to the Securities Act, as such regulation is in effect on the Issue Date. 

“Special Record Date” for the payment of any Defaulted Interest on the Notes means a date fixed by the Company
pursuant to Section 2.14 hereof. 
 “Stated Maturity” means, with respect to any installment of interest or
principal on any series of Indebtedness, the date on which the payment of interest or principal was scheduled to be paid in the original documentation governing such Indebtedness, and will not include any contingent obligations to repay, redeem or
repurchase any such interest or principal prior to the date originally scheduled for the payment thereof. 
 “Statutory Net
Worth” means, with respect to any HMO Subsidiary or any Insurance Subsidiary (other than a Designated HMO Subsidiary or a Designated Insurance Subsidiary), as of the end of any fiscal year, the difference between (a) total admitted
assets and (b) total liabilities, in each case as calculated according to the applicable state’s interpretation of SAP in the applicable jurisdiction as most recently reported to the applicable jurisdiction for such fiscal year. 

“Subordinated Obligations” means any Indebtedness of the Company (whether outstanding on the Issue Date or thereafter
incurred) that is subordinate or junior in right of payment to the Notes pursuant to a written agreement to that effect. 

“Subsidiary” means, with respect to any specified Person: 

(1) any corporation, association or other business entity of which more than 50% of the total voting power of shares of Capital
Stock entitled (without regard to the occurrence of any contingency) to vote in the election of directors, managers or trustees of the corporation, association or other business entity is at the time owned or controlled, directly or indirectly, by
that Person or one or more of the other Subsidiaries of that Person (or a combination thereof); and 
 (2) any partnership
(a) the sole general partner or the managing general partner of which is such Person or a Subsidiary of such Person or (b) the only general partners of which are that Person or one or more Subsidiaries of that Person (or any combination
thereof). 
 “Subsidiary Guarantee” means a Guarantee by each Guarantor of the Company’s obligations under this
Indenture and on the Notes, executed pursuant to the provisions of this Indenture. 
 “TIA” means the Trust
Indenture Act of 1939, as amended, and the rules and regulations thereunder. 
 “Total Net Debt” means all
Indebtedness (net of up to $250.0 million of Qualified Cash) of the Company and its Restricted Subsidiaries, determined on a consolidated basis, after eliminating all intercompany items, excluding Indebtedness under letters of credit to the extent
such letters of credit are cash collateralized. 

  
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 “Total Net Debt Ratio” as of the date of any event for which a
calculation is required (the “date of determination”) means the ratio of (a) the aggregate amount of Total Net Debt as of the date of determination to (b) the Consolidated Adjusted EBITDA of the Company for the most
recently ended four full fiscal quarters for which internal financial statements are available immediately preceding the date of determination, in each case with such pro forma adjustments as are appropriate and consistent with the pro
forma adjustment provisions set forth in the definition of “Fixed Charge Coverage Ratio.” 
 “Trade
Payables” means, with respect to any Person, any accounts payable or any other indebtedness or monetary obligation to trade creditors, physicians, hospitals, health maintenance organizations or other health care providers created,
assumed or Guaranteed by such Person or any of its Subsidiaries arising in the ordinary course of business in connection with the acquisition of goods and services. 

“Treasury Rate” means, at the time of computation, the yield to maturity of United States Treasury Securities with a
constant maturity (as compiled and published in the most recent Federal Reserve Statistical Release H.15(519) which has become publicly available at least two Business Days prior to the Redemption Date or, if such Statistical Release is no longer
published, any publicly available source of similar market data) most nearly equal to the period from the Redemption Date to August 15, 2022 (three months prior to the maturity of the Notes); provided, however, that if the period from
the Redemption Date to August 15, 2022 (three months prior to the maturity of the Notes) is not equal to the constant maturity of a United States Treasury Security for which a weekly average yield is given, the Treasury Rate shall be obtained
by linear interpolation (calculated to the nearest one-twelfth of a year) from the weekly average yields of United States Treasury Securities for which such yields are given, except that if the period from the Redemption Date to August 15, 2022
(three months prior to the maturity of the Notes) is less than one year, the weekly average yield on actually traded United States Treasury Securities adjusted to a constant maturity of one year shall be used. 

“Trustee” means the Person named as the “Trustee” in the first paragraph of this Indenture until a successor
Trustee shall have become such pursuant to the applicable provisions of this Indenture, and thereafter “Trustee” shall mean such successor Trustee. 

“Uniform Commercial Code” or “UCC” means the New York Uniform Commercial Code as in effect
from time to time. 
 “Unrestricted Subsidiary” means as of the Issue Date, any Subsidiary of the Company (or any
successor to any of them) that is designated by the Board of Directors as an Unrestricted Subsidiary pursuant to a Board Resolution and any Subsidiary of an Unrestricted Subsidiary, but only to the extent that such Subsidiary: 

(1) has no Indebtedness other than Non-Recourse Debt; 

(2) except as permitted by Section 4.14, is not party to any agreement, contract, arrangement or understanding with the
Company or any Restricted Subsidiary of the Company unless the terms of any such agreement, contract, arrangement or understanding are not less favorable in any material respect to the Company or such Restricted Subsidiary than those that might be
obtained at the time from Persons who are not Affiliates of the Company; 
 (3) is a Person with respect to which neither the
Company nor any of its Restricted Subsidiaries has any direct or indirect obligation (a) to subscribe for additional Equity Interests or (b) to maintain or preserve such Person’s financial condition or to cause such Person to achieve
any specified levels of operating results; and 

  
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 (4) has not Guaranteed or otherwise directly or indirectly provided credit
support for any Indebtedness of the Company or any of its Restricted Subsidiaries. 
 Any Subsidiary of a Subsidiary of the Company
designated by the Board of Directors of the Company as an Unrestricted Subsidiary shall also be an Unrestricted Subsidiary. 

“Voting Stock” of any Person as of any date means the Capital Stock of such Person that is at the time entitled to
vote in the election of the Board of Directors of such Person. 
 “Weighted Average Life to Maturity” means, when
applied to any Indebtedness at any date, the number of years obtained by dividing: 
 (1) the sum of the products obtained by
multiplying (a) the amount of each then remaining installment, sinking fund, serial maturity or other required payments of principal, including payment at final maturity, in respect of the Indebtedness, by (b) the number of years
(calculated to the nearest one-twelfth) that will elapse between such date and the making of such payment; by 
 (2) the then
outstanding principal amount of such Indebtedness. 
 Section 1.02 Other Definitions. 

 

			
	 Term
	  	 Defined in
Section

	 “Acceleration Notice”
	  	6.02
	 “Acceptable Commitment”
	  	4.12
	 “Affiliate Transaction”
	  	4.14
	 “Asset Sale Offer”
	  	4.12
	 “Benefited Party”
	  	10.01
	 “Calculation Date”
	  	1.01
	 “Change of Control Payment”
	  	4.16(a)
	 “Change of Control Offer”
	  	4.16(a)
	 “Covenant Defeasance”
	  	8.03
	 “Covenant Termination Date”
	  	4.18
	 “Defaulted Interest”
	  	2.14
	 “DTC”
	  	2.05
	 “Event of Default”
	  	6.01
	 “Excess Proceeds”
	  	4.12
	 “Initial Liens”
	  	4.11
	 “Legal Defeasance”
	  	8.02
	 “losses”
	  	7.07
	 “Note Register”
	  	2.05
	 “Note Registrar”
	  	2.05
	 “Offer Amount”
	  	3.08(c)(2)
	 “Offer Period”
	  	3.08(d)
	 “Offer to Purchase”
	  	3.08(a)
	 “Paying Agent”
	  	2.05
	 “Payment Default”
	  	6.01(g)
	 “Permitted Debt”
	  	4.09(b)
	 “Purchase Date”
	  	3.08(d)
	 “Purchase Price”
	  	3.08(c)(2)
	 “Restricted Payments”
	  	4.10(a)(4)
	 “Terminated Covenants”
	  	4.18


  
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 Section 1.03 Incorporation by Reference of Trust Indenture Act. 

(a) Whenever this Indenture refers to a provision of the TIA, the provision is incorporated by reference in and made a part of this Indenture.

 (b) The following TIA term used in this Indenture has the following meaning: 

“obligor” on the Notes means the Company and each Guarantor and any successor obligor upon the Notes. 

(c) All other terms used in this Indenture that are defined by the TIA, defined by TIA reference to another statute or defined by SEC rule
under the TIA and not otherwise defined herein have the meanings so assigned to them either in the TIA, by another statute or SEC rule, as applicable. 

Section 1.04 Rules of Construction. 

(a) Unless the context otherwise requires: 

(1) a term has the meaning assigned to it; 

(2) an accounting term not otherwise defined herein has the meaning assigned to it in accordance with GAAP; 

(3) “or” is not exclusive; 

(4) words in the singular include the plural, and in the plural include the singular; 

(5) unless otherwise indicated, all references in this Indenture to “Articles,” “Sections” and other
subdivisions are to the designated Articles, Sections and subdivisions of this Indenture as originally executed; 
 (6) the
words “herein,” “hereof” and “hereunder” and other words of similar import refer to this Indenture as a whole and not to any particular Article, Section or other subdivision; 

(7) “including” means “including without limitation”; 

(8) provisions apply to successive events and transactions; and 

(9) references to sections of or rules under the Securities Act, the Exchange Act or the TIA shall be deemed to include
substitute, replacement or successor sections or rules adopted by the SEC from time to time thereunder. 

  
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 ARTICLE 2 

THE NOTES 

Section 2.01 Form Generally. 

Provisions relating to the Initial Notes and the Exchange Notes are set forth in the Rule 144A / Regulation S Appendix attached hereto (the
“Appendix”), which is hereby incorporated in, and expressly made part of, this Indenture. The Initial Notes and the Trustee’s certificate of authentication shall be substantially in the form of Exhibit 1 to the
Appendix, which is hereby incorporated in, and expressly made a part of, this Indenture. The Exchange Notes and the Trustee’s certificate of authentication shall be substantially in the form of Exhibit A to this Indenture. The Notes may
have notations, legends or endorsements required by law, stock exchange rule, agreements to which the Company is subject, if any, or usage (provided that any such notation, legend or endorsement is in a form reasonably acceptable to the
Company). Each Note shall be dated the date of its authentication. The terms of the Notes set forth in the Appendix and exhibits thereto are part of the terms of this Indenture. 

Section 2.02 Execution, Authentication, Delivery and Dating. 

Two Officers shall sign the Notes for the Company by manual, facsimile or electronic signature. If an Officer whose signature is on a Note no
longer holds that office at the time a Note is authenticated, the Note shall nevertheless be valid. 
 A Note shall not be valid until
authenticated by the manual signature of the Trustee. The signature shall be conclusive evidence that the Note has been authenticated under this Indenture. 

At any time and from time to time after the execution and delivery of this Indenture, the Company may deliver Notes executed by the Company to
the Trustee for authentication, together with a Company Order for the authentication and delivery of such Notes; and the Trustee in accordance with such Company Order shall authenticate and deliver such Notes. 

On the Issue Date, the Company shall deliver the Initial Notes in the aggregate principal amount of $700,000,000 executed by the Company to
the Trustee for authentication, together with a Company Order directing the Trustee to authenticate the Notes and certifying that all conditions precedent to the issuance of Notes contained herein have been fully complied with, and the Trustee in
accordance with such Company Order shall authenticate and deliver such Initial Notes. At any time and from time to time after the Issue Date, the Company may deliver Additional Notes executed by the Company to the Trustee for authentication,
together with a Company Order for the authentication and delivery of such Additional Notes, directing the Trustee to authenticate the Additional Notes and certifying that all conditions precedent to the issuance of Notes contained herein have been
fully complied with, and the Trustee in accordance with such Company Order shall authenticate and deliver such Additional Notes. 
 Upon
receipt of a Company Order, the Trustee shall authenticate for original issue Exchange Notes in an aggregate principal amount not to exceed $700,000,000 plus the aggregate principal amount of any Additional Notes; provided that such Exchange Notes
shall be issuable only upon the valid surrender for cancellation of Initial Notes and any Additional Notes of a like aggregate principal amount in accordance with an Exchange Offer pursuant to the Registration Rights Agreement and a Company Order
for the authentication and delivery of such Exchange Notes and certifying that all conditions precedent to the issuance of such Exchange Notes have been fully complied with. 

  
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 In each case, the Trustee shall receive a Company Order, an Officer’s Certificate and an
Opinion of Counsel that it may reasonably require in connection with such authentication of Notes. Such Company Order shall specify the amount of Notes to be authenticated and the date on which the original issue of Notes is to be authenticated.
Each Note shall be dated the date of its authentication. 
 No Note shall be entitled to any benefit under this Indenture or be valid or
obligatory for any purpose unless there appears on such Note a certificate of authentication substantially in the form provided for in the applicable exhibit to the Appendix, duly executed by the Trustee by manual signature of an authorized
signatory, and such certificate upon the applicable Note shall be conclusive evidence, and the only evidence, that such Note has been duly authenticated and delivered hereunder and is entitled to the benefits of this Indenture. 

In case the Company, pursuant to Article Five of this Indenture, shall be consolidated or merged with or into another Person (whether or not
the Company is the surviving Person) or shall sell, transfer, convey, lease or otherwise dispose of its properties and assets substantially as an entirety to any Person, and the successor Person resulting from such consolidation, or surviving such
merger, or into which the Company shall have been merged, or the Person which shall have received a conveyance, transfer, lease or other disposition as aforesaid, shall have executed a supplemental indenture hereto with the Trustee pursuant to
Article Five of this Indenture, any of the Notes authenticated or delivered prior to such consolidation, merger, sale, transfer, conveyance, lease or other disposition may, from time to time, at the request of the successor Person, be exchanged for
other Notes executed in the name of the successor Person with such changes in phraseology and form as may be appropriate, but otherwise in substance of like tenor as the Notes surrendered for such exchange and of like principal amount; and the
Trustee, upon a Company Order of the successor Person, shall authenticate and deliver Notes as specified in such request for the purpose of such exchange. If Notes shall at any time be authenticated and delivered in any new name of a successor
Person pursuant to this Section in exchange or substitution for or upon registration of transfer of any Notes, such successor Person, at the option of the Holders but without expense to them, shall provide for the exchange of all Notes at the time
outstanding for Notes authenticated and delivered in such new name. 
 Section 2.03 [Reserved]. 

Section 2.04 Amount of Notes. 

The aggregate principal amount of Notes which may be authenticated and delivered under this Indenture is unlimited, subject to compliance with
Section 4.09 hereof. The Notes may have notations, legends or endorsements required by law, stock exchange rules or usage. The Notes shall be in minimum denominations of $2,000 and integral multiples of $1,000 in excess of $2,000. 

Except as provided in the Appendix and Exhibits hereto, all Notes shall be substantially identical except as to the date from which interest
shall accrue and except as may otherwise be provided in any indenture supplemental hereto. 
 If any of the terms of the Notes are
established by action taken pursuant to a Board Resolution, a copy of any appropriate record of such action shall be certified by the Secretary or an Assistant Secretary of the Company and delivered to the Trustee at or prior to the delivery of the
Officer’s Certificate setting forth the terms of the Notes. 

  
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 Section 2.05 Note Registrar and Paying Agent. 

The Company shall maintain, with respect to the Notes, an office or agency where Notes may be presented for registration of transfer or for
exchange (“Note Registrar”) and an office or agency where Notes may be presented for payment (“Paying Agent”) in the United States. The Note Registrar shall keep a register (the “Note
Register”) of the Notes and of their transfer and exchange. The Company may appoint one or more co-registrars and one or more additional paying agents. The term “Note Registrar” includes any co-registrar and the
term “Paying Agent” includes any additional paying agent. The Company may change any Paying Agent or Note Registrar without notice to any Holder. The Company shall notify the Trustee in writing of the name and address of any
Agent not a party to this Indenture. If the Company fails to appoint or maintain another entity as Note Registrar or Paying Agent, the Trustee shall act as such. The Company or any of its Restricted Subsidiaries may act as Paying Agent or Note
Registrar. 
 The Company initially appoints The Depository Trust Company (“DTC”) to act as Depositary with respect
to the Global Notes. 
 The Company initially appoints the Trustee to act as Note Registrar and Paying Agent and to act as Custodian with
respect to the Global Notes, and the Trustee hereby agrees so to initially act. 
 Section 2.06 Paying Agent to Hold Money in Trust.

 The Company shall require each Paying Agent (other than the Trustee) to agree in writing that the Paying Agent will hold in trust, for
the benefit of Holders or the Trustee, all money held by the Paying Agent for the payment of principal of, premium, if any, or interest on the Notes, and will notify the Trustee of any default by the Company in making any such payment. While any
such default continues, the Trustee may require a Paying Agent to pay all funds held by it relating to the Notes to the Trustee. The Company at any time may require a Paying Agent to pay all funds held by it to the Trustee. Upon payment over to the
Trustee, the Paying Agent (if other than the Company or a Restricted Subsidiary) shall have no further liability for such funds. If the Company or a Restricted Subsidiary acts as Paying Agent, it shall segregate and hold in a separate trust fund for
the benefit of the Holders all funds held by it as Paying Agent. Upon any Event of Default under Sections 6.01(j) and (k) hereof relating to the Company, the Trustee shall automatically serve as Paying Agent for the Notes. 

In the event that the Paying Agent receives funds in advance of any due date, the Paying Agent shall be entitled to invest such funds in the
U.S. Bank Money Market Deposit Account or any substantially similar successor account, any earnings on which shall be for the account of the Company. 

Section 2.07 Holder Lists. 

The Trustee shall preserve in as current a form as is reasonably practicable the most recent list available to it of the names and addresses of
all Holders and shall otherwise comply with TIA § 312(a). If the Trustee is not the Note Registrar, the Company shall furnish or cause to be furnished to the Trustee at least seven Business Days before each Interest Payment Date and at
such other times as the Trustee may request in writing, a list in such form and as of such date as the Trustee may reasonably require of the names and addresses of the Holders and the Company shall otherwise comply with TIA § 312(a). 

Section 2.08 Registration; Registration of Transfer and Exchange. 

Upon surrender for registration of transfer of any Notes at an office or agency of the Company designated pursuant to Section 4.02 hereof
for such purpose, and subject to the provisions of Section 2.2 

  
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to the Appendix, the Company shall execute, and the Trustee shall authenticate and deliver, in the name of the designated transferee or transferees, one or more new Notes of any authorized
denominations, of a like aggregate principal amount. The Company shall not charge a service charge for any registration of transfer or exchange, but the Company may require payment of a sum sufficient to pay all taxes, assessments or other
governmental charges that may be imposed in connection with the transfer or exchange of the Notes from the Holder requesting such transfer or exchange (other than any exchange of a temporary Note for a permanent Note not involving any change in
ownership or any exchange pursuant to Sections 2.12, 3.06 or 9.05 hereof, not involving any transfer). 
 At the option of the Holders,
Notes may be exchanged for other Notes of any authorized denomination or denominations of like aggregate principal amount and tenor, upon surrender of the Notes to be exchanged at such office or agency. Whenever any Notes are so surrendered for
exchange, the Company shall execute, and the Trustee shall authenticate and deliver, the certificated Notes which the Holder making the exchange is entitled to receive; provided that no exchange of Notes for Exchange Notes shall occur until
an Exchange Offer Registration Statement shall have been declared effective by the SEC, the Trustee shall have received an Officer’s Certificate confirming that the Exchange Offer Registration Statement has been declared effective by the SEC
and the Initial Notes to be exchanged for the Exchange Notes shall be cancelled by the Trustee. 
 All Notes issued upon any registration of
transfer or exchange of Notes shall be the valid obligations of the Company, evidencing the same debt, and entitled to the same benefits under this Indenture, as the Notes surrendered upon such registration of transfer or exchange. 

Every Note presented or surrendered for registration of transfer or for exchange shall be duly endorsed, or be accompanied by a written
instrument of transfer in form satisfactory to the Company and the Note Registrar duly executed, by the Holder thereof or his or her attorney duly authorized in writing. 

The Company shall not be required (i) to issue, register the transfer of or exchange any Notes during a period beginning 15 Business Days
before any selection of Notes to be redeemed and ending at the close of business on the day of the mailing of the relevant notice of redemption or (ii) to register the transfer of or exchange any Note so selected for redemption, in whole or in
part, except the unredeemed portion of any Note being redeemed in part. 
 Section 2.09 Replacement Notes. 

If any mutilated Note is surrendered to the Trustee or the Company and the Trustee and the Company receives evidence to their satisfaction of
the destruction, loss or theft of any Note, the Company shall issue and, upon receipt of a Company Order, the Trustee shall authenticate a replacement Note. If required by the Trustee or the Company, the Holder of such Note shall provide indemnity
that is sufficient, in the judgment of the Trustee to protect the Trustee, any of its Agent and any authenticating agent and in the judgment of the Company to protect the Company, the Trustee, any Agent and any authenticating agent from any loss
that any of them may suffer in connection with such replacement. If required by the Company, such Holder shall reimburse the Company for its reasonable expenses in connection with such replacement. 

Every replacement Note issued in accordance with this Section 2.09 shall be the valid obligation of the Company, evidencing the same debt
as the destroyed, lost or stolen Note, and shall be entitled to all of the benefits of this Indenture equally and proportionately with all other Notes duly issued hereunder. 

  
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 Section 2.10 Outstanding Notes. 

The Notes outstanding at any time shall be the entire principal amount of Notes represented by all of the Global Notes and Definitive Notes
authenticated by the Trustee except for those cancelled by it, those delivered to it for cancellation, those subject to reductions in beneficial interests in a Global Note effected by the Trustee in accordance with the provisions hereof, and those
described in this Section 2.10 as not outstanding. Except as set forth in Section 2.11 hereof, a Note shall not cease to be outstanding because the Company or an Affiliate of the Company holds the Note. 

If a Note is replaced pursuant to Section 2.09 hereof, it shall cease to be outstanding unless the Trustee receives proof satisfactory to
it that the replaced Note is held by a bona fide purchaser. 
 If the principal amount of any Note is considered paid under
Section 4.01 hereof, it shall cease to be outstanding and interest on it shall cease to accrue. 
 If the Paying Agent (other than the
Company, a Subsidiary or an Affiliate of any thereof) holds, on a Redemption Date, a Purchase Date or a maturity date, funds sufficient to pay Notes payable on that date, then on and after that date such Notes shall be deemed to be no longer
outstanding and shall cease to accrue interest. 
 Section 2.11 Treasury Notes. 

In determining whether the Holders of the required principal amount of Notes have concurred in any direction, waiver or consent, Notes owned by
the Company, or by any Affiliate of the Company, shall be disregarded and deemed not to be outstanding, except that for the purpose of determining whether the Trustee shall be protected in relying on any such direction, waiver or consent, only Notes
that a Responsible Officer of the Trustee knows are so owned shall be so disregarded. 
 Section 2.12 Temporary Notes. 

Until certificates representing Notes are ready for delivery, the Company may prepare and, upon receipt of a Company Order in accordance with
Section 2.02 hereof, the Trustee shall authenticate temporary Notes. Temporary Notes shall be substantially in the form of Definitive Notes but may have variations that the Company considers appropriate for temporary Notes and as shall be
reasonably acceptable to the Trustee. Without unreasonable delay, the Company shall prepare and the Trustee shall authenticate Global Notes or Definitive Notes in exchange for temporary Notes, as applicable. After preparation of Definitive Notes,
the temporary Note will be exchangeable for Definitive Notes upon surrender of the temporary Notes. 
 Holders of temporary Notes shall be
entitled to all of the benefits of this Indenture as permanent Notes. 
 Section 2.13 Cancellation. 

The Company at any time may deliver Notes to the Trustee for cancellation. The Note Registrar and Paying Agent shall forward to the Trustee any
Notes surrendered to them for registration of transfer, exchange or payment. The Trustee and no one else shall cancel all Notes surrendered for registration of transfer, exchange, payment, replacement or cancellation and shall dispose of cancelled
Notes in accordance with its customary procedures (subject to the record retention requirements of the Exchange Act or other applicable laws) unless by written order, signed by an Officer of the Company, the Company directs them to be returned to
it. 

  
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 Certification of the disposal of all cancelled Notes shall be delivered to the Company from time
to time upon request. The Company may not issue new Notes to replace Notes that it has paid or that have been delivered to the Trustee for cancellation. 

Section 2.14 Payment of Interest; Defaulted Interest. 

Interest on any Note which is payable, and is punctually paid or duly provided for, on any Interest Payment Date shall be paid to the person in
whose name such Note (or one or more Predecessor Notes) is registered at the close of business on the Regular Record Date for such interest. 

If the Company defaults in a payment of interest on the Notes which is payable (“Defaulted Interest”), it shall pay
the Defaulted Interest in any lawful manner plus, to the extent lawful, interest payable on the Defaulted Interest, to the Persons who are Holders on a subsequent Special Record Date, in each case at the rate provided in the Notes. The
Company shall notify the Trustee in writing of the amount of Defaulted Interest proposed to be paid on the Notes and the date of the proposed payment. The Company shall fix or cause to be fixed each such Special Record Date and payment date,
provided that no such Special Record Date shall be less than 10 days prior to the related payment date for such Defaulted Interest. At least 15 days before the Special Record Date, the Company (or, upon the written request of the Company
delivered at least 5 Business Days before such notice is to be mailed (or such other period acceptable to the Trustee), the Trustee in the name and at the expense of the Company) shall mail or cause to be mailed to Holders a notice that states the
Special Record Date, the related payment date and the amount of such interest to be paid. 
 Subject to the foregoing provisions of this
Section 2.14 and Section 2.08 hereof, each Note delivered under this Indenture upon registration of transfer of or in exchange for or in lieu of any other Note shall carry the rights to interest accrued and unpaid, and to accrue, which
were carried by such other Note. 
 Section 2.15 CUSIP or ISIN Numbers. 

The Company in issuing the Notes may use “CUSIP” and/or “ISIN” numbers (if then generally in use), and, if so, the Trustee
shall use “CUSIP” and/or “ISIN” numbers in notices of redemption or Offers to Purchase as a convenience to Holders; provided, however, that any such notice may state that no representation is made as to the
correctness of such numbers either as printed on the Notes or as contained in any notice of a redemption or notice of an Offer to Purchase and that reliance may be placed only on the other identification numbers printed on the Notes, and any such
redemption or Offer to Purchase shall not be affected by any defect in or omission of such numbers. The Company shall promptly notify the Trustee of any change in the “CUSIP” and/or “ISIN” numbers. 

Section 2.16 Additional Notes; Exchange Notes. 

The Company shall be entitled, subject to its compliance with Section 4.09 hereof, to issue Additional Notes under this Indenture from
time to time after the Issue Date, which shall have identical terms as the Initial Notes issued on the Issue Date, other than with respect to the date of issuance and issue price, first payment of interest and rights under the Registration Rights
Agreement. The Initial Notes issued on the Issue Date and any Additional Notes shall be treated as a single class for all purposes under this Indenture, including directions, waivers, amendments, consents, redemptions and offers to purchase;
provided, however, that a separate CUSIP and/or ISIN number (if then generally in use) will be issued for the Additional Notes, unless the Notes and such Additional Notes are treated as fungible for U.S. federal income tax purposes. Exchange
Notes issued in exchange for Initial Notes issued on the Issue Date and Exchange Notes issued for any Additional Notes subsequently issued shall be treated as a 

  
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single class for all purposes under this Indenture; provided that if the Exchange Notes are not fungible with the Initial Notes and/or Additional Notes, as applicable, for U.S. federal
income tax purposes, they will be issued with a different CUSIP and/or ISIN number. 
 With respect to any Additional Notes, the Company
shall set forth in a Board Resolution and an Officer’s Certificate, a copy of each of which shall be delivered to the Trustee, the following information: 

(1) the aggregate principal amount of such Additional Notes to be authenticated and delivered pursuant to this Indenture; and

 (2) the issue price, the issue date and the CUSIP and/or ISIN number of such Additional Notes. 

Section 2.17 Record Date. 

The record date for purposes of determining the identity of Holders of Notes entitled to vote or consent to any action by vote or consent or
permitted under this Indenture shall be determined as provided for in TIA § 316(c). 
 Section 2.18 Persons Deemed Owners.

 Prior to due presentment of a Note for registration of transfer, the Company, the Trustee and any agent of the Company or the Trustee
may treat the person in whose name such Note is registered as the owner of such Note for the purpose of receiving payment of principal of and (subject to Sections 2.07 and 2.13 hereof) interest on such Note and for all other purposes whatsoever,
whether or not such Note be overdue, and neither the Company, the Trustee nor any agent of the Company or the Trustee shall be affected by notice to the contrary. 

None of the Company, the Trustee, any Paying Agent or the Note Registrar will have any responsibility or liability for any aspect of the
records relating to or payments made on account of beneficial ownership interests of a Note in global form or for maintaining, supervising or reviewing any records relating to such beneficial ownership interests. 

Section 2.19 Computation of Interest. 

Interest on the Notes will be computed on the basis of a 360-day year comprised of twelve 30-day months. Interest on the Initial Notes will
accrue from November 10, 2015. Additional Interest may accrue on the Notes in certain circumstances pursuant to the Registration Rights Agreement. All references in this Indenture to interest on the Notes shall be deemed to include Additional
Interest, if any. 
 ARTICLE 3 

REDEMPTION AND PREPAYMENT 

Section 3.01 Notices to Trustee. 

Except as set forth in Paragraph 5 of the reverse side of the form of the Notes set forth in Exhibit 1 to the Appendix, the Company will
not be entitled to redeem the Notes at its option prior to their Stated Maturity. 

  
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 If the Company elects to redeem Notes, it shall furnish to the Trustee, at least 30 days but not
more than 60 days before a Redemption Date, an Officer’s Certificate setting forth (a) the applicable section of this Indenture and the Notes pursuant to which the redemption shall occur, (b) the Redemption Date, (c) the
principal amount of Notes to be redeemed, (d) the Redemption Price and (e) any conditions to such redemption. 

Section 3.02 Selection of Notes to Be Redeemed. 

(a) If less than all of the Notes are to be redeemed at any time, the Trustee will select the Notes for redemption as follows: 

(1) if the Notes are listed on any national securities exchange, in compliance with the requirements of the principal national
securities exchange on which the Notes are listed; or 
 (2) if the Notes are not listed on any national securities exchange,
based on a method that most nearly approximates a pro rata basis unless otherwise required by law or Depository requirements. 
 In the
event of partial redemption, the particular Notes to be redeemed shall be selected, unless otherwise provided herein, not less than 30 nor more than 60 days prior to the Redemption Date by the Trustee from the outstanding Notes not previously called
for redemption. 
 (b) The Trustee shall promptly notify the Company in writing of the Notes selected for redemption and, in the case of any
Note selected for partial redemption, the principal amount thereof to be redeemed. Notes and portions of Notes selected shall be in minimum denominations of $2,000 and integral multiples of $1,000 in excess thereof; except that if all of the Notes
of a Holder are to be redeemed, the entire outstanding amount of Notes held by such Holder, even if not an integral multiple of $1,000, shall be redeemed. Except as provided in the preceding sentence, provisions of this Indenture that apply to Notes
called for redemption also apply to portions of Notes called for redemption. 
 Section 3.03 Notice of Redemption. 

At least 30 days but not more than 60 days prior to a Redemption Date, the Company shall deliver or cause to be delivered by electronic
transmission (for Notes held in book entry form) or first class mail, a notice of redemption to each Holder whose Notes are to be redeemed at such Holder’s registered address appearing in the Note Register, except that redemption notices may be
delivered more than 60 days prior to a Redemption Date if the notice is issued in connection with a defeasance pursuant to Article 8 hereof or a satisfaction and discharge pursuant to Article 11 hereof. 

The notice shall identify the Notes to be redeemed and shall state: 

(a) the Redemption Date; 

(b) the appropriate method for calculation of the Redemption Price, but need not include the Redemption Price itself; the
actual Redemption Price shall be set forth in an Officer’s Certificate delivered to the Trustee no later than two (2) Business Days prior to the Redemption Date; 

(c) if any Note is being redeemed in part, the portion of the principal amount of such Note to be redeemed and that, after the
Redemption Date upon surrender of such Note, if applicable, a new Note or Notes in principal amount equal to the unredeemed portion shall be issued upon cancellation of the original Note; 

  
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 (d) the name and address of the Paying Agent; 

(e) that Notes called for redemption must be surrendered to the Paying Agent to collect the Redemption Price; 

(f) that, unless the Company defaults in making such redemption payment, interest on Notes called for redemption ceases to
accrue on and after the Redemption Date; 
 (g) the applicable section of this Indenture pursuant to which the Notes called
for redemption are being redeemed; 
 (h) that no representation is made as to the correctness of the CUSIP and/or ISIN
numbers, if any, listed in such notice or printed on the Notes; and 
 (i) any conditions to such redemption. 

At the Company’s request, the Trustee shall provide the notice of redemption in the Company’s name and at its expense;
provided, however, that the Company shall have delivered to the Trustee, at least 45 days (or such shorter period as may be acceptable to the Trustee), prior to the Redemption Date, an Officer’s Certificate requesting that the
Trustee provide such notice (in the name and at the expense of the Company) and setting forth the information to be stated in such notice as provided in this Section 3.03. 

Section 3.04 Effect of Notice of Redemption. 

Once notice of redemption is delivered in accordance with Section 3.03 hereof, Notes called for redemption shall become irrevocably due
and payable on the Redemption Date at the Redemption Price. 
 Any redemption of the Notes may, at the Company’s discretion, be subject
to one or more conditions precedent. In addition, if such redemption or notice is subject to satisfaction of one or more conditions precedent, such notice shall state that, in the Company’s discretion, the Redemption Date may be delayed until
such time as any or all of such conditions shall be satisfied (or waived by the Company in its sole discretion), or such redemption may not occur and such notice may be rescinded in the event that any or all such conditions shall not have been
satisfied (or waived by the Company in its sole discretion) by the Redemption Date, or by the Redemption Date so delayed. 

Section 3.05 Deposit of Redemption Price. 

On or prior to 11:00 a.m. Eastern time on any Redemption Date, the Company shall deposit with the Trustee or with the Paying Agent (or, if the
Company or any of its Restricted Subsidiaries is the Paying Agent, shall segregate and hold in trust) money sufficient to pay the Redemption Price of and, if applicable, accrued and unpaid interest on all Notes to be redeemed on that date. The
Trustee or the Paying Agent shall promptly, and in any event within two (2) Business Days after the Redemption Date, return to the Company any money deposited with the Trustee or the Paying Agent by the Company in excess of the amounts
necessary to pay the Redemption Price of, and accrued and unpaid interest, if any, on, all Notes to be redeemed. 
 If the Company complies
with the provisions of the preceding paragraph, on and after the Redemption Date, interest shall cease to accrue on the Notes or the portions of Notes called for purchase 

  
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or redemption in accordance with Section 3.08 hereof, whether or not such Notes are presented for payment. If a Note is redeemed on or after a Regular Record Date but on or prior to the
related Interest Payment Date, then any accrued and unpaid interest, if any, shall be paid to the Person in whose name such Note was registered at the close of business on such Regular Record Date. If any Note called for redemption shall not be so
paid upon surrender for redemption because of the failure of the Company to comply with the preceding paragraph, interest shall be paid on the unpaid principal from the Redemption Date up to and including such date as such principal is paid, and to
the extent lawful on any interest not paid on such unpaid principal, in each case at the rate provided in the Notes and in Section 4.01 hereof. 

Section 3.06 Notes Redeemed in Part. 

Upon surrender of a Note that is redeemed in part, the Company shall issue and, upon receipt of a Company Order in accordance with
Section 2.02 hereof, the Trustee shall authenticate for the Holder at the expense of the Company a new Note equal in principal amount to the unredeemed portion of the Note surrendered. 

Section 3.07 Mandatory Redemption. 

Except as set forth in Section 4.12 and 4.16, the Company shall not be required to make mandatory redemption or sinking fund payments with
respect to, or offer to purchase, the Notes. 
 Section 3.08 Offer To Purchase. 

(a) In the event that, pursuant to Sections 4.12 or 4.16 hereof, the Company shall be required to commence an Asset Sale Offer or a Change of
Control Offer (each, an “Offer to Purchase”), it shall follow the procedures specified below. 
 (b) The Company
shall cause a notice of the Offer to Purchase to be sent at least once to the Dow Jones News Service or similar business news service in the United States. 

(c) The Company shall commence the Offer to Purchase by sending, by first-class mail (or electronic transmission), with a copy to the Trustee,
to each Holder at such Holder’s address appearing in the Note Register, a notice the terms of which shall govern the Offer to Purchase stating: 

(1) that the Offer to Purchase is being made pursuant to this Section 3.08 and Sections 4.12 or 4.16, as the case may be,
and, in the case of a Change of Control Offer, that a Change of Control has occurred, the circumstances and relevant facts regarding the Change of Control and that a Change of Control Offer is being made pursuant to Section 4.16; 

(2) the principal amount of Notes required to be purchased pursuant to Sections 4.12 or 4.16, as the case may be (the
“Offer Amount”), the purchase price set forth in Sections 4.12 or 4.16, as applicable (the “Purchase Price”), the Offer Period and the Purchase Date (each as defined below); 

(3) except as provided in clause (9), that all Notes timely tendered and not withdrawn shall be accepted for payment; 

(4) that any Note not tendered or accepted for payment shall continue to accrue interest; 

  
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 (5) that, unless the Company defaults in making such payment, any Note accepted
for payment pursuant to the Offer to Purchase shall cease to accrue interest after the Purchase Date; 
 (6) that Holders
electing to have a Note purchased pursuant to an Offer to Purchase may elect to have Notes purchased equal to $2,000 or in integral multiples of $1,000 in excess of $2,000 only; 

(7) that Holders electing to have a Note purchased pursuant to any Offer to Purchase shall be required to surrender the Note,
with the form entitled “Option of Holder to Elect Purchase” on the reverse of the Note completed, or transfer by book-entry transfer, to the Company, the Depositary, if appointed by the Company, or a Paying Agent at the address specified
in the notice before the close of business on the third Business Day before the Purchase Date; 
 (8) that Holders shall be
entitled to withdraw their election if the Company, the Depositary or the Paying Agent, as the case may be, receives, not later than the expiration of the Offer Period, a telegram, facsimile transmission or letter setting forth the name of the
Holder, the principal amount of the Note (or portions thereof) the Holder delivered for purchase and a statement that such Holder is withdrawing its election to have such Note purchased; 

(9) that, in the case of an Asset Sale Offer, if the aggregate principal amount of Notes surrendered by Holders exceeds the
Offer Amount, the Company shall select the Notes to be purchased on a pro rata basis (with such adjustments as may be deemed appropriate by the Company so that only Notes in denominations of $2,000 or integral multiples of $1,000 in excess of $2,000
shall be purchased); 
 (10) that Holders whose Notes are purchased in part shall be issued new Notes equal in principal
amount to the unpurchased portion of the Notes surrendered (or transferred by book-entry transfer); and 
 (11) any other
procedures the Holders must follow in order to tender their Notes (or portions thereof) for payment and the procedures that Holders must follow in order to withdraw an election to tender Notes (or portions thereof) for payment. 

(d) The Offer to Purchase shall remain open for a period of at least 30 days but no more than 60 days following its commencement, except to
the extent that a longer period is required by applicable law (the “Offer Period”). No later than five (5) Business Days (and in any event no later than the 60th day following the Change of Control) after the termination
of the Offer Period (the “Purchase Date”), the Company shall purchase the Offer Amount or, if less than the Offer Amount has been tendered, all Notes tendered in response to the Offer to Purchase. Payment for any Notes so
purchased shall be made in the same manner as interest payments are made. The Company shall publicly announce the results of the Offer to Purchase on or as soon as practicable after the Purchase Date. 

(e) On or prior to the Purchase Date, the Company shall, to the extent lawful: 

(1) accept for payment (on a pro rata basis to the extent necessary in connection with an Asset Sale Offer), the Offer Amount
of Notes or portions of Notes properly tendered and not withdrawn pursuant to the Offer to Purchase, or if less than the Offer Amount has been tendered, all Notes tendered; 

  
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 (2) deposit with the Paying Agent funds in an amount equal to the Purchase Price
in respect of all Notes or portions of Notes properly tendered and not withdrawn; and 
 (3) deliver or cause to be delivered
to the Trustee the Notes properly accepted together with an Officer’s Certificate stating the aggregate principal amount of Notes or portions of Notes being purchased by the Company and that such Notes or portions thereof were accepted for
payment by the Company in accordance with the terms of this Section 3.08. 
 (f) The Paying Agent (or the Company, if acting as the
Paying Agent) shall promptly (but in the case of a Change of Control, not later than 60 days from the date of the Change of Control) deliver or wire transfer to each tendering Holder the Purchase Price deposited with the Paying Agent by the Company
(or, if all the Notes are then in global form, make such payment through the facilities of DTC). In the event that any portion of the Notes surrendered is not purchased by the Company, the Company shall promptly execute and issue a new Note in a
principal amount equal to such unpurchased portion of the Notes surrendered, and, upon receipt of a Company Order in accordance with Section 2.02 hereof, the Trustee shall authenticate and deliver (or cause to be transferred by book-entry) such
new Note to such Holder, in a principal amount equal to any unpurchased portion of the Notes surrendered; provided, however, that each such new Note shall be in a principal amount of $2,000 or an integral multiple of $1,000 in excess
of $2,000. Any Note not so accepted shall be promptly mailed or delivered by the Company to the Holder thereof. 
 (g) If the Purchase Date
is after a Regular Record Date and on or before the related Interest Payment Date, any accrued and unpaid interest shall be paid to the Person in whose name a Note is registered at the close of business on such Regular Record Date. 

(h) The Company shall comply, to the extent applicable, with the requirements of Rule 14e-1 under the Exchange Act and any other securities
laws and regulations thereunder to the extent those laws and regulations are applicable in connection with the Offer to Purchase. To the extent that the provisions of any securities laws or regulations conflict with Sections 4.12 or 4.16, as
applicable, this Section 3.08 or other provisions of this Indenture, the Company shall comply with applicable securities laws and regulations and shall not be deemed to have breached its obligations under Sections 4.12 or 4.16, as applicable,
this Section 3.08 or such other provision by virtue of such compliance. 
 Other than as specifically provided in this
Section 3.08, any purchase pursuant to this Section 3.08 shall be made in accordance with the provisions of Sections 3.01 through 3.06 hereof. 

ARTICLE 4 
 COVENANTS

 Section 4.01 Payment of Notes. 

The Company shall pay or cause to be paid the principal of, premium, if any, and interest on, the Notes on the dates and in the manner provided
in this Indenture and the Notes. Principal, premium, if any, and interest shall be considered paid on the date due if the Paying Agent, if other than the Company or a Subsidiary thereof, holds as of 11:00 a.m. Eastern Time on the due date money
deposited by the Company in immediately available funds and designated for and sufficient to pay all principal, premium, if any, and interest then due. Such Paying Agent shall return to the Company promptly, and in any event, no later than five
(5) Business Days following the date of payment, any money (including accrued interest) that exceeds such amount of principal, premium, if any, and interest paid on the Notes. If a payment date is a Legal Holiday at a place of payment, payment
may be made at that place on the next succeeding day that is not a Legal Holiday, and no interest shall accrue on such payment for the intervening period. 

  
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 The Company shall pay interest (including post-petition interest in any proceeding under any
Bankruptcy Law) on overdue principal and premium, if any, from time to time on demand at a rate per annum equal to the rate of interest then in effect; it shall pay interest (including post-petition interest in any proceeding under any Bankruptcy
Law) on overdue installments of interest (without regard to any applicable grace periods), from time to time on demand at the same rate to the extent lawful. 

In the event that the Company is required to pay Additional Interest to Holders pursuant to the Registration Rights Agreement, the Company
shall provide written notice (an “Additional Interest Notice”) to the Trustee of its obligation to pay Additional Interest no later than fifteen days prior to the proposed payment date for the Additional Interest, and the
Additional Interest Notice shall set forth the amount of Additional Interest to be paid by the Company on such payment date. The Trustee shall not at any time be under any duty or responsibility to any Holder to determine whether the Additional
Interest is due, or with respect to the nature, extent, or calculation of the amount of Additional Interest owed, or with respect to the method employed in such calculation of the Additional Interest. 

Section 4.02 Maintenance of Office or Agency. 

(a) The Company shall maintain an office or agency (which may be an office or drop facility of the Trustee or an Affiliate of the Trustee, Note
Registrar or co-registrar) where Notes may be presented or surrendered for registration of transfer or for exchange and where notices and demands to or upon the Company in respect of the Notes and this Indenture may be made. The Company shall give
prompt written notice to the Trustee of the location, and any change in the location, of such office or agency. If at any time the Company shall fail to maintain any such required office or agency or shall fail to furnish the Trustee with the
address thereof, such presentations, surrenders, notices and demands may be made at the Corporate Trust Office of the Trustee, and the Company hereby appoints the Trustee as its agent to receive all such presentations, surrenders, notices and
demands. 
 (b) The Company may also from time to time designate one or more other offices or agencies where the Notes may be presented or
surrendered for any or all such purposes and may from time to time rescind such designations. The Company shall give prompt written notice to the Trustee of any such designation or rescission and of any change in the location of any such other
office or agency. 
 (c) The Company hereby designates the Corporate Trust Office of the Trustee, as one such office, drop facility or
agency of the Company in accordance with Section 2.05 hereof. 
 Section 4.03 SEC Reports. 

(a) Whether or not required by the rules and regulations of the SEC, so long as any Notes are outstanding, the Company will electronically
file, within the time periods specified in the SEC’s rules and regulations (after giving effect to any grace period provided by Rule 12b-25 under the Exchange Act): 

(1) all quarterly and annual reports that would be required to be filed with the SEC on Forms 10-Q and 10-K if the Company
were required to file such reports; and 
 (2) all current reports that would be required to be filed with the SEC on
Form 8-K if the Company were required to file such reports. 

  
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 All such reports shall be prepared in all material respects in accordance with all of the rules
and regulations applicable to such reports. Each annual report on Form 10-K will include a report on the Company’s consolidated financial statements by the Company’s certified independent accountants. 

If the Company has designated any of its Subsidiaries as Unrestricted Subsidiaries, then the quarterly and annual financial information
required by clauses (a)(1) and (2) of this Section 4.03(a) shall include a reasonably detailed presentation, either on the face of the financial statements or in the footnotes thereto, of the financial condition and results of operations
of the Company and its Restricted Subsidiaries separate from the financial condition and results of operations of the Unrestricted Subsidiaries of the Company. 

(b) If the SEC will not accept the Company’s filings for any reason, the Company will post the reports referred to in
Section 4.03(a) on its website within the time periods that would apply if the Company were required to file those reports with the SEC (after giving effect to any grace period provided by Rule 12b-25 under the Exchange Act). The Company
shall not take any action for the purpose of causing the SEC not to accept any such filing. 
 (c) In addition, the Company and the
Guarantors agree that, for so long as any Notes remain outstanding, they will furnish to the Holders of Notes and to securities analysts and prospective investors, upon their request, the information required to be delivered pursuant to
Rule 144A(d)(4) under the Securities Act. 
 (d) Delivery of reports, information and documents to the Trustee pursuant to this
Section 4.03 is for informational purposes only and any receipt of the Trustee of such shall not constitute constructive notice of any information contained therein or determinable from information contained therein, including the
Company’s or Guarantor’s compliance with any of its covenants hereunder (as to which the Trustee is entitled to rely exclusively on Officer’s Certificates). 

Section 4.04 Compliance Certificate. 

(a) The Company shall deliver to the Trustee, within 90 days after the end of each fiscal year, commencing with the fiscal year ending
December 31, 2015, an Officer’s Certificate stating that a review of the activities of the Company and its Subsidiaries during the preceding fiscal year (or, with respect to the first such certificate, the period from the Issue Date to
December 31, 2015), has been made under the supervision of the signing Officer with a view to determining whether the Company and the Guarantors have kept, observed, performed and fulfilled their obligations under this Indenture, and further
stating, as to such Officer signing such certificate, that to the best of his or her knowledge the Company and the Guarantors have kept, observed, performed and fulfilled each and every covenant contained in this Indenture and none is in default in
the performance or observance of any of the terms, provisions and conditions of this Indenture (or, if a Default or Event of Default shall have occurred, describing all such Defaults or Events of Default of which he or she may have knowledge and
what action the Company is taking or proposes to take with respect thereto) and that to the best of his or her knowledge no event has occurred and remains in existence by reason of which payments on account of the principal of, premium, if any, or
interest on the Notes is prohibited or if such event has occurred, a description of the event and what action the Company is taking or proposes to take with respect thereto. 

(b) The Company shall otherwise comply with TIA §314(a)(2). 

  
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 (c) The Company shall deliver to the Trustee, within 30 days after becoming aware thereof,
written notice in the form of an Officer’s Certificate of any event that with the giving of notice and/or the lapse of time would become an Event of Default, its status and what action the Company is taking or proposes to take with respect
thereto. 
 Section 4.05 Taxes. 

The Company shall pay, and shall cause each of its Subsidiaries to pay, prior to delinquency, all material taxes, assessments and governmental
levies, except such as are being contested in good faith and by appropriate proceedings or where the failure to effect such payment is not adverse in any material respect to the Holders. 

Section 4.06 Stay, Extension and Usury Laws. 

The Company covenants (to the extent that it may lawfully do so) that it shall not at any time insist upon, plead, or in any manner whatsoever
claim or take the benefit or advantage of, any stay, extension or usury law wherever enacted, now or at any time hereafter in force, that may affect the covenants or the performance of this Indenture; and the Company (to the extent that it may
lawfully do so) hereby expressly waives all benefit or advantage of any such law, and covenants that it shall not, by resort to any such law, hinder, delay or impede the execution of any power herein granted to the Trustee, but shall suffer and
permit the execution of every such power as though no such law has been enacted. 
 Section 4.07 Corporate Existence. 

Subject to Article 5 hereof, the Company shall do or cause to be done all things necessary to preserve and keep in full force and effect
(i) its corporate existence, and the corporate, partnership or other existence of each Restricted Subsidiary, in accordance with the respective organizational documents (as the same may be amended from time to time) of the Company or any such
Restricted Subsidiary and (ii) the rights (charter and statutory), licenses and franchises of the Company and its Restricted Subsidiaries; provided, however, that the Company shall not be required to preserve any such right,
license or franchise, or the corporate, partnership or other existence of any Restricted Subsidiary, if the Board of Directors shall determine that the preservation thereof is no longer desirable in the conduct of the business of the Company and its
Restricted Subsidiaries, taken as a whole, and that the loss thereof is not adverse in any material respect to the Holders of the Notes, or that such preservation is not necessary in connection with any transaction not prohibited by this Indenture.

 Section 4.08 Payments for Consent. 

The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, pay or cause to be paid any
consideration, whether by way of interest, fee or otherwise, to or for the benefit of any Holder for or as an inducement to any consent, waiver or amendment of any of the terms or provisions of this Indenture or the Notes unless such consideration
is offered to be paid and is paid to all Holders that consent, waive or agree to amend in the time frame set forth in the solicitation documents relating to such consent, waiver or agreement. 

Section 4.09 Incurrence of Indebtedness and Issuance of Preferred Stock. 

(a) The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, create, incur, issue, assume,
Guarantee or otherwise become directly or indirectly liable, contingently or otherwise, with respect to (collectively, “incur”) any Indebtedness (including Acquired Debt), and the Company will not issue any Disqualified Stock
and will not permit any of its Restricted 

  
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Subsidiaries to issue any shares of preferred stock (including Disqualified Stock) other than to the Company; provided, however, that the Company may incur Indebtedness (including
Acquired Debt) or issue Disqualified Stock, and any Restricted Subsidiary of the Company may incur Indebtedness (including Acquired Debt) or issue preferred stock (including Disqualified Stock), if the Fixed Charge Coverage Ratio for the
Company’s most recently ended four full fiscal quarters for which internal financial statements are available immediately preceding the date on which such additional Indebtedness is incurred or such preferred stock or Disqualified Stock is
issued would have been at least 2.0 to 1.0, determined on a pro forma basis (including a pro forma application of the net proceeds therefrom), as if the additional Indebtedness had been incurred or the preferred stock or Disqualified Stock had been
issued, as the case may be, at the beginning of such four-quarter period; provided further, however, that the aggregate principal amount incurred under this Section 4.09(a) by Restricted Subsidiaries that are not Guarantors at any one
time outstanding shall not exceed the greater of $150.0 million and 3.0% of Consolidated Total Assets as of the date of any such incurrence. 

(b) Section 4.09(a) will not prohibit the incurrence of any of the following items of Indebtedness (collectively, “Permitted
Debt”): 
 (1) the incurrence by the Company or any of its Restricted Subsidiaries of Indebtedness and letters
of credit under one or more Credit Facilities; provided that the aggregate principal amount of all Indebtedness and letters of credit of the Company and any Restricted Subsidiary incurred pursuant to this clause (1) (with letters of
credit being deemed to have a principal amount equal to the face amount thereof) does not exceed the greater of (a) $350.0 million and (b) 7.50% of Consolidated Total Assets; 

(2) the incurrence by the Company or any of its Restricted Subsidiaries of Indebtedness existing on the Issue Date (other than
Indebtedness outstanding under clause (1) above or clause (3) below and Indebtedness being repaid with the proceeds of the Initial Notes, if any); 

(3) the incurrence by the Company and the Guarantors of Indebtedness represented by the Initial Notes and the related
Subsidiary Guarantees and the Exchange Notes and the related Subsidiary Guarantees to be issued pursuant to the Registration Rights Agreement (and any Exchange Notes issued in exchange for Additional Notes properly incurred under this Indenture,
where the terms of such Exchange Notes are substantially identical to such Additional Notes); 
 (4) the incurrence by the
Company or any of its Restricted Subsidiaries of Indebtedness (including Capital Lease Obligations, mortgage financings or purchase money obligations), Disqualified Stock and preferred stock, in each case incurred for the purpose of financing all or
any part of the purchase price, lease or cost of design, installation, construction or improvement of property, plant or equipment used in the business of the Company or such Restricted Subsidiary, in an aggregate principal amount, including all
Permitted Refinancing Indebtedness, Disqualified Stock and preferred stock incurred to refund, refinance or replace any Indebtedness, Disqualified Stock and preferred stock incurred pursuant to this clause (4), not to exceed the greater of
(a) $150.0 million and (b) 3.0% of Consolidated Total Assets; 
 (5) the incurrence by the Company or any of its
Restricted Subsidiaries of Permitted Refinancing Indebtedness in exchange for, or the net proceeds of which serves to extend, defease, renew, refund, refinance or replace Indebtedness (other than intercompany Indebtedness) that was incurred under
Section 4.09(a) or clauses (2), (3), this clause (5) or (13) of this Section 4.09(b); 

  
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 (6) the incurrence by the Company or any of its Restricted Subsidiaries of
intercompany Indebtedness between or among the Company and any of its Restricted Subsidiaries; provided, however, that (i) any subsequent issuance or transfer of Equity Interests that results in any such Indebtedness being held by
a Person other than the Company or a Restricted Subsidiary and (ii) any subsequent sale or other transfer of any such Indebtedness to a Person that is not either the Company or a Restricted Subsidiary shall be deemed, in each case, to
constitute an incurrence of such Indebtedness by the Company or such Restricted Subsidiary, as the case may be, that was not permitted by this clause (6); 

(7) the incurrence of Indebtedness of the Company or any of its Restricted Subsidiaries consisting of Guarantees, indemnities,
holdbacks, earn-out, non-compete, consulting, deferred compensation, purchase price adjustments and similar obligations in connection with the acquisition or disposition of assets, including, without limitation, shares of Capital Stock of Restricted
Subsidiaries or contingent payment obligations incurred in connection with the acquisition of assets which are contingent on the performance of the assets acquired, other than Guarantees of Indebtedness incurred by any Person acquiring all or any
portion of such assets or shares of Capital Stock of such Restricted Subsidiary for the purpose of financing such acquisition; 

(8) the incurrence of Indebtedness of the Company or any of its Restricted Subsidiaries in respect of bid, appeal, surety and
performance bonds, completion guarantees or other similar arrangements, provider claims, workers’ compensation claims, statutory, appeal or similar obligations, bankers’ acceptances, payment obligations in connection with sales tax and
insurance or other similar requirements in the ordinary course of business or in respect of awards or judgments not resulting in an Event of Default; 

(9) the incurrence by the Company or any of its Restricted Subsidiaries of Indebtedness arising from the honoring by a bank or
other financial institution of a check, draft or similar instrument inadvertently drawn against insufficient funds, netting services and otherwise in connection with deposit accounts, so long as such Indebtedness is covered within 10 Business Days
or arising in connection with endorsement of instruments for deposit in the ordinary course of business; 
 (10) Indebtedness
representing deferred compensation or other similar arrangements to employees and directors of the Company or any of its Restricted Subsidiaries incurred in the ordinary course of business; 

(11) the incurrence by the Company or any of its Restricted Subsidiaries of Hedging Obligations; provided that such
Hedging Obligations are entered into for bona fide hedging purposes (and not for speculative purposes) of the Company or its Restricted Subsidiaries; 

(12) (a) the Guarantee by the Company or any of the Restricted Subsidiaries of Indebtedness of the Company or a Restricted
Subsidiary that was permitted to be incurred by another provision of this Section 4.09; provided that if the Indebtedness being Guaranteed is incurred by the Company and is subordinated to the Notes, then the Guarantee of such
Indebtedness by any of its Restricted Subsidiaries shall be subordinated to the same extent as the Indebtedness Guaranteed and (b) the Guarantee by the Company or any of the Restricted Subsidiaries of Indebtedness of the Company or a Restricted
Subsidiary required pursuant to applicable law or any applicable rule, regulation or order of, or arrangement with, any regulatory body or agency; 

  
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 (13) Indebtedness of a Restricted Subsidiary outstanding on the date on which
such Restricted Subsidiary was acquired by the Company or otherwise became a Restricted Subsidiary (other than Indebtedness incurred as consideration in, or to provide all or any portion of the funds or credit support utilized to consummate, the
transaction or series of transactions pursuant to which such Restricted Subsidiary became a Subsidiary of the Company or was otherwise acquired by the Company), provided that after giving effect thereto, (a) the Company would be
permitted to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set forth in Section 4.09(a), or (b) the Fixed Charge Coverage Ratio would be no worse than immediately prior thereto; 

(14) the incurrence by the Company or any Restricted Subsidiary of Indebtedness to the extent the proceeds thereof are used to
purchase Notes pursuant to a Change of Control Offer or to defease or discharge Notes in accordance with the terms of this Indenture; 

(15) the incurrence by the Company or any Restricted Subsidiary of Indebtedness consisting of (a)(i) the financing of insurance
premiums or (ii) insurance premiums incurred in the ordinary course of business and owed to any Person providing property, casualty or liability insurance to the Company or its Subsidiaries, so long as such Indebtedness shall not be in excess
of the amount of the unpaid cost of and shall be incurred only to defer the cost of, such insurance for the year in which such Indebtedness is incurred and such Indebtedness shall only be outstanding during such year, or (b) take or pay
obligations in supply agreements, in each case in the ordinary course of business; 
 (16) Indebtedness in respect of secured
or unsecured letters of credit incurred by the Company or any Restricted Subsidiary in an aggregate principal amount not to exceed $200.0 million; 

(17) Guarantees in the ordinary course of business of the obligations of suppliers, customers, franchisees and licensees of the
Company and its Restricted Subsidiaries; 
 (18) the incurrence by the Company or any of its Restricted Subsidiaries of
additional Indebtedness in an aggregate principal amount (or accreted value, as applicable), including all Permitted Refinancing Indebtedness incurred to refund, refinance or replace any Indebtedness incurred pursuant to this clause (18), not to
exceed the greater of (a) $275.0 million and (b) 5.0% of Consolidated Total Assets; or 
 (19) Guarantees by the
Company or a Restricted Subsidiary of Contractual Obligations of an HMO Subsidiary or an Insurance Subsidiary incurred in the ordinary course of business. 

(c) For purposes of determining compliance with this Section 4.09, in the event that an item of Indebtedness meets the criteria of more
than one of the categories of Permitted Debt described in clauses (1) through (19) of Section 4.09(b) or is entitled to be incurred pursuant to Section 4.09(a), the Company shall, in its sole discretion, classify (or later
re-classify in whole or in part), or divide (or later re-divide in whole or in part) such item of Indebtedness (or any portion thereof) in any manner that complies with this Section 4.09 and such Indebtedness will be treated as having been
incurred pursuant to such clauses or Section 4.09(a) hereof, as the case may be, designated by the Company. Indebtedness under Credit Facilities outstanding on the Issue Date will be deemed to have been incurred on such date in reliance on the
exception provided by clause (1) of the definition of “Permitted Debt” and may not later be reclassified. Accrual of interest or dividends, the accretion of accreted value or liquidation preference and the payment of interest or
dividends in the form of additional Indebtedness or Disqualified Stock will not be deemed to be an incurrence of Indebtedness or an issuance of Disqualified Stock for purposes of this Section 4.09. 

  
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 (d) The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or
indirectly, incur any Indebtedness which by its terms (or by the terms of any agreement governing such Indebtedness) is subordinated to any other Indebtedness of the Company or such Restricted Subsidiary, as the case may be, unless made expressly
subordinate to the Notes to the same extent and in the same manner as such Indebtedness is subordinated pursuant to subordination provisions that are most favorable to the holders of any other Indebtedness of the Company or such Restricted
Subsidiary, as the case may be. 
 (e) This Indenture shall not treat (1) unsecured Indebtedness as subordinated or junior to secured
Indebtedness merely because it is unsecured, (2) Indebtedness as subordinated or junior to any other Indebtedness merely because it has a junior priority with respect to the same collateral or (3) Indebtedness that is not Guaranteed as
subordinated or junior to Indebtedness that is Guaranteed merely because of such Guarantee. 
 Section 4.10 Restricted Payments.

 (a) The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly: 

(1) declare or pay any dividend or make any other payment or distribution (A) on account of the Company’s or any of
its Restricted Subsidiaries’ Equity Interests (including, without limitation, any payment in connection with any merger or consolidation involving the Company or any of its Restricted Subsidiaries) or (B) to the direct or indirect holders
of the Company’s or any Restricted Subsidiaries’ Equity Interests in their capacity as such (other than dividends, payments or distributions (i) payable in Equity Interests (other than Disqualified Stock) of the Company or
(ii) to the Company or a wholly owned Restricted Subsidiary or to all holders of Capital Stock of a Restricted Subsidiary on a pro rata basis); 

(2) purchase, redeem or otherwise acquire or retire for value (including, without limitation, in connection with any merger or
consolidation involving the Company) any Equity Interests of the Company or any of its Restricted Subsidiaries (other than (a) Equity Interests of any wholly owned Restricted Subsidiary of the Company or (b) purchases, redemptions,
defeasances or other acquisitions made by a Restricted Subsidiary on a pro rata basis from all shareholders of such Restricted Subsidiary); 

(3) make any payment on or with respect to, or purchase, redeem, defease or otherwise acquire or retire for value any
Subordinated Obligations (excluding any intercompany Indebtedness between or among the Company or any of its Restricted Subsidiaries), except a payment of interest or principal at the Stated Maturity thereof or the payment, purchase, redemption,
defeasance or other acquisition or retirement for value of any such Subordinated Obligations, in each case where the Stated Maturity is within one year of such payment, purchase, redemption, defeasance or other acquisition or retirement for value;
or 
 (4) make any Restricted Investment (all such payments and other actions set forth in these clauses (1) through
(3) above and this clause (4) being collectively referred to as “Restricted Payments”), unless, at the time of and after giving effect to such Restricted Payment: 

(A) no Default or Event of Default has occurred and is continuing or would occur as a consequence thereof; and 

  
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 (B) the Company would, at the time of such Restricted Payment and after giving
pro forma effect thereto as if such Restricted Payment had been made at the beginning of the applicable four-quarter period, have been permitted to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set
forth in Section 4.09(a); and 
 (C) such Restricted Payment, together with the aggregate amount of all other Restricted
Payments made by the Company and the Restricted Subsidiaries after the date of this Indenture (including Restricted Payments permitted by clauses (b)(1) and (11) of this Section 4.10), is less than the sum, without duplication, of: 

(I) 50% of the Consolidated Net Income of the Company for the period (taken as one accounting period) from January 1,
2016 to the end of the Company’s most recently ended fiscal quarter for which internal financial statements are available at the time of such Restricted Payment (or, if such Consolidated Net Income for such period is a deficit, less 100% of
such deficit), plus 
 (II) 100% of the aggregate net cash proceeds (or the Fair Market Value of property other than
cash) received by the Company since the Issue Date as a contribution to its common equity capital or from the issuance or sale of Equity Interests of the Company (other than the issuance of Disqualified Stock) or from the issuance or sale of
convertible or exchangeable Disqualified Stock or convertible or exchangeable debt securities of the Company, in either case, that have been converted into or exchanged for such Equity Interests of the Company (other than Equity Interests or
Disqualified Stock or debt securities sold to a Subsidiary of the Company), plus 
 (III) to the extent that any
Restricted Investment that was made after the date of this Indenture is (A) sold for cash or otherwise cancelled, liquidated or repaid for cash, the cash proceeds received with respect to such Restricted Investment (less the cost of
disposition, if any) or (B) made in an entity that subsequently becomes a Restricted Subsidiary, an amount equal to the Fair Market Value of the Restricted Investments owned by the Company and the Restricted Subsidiaries in such entity at the
time such entity becomes a Restricted Subsidiary, plus 
 (IV) 100% of the aggregate net cash proceeds (or the Fair
Market Value of property other than cash) received by the Company since the Issue Date by means of (A) the sale (other than to the Company or a Restricted Subsidiary) of the Capital Stock of an Unrestricted Subsidiary and (B) a
distribution or dividend from an Unrestricted Subsidiary (other than in each case to the extent such Investment constituted a Permitted Investment), in each case to the extent that such amounts were not otherwise included in the Consolidated Net
Income for such period, plus 
 (V) in case, after the date of this Indenture, any Unrestricted Subsidiary has been
redesignated as a Restricted Subsidiary under the terms of 

  
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this Indenture or has been merged, consolidated or amalgamated with or into, or transfers or conveys assets to, or is liquidated into the Company or a Restricted Subsidiary, an amount equal to
the Fair Market Value of the Restricted Investments owned by the Company and the Restricted Subsidiaries in such Unrestricted Subsidiary at the time of the redesignation, combination or transfer (or of the assets transferred or conveyed, as
applicable). 
 (b) Notwithstanding the foregoing, and in the cases of clauses (6), (10) and (11) below, so long as no Default or
Event of Default has occurred and is continuing or would be caused thereby, the preceding provisions will not prohibit any of the following: 

(1) the payment of any dividend within 60 days after the date of declaration of the dividend, if at the date of declaration the
dividend payment would have complied with the provisions of this Indenture; 
 (2) any Restricted Payments made out of the
net cash proceeds of the substantially concurrent sale (other than to a Restricted Subsidiary of the Company) of, Equity Interests of the Company (other than Disqualified Stock); provided, however, that the amount of any such net cash
proceeds from such sale will be excluded from Section 4.10(a)(4)(C)(II); 
 (3) the redemption, repurchase, repayment,
retirement, defeasance or other acquisition of any Subordinated Obligations with the net cash proceeds from an incurrence of Permitted Refinancing Indebtedness; 

(4) the redemption, repurchase or other acquisition or retirement for value of any Equity Interests of the Company or any
Restricted Subsidiary of the Company (a) held by any current or former director, officer, employee or consultant of the Company or any of its Subsidiaries and their Affiliates, heirs and executors pursuant to any management equity subscription
plan or agreement, stock option or stock purchase plan or agreement or employee benefit plan as may be adopted by the Company or any of its Subsidiaries from time to time or pursuant to any agreement with any director, officer, employee or
consultant of the Company or any of its Subsidiaries in existence on the date of this Indenture or (b) from an employee of the Company or any of its Subsidiaries upon the termination of such employee’s employment with the Company or any of
its Subsidiaries; provided, however, that the aggregate price paid for all such repurchased, redeemed, acquired or retired Equity Interests in reliance on this clause (4) (other than with respect to employees whose employment has
terminated) may not exceed $15.0 million in any calendar year, with any unused amounts in any calendar year being carried forward to the next two succeeding calendar years, and provided, further, that such amount in any calendar year may be
increased by an amount not to exceed (A) the cash proceeds from the sale of Equity Interests (other than Disqualified Stock) of the Company, in each case to members of management, directors or consultants of the Company or any of its
Subsidiaries that occurs after the Issue Date, provided that such cash proceeds utilized for redemptions, repurchases or other acquisitions or retirements will be excluded from Section 4.10(a)(4)(C)(II) plus (B) the cash proceeds of
“key man” life insurance policies received by the Company or its Restricted Subsidiaries after the Issue Date (provided that the Company may elect to apply all or any portion of the aggregate increase contemplated by clauses
(A) and (B) above in any calendar year, it being understood that the forgiveness of any debt by such Person shall not be a Restricted Payment hereunder) less (C) the amount of any Restricted Payments previously made pursuant to
clauses (A) and (B) of this clause (4); 

  
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 (5) repurchases, acquisitions, forfeitures or retirements of Capital Stock of the
Company deemed to occur upon the exercise or vesting of stock options, warrants or restricted stock or similar rights under employee benefit plans of the Company or its Subsidiaries if such Capital Stock represents all or a portion of the exercise
price thereof and repurchases, acquisitions, forfeitures or retirements of Capital Stock or options to purchase Capital Stock in connection with the exercise or vesting of stock options, warrants or restricted stock to the extent necessary to pay
applicable withholding taxes; 
 (6) any Restricted Payments, so long as the Total Net Debt Ratio is no more than 2.25 to
1.0, both as of the date thereof and on a pro forma basis after giving effect to such Restricted Payment; 
 (7)
payments of cash, dividends, distributions, advances or other Restricted Payments by the Company or any of its Restricted Subsidiaries to allow the payment of cash in lieu of the issuance of fractional shares in connection with the exercise of
warrants, options or other securities convertible into or exchangeable for Capital Stock of the Company; provided, however, that any such cash payment shall not be for the purpose of evading the limitation of the covenant described under this
subheading (as determined in good faith by the Board of Directors of the Company); 
 (8) the repurchase, redemption or other
acquisition or retirement for value of any Subordinated Obligations or Disqualified Stock pursuant to provisions similar to those described under Sections 4.12 and 4.16; provided that a Change of Control Offer or Asset Sale Offer, as
applicable, has been made and all Notes tendered by Holders of the Notes in connection with a Change of Control Offer or Asset Sale Offer, as applicable, have been repurchased, redeemed or acquired for value; 

(9) the declaration and payment of regularly scheduled or accrued dividends or distributions to holders of any class or series
of Disqualified Stock of the Company or any preferred stock of any Restricted Subsidiary of the Company issued on or after the date of this Indenture in accordance with Section 4.09 to the extent such dividends or distributions are included in
the definition of “Fixed Charges”; 
 (10) other Restricted Payments in an aggregate amount since the Issue Date
not to exceed the greater of (a) $200.0 million and (b) 3.50% of Consolidated Total Assets; or 
 (11) the
declaration and payment of dividends on the Company’s common Equity Interests not to exceed $25.0 million per fiscal year. 
 (c) The
amount of all Restricted Payments (other than cash) will be the Fair Market Value on the date of the Restricted Payment of the assets, property or securities proposed to be transferred or issued by the Company or such Restricted Subsidiary, as the
case may be, pursuant to the Restricted Payment. The Company will deliver to the Trustee an Officer’s Certificate setting forth any Fair Market Value determinations. If the Company or a Restricted Subsidiary makes a Restricted Payment which at
the time of the making of such Restricted Payment would in the good faith determination of the Company be permitted under the provisions of this Indenture, such Restricted Payment shall be deemed to have been made in compliance with this Indenture
notwithstanding any subsequent adjustments made in good faith to the Company’s financial statements affecting Consolidated Net Income of the Company for any period. 

(d) For purposes of determining compliance with this Section 4.10, in the event that a payment or other action meets the criteria of more
than one of the exceptions described in clauses (1) 

  
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through (11) of Section 4.10(b), or is entitled to be made pursuant to Section 4.10(a) (including any payment or other action that constitutes a “Permitted Investment”),
the Company shall be permitted to classify such payment or other action on the date of its occurrence in any manner that complies with this Section 4.10 (including any payment or other action that constitutes a “Permitted
Investment”). Payments or other actions permitted by this Section 4.10 need not be permitted solely by reference to one provision permitting such payment or other action (including any payment or other action that constitutes a
“Permitted Investment”), but may be permitted in part by one such provision and in part by one or more other provisions of this Section 4.10 permitting payment or other action (including any payment or other action that constitutes a
“Permitted Investment”). 
 Section 4.11 Liens. 

The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, create, incur or assume any consensual
Liens (the “Initial Lien”) of any kind against or upon any of their respective properties or assets, or any proceeds, income or profit therefrom or assign or convey any right to receive income therefrom, except Permitted
Liens, to secure any Indebtedness of the Company or a Guarantor unless prior to, or contemporaneously therewith, the Notes and the Subsidiary Guarantees are equally and ratably secured by a Lien on such property, assets, proceeds, income or profit;
provided, however, that if such Indebtedness is expressly subordinated to the Notes and the Subsidiary Guarantees, the Lien securing such Indebtedness will be subordinated and junior to the Lien securing the Notes and the Subsidiary
Guarantees with the same relative priority as such Indebtedness has with respect to the Notes and the Subsidiary Guarantees. Any Lien created for the benefit of the Holders of the Notes pursuant to the preceding sentence shall provide by its terms
that such Lien shall be automatically and unconditionally released and discharged upon the release and discharge of the Initial Lien. 

Section 4.12 Asset Sales. 

The Company will not, and will not permit any of its Restricted Subsidiaries to, consummate an Asset Sale unless: 

(1) the Company (or the Restricted Subsidiary, as the case may be) receives consideration at the time of the Asset Sale at
least equal to the Fair Market Value of the assets sold, issued, leased, transferred, conveyed or otherwise disposed of; and 

(2) at least 75% of the consideration received in the Asset Sale by the Company or such Restricted Subsidiary is in the form of
cash or Cash Equivalents. For purposes of this clause (2), each of the following will be deemed to be cash: 
 (a) any
liabilities, as shown on the Company’s or such Restricted Subsidiary’s most recent balance sheet or in the notes thereto, of the Company or any of its Restricted Subsidiaries (other than contingent liabilities and liabilities that are by
their terms subordinated to the Notes or any Subsidiary Guarantee) (A) that are assumed by the transferee of any such assets and from which the Company or such Restricted Subsidiary have been validly released by all creditors in writing, or
(B) in respect of which neither the Company nor any Restricted Subsidiary following such Asset Sale has any obligation; 

(b) any securities, notes or other obligations received by the Company or any such Restricted Subsidiary from such transferee
that are converted by the Company or such Restricted Subsidiary into cash or Cash Equivalents within 180 days, to the extent of the cash or Cash Equivalents received in that conversion; and 

  
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 (c) any Designated Non-cash Consideration received by the Company or any of its
Restricted Subsidiaries in such Asset Sale having an aggregate Fair Market Value, taken together with all other Designated Non-cash Consideration received pursuant to this clause (c) that is at that time outstanding not to exceed the greater of
(x) $200.0 million and (y) 3.50% of the Consolidated Total Assets at the time of the receipt of such Designated Non-cash Consideration (determined based on the most recently ended fiscal quarter for which internal financial statements are
available and with the Fair Market Value of each item of Designated Non-cash Consideration being measured at the time received and without giving effect to subsequent changes in value) shall be deemed to be cash for purposes of this paragraph and
for no other purpose. 
 To the extent that the Fair Market Value of any Asset Sale exceeds 10.0% of Consolidated Total Assets at the time
of receipt of the Net Proceeds of any such Asset Sale (determined based on the most recently ended fiscal quarter for which internal financial statements are then available and with the Fair Market Value of each Asset Sale being measured at the time
of such Asset Sale), then, within 365 days after the receipt of any Net Proceeds from any such Asset Sale, the Company or such Restricted Subsidiary may apply those Net Proceeds (but shall only be required to apply that portion of the Net Proceeds
from such Asset Sale that exceeds 10.0% of Consolidated Total Assets) at its option (or any portion thereof): 
 (1) to
permanently repay Indebtedness of the Company or any Restricted Subsidiary that is secured by a Lien, other than Indebtedness owed to the Company or any Affiliate of the Company and, if such Indebtedness repaid is revolving credit Indebtedness, to
correspondingly reduce commitments with respect thereto; 
 (2) to make an Investment in any one or more businesses
(provided that if such Investment is in the form of the acquisition of Capital Stock of a Person, such acquisition results in such Person becoming a Restricted Subsidiary), assets, or property or capital expenditures, in each case
(a) used or useful in a Permitted Business or (b) that replace the properties and assets that are the subject of such Asset Sale; or 

(3) to repay other Senior Debt; provided that to the extent the Company (or the applicable Restricted Subsidiary, as the
case may be) reduces Obligations under Senior Debt other than the Notes, the Company shall equally and ratably reduce Obligations under the Notes as provided under paragraph 5 of the reverse side of the form of the Notes set forth in Exhibit
1 to the Appendix, through open-market purchases (to the extent such purchases are at or above 100% of the principal amount thereof) or by making an offer (in accordance with the procedures set forth below for an Asset Sale Offer (as defined
below)) to all holders to purchase their Notes at 100% of the principal amount thereof, plus the amount of accrued and unpaid interest, if any, on the amount of Notes to be prepaid; 

provided that a binding commitment to apply Net Proceeds as set forth in clauses (1), (2) and (3) above shall be treated as a permitted
application of the Net Proceeds from the date of such commitment so long as the Company or such Restricted Subsidiary enters into such commitment with the good faith expectation that such Net Proceeds will be applied to satisfy such commitment
within 545 days after receipt of such Net Proceeds (an “Acceptable Commitment”) and, in the event any Acceptable Commitment is later cancelled or terminated for any reason before the Net Proceeds are applied in connection
therewith, then the Company or such Restricted Subsidiary shall be permitted to apply the Net Proceeds in any manner set forth in clauses (1), (2) and (3) above before the expiration of such 545-day period and, in the event the Company or
such Restricted Subsidiary fails to do so, then such Net Proceeds shall constitute Excess Proceeds (as defined below). Pending the final application of any Net Proceeds, the Company may temporarily reduce revolving credit borrowings or otherwise
invest the Net Proceeds in any manner that is not prohibited by this Indenture. 

  
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 Any Net Proceeds from Asset Sales that were required to be applied in accordance with the first
sentence of the immediately preceding paragraph and that are not so applied or invested as provided in the preceding paragraph will constitute “Excess Proceeds.” When the aggregate amount of Excess Proceeds exceeds $35.0
million, within 30 days thereof, the Company will make an offer (an “Asset Sale Offer”) to all Holders of Notes to purchase the maximum principal amount of Notes and, if the Company is required to do so under the terms of any
other Indebtedness that is pari passu in right of payment with the Notes, such other Indebtedness on a pro rata basis with the Notes, that may be purchased out of the Excess Proceeds. The offer price in any Asset Sale Offer will be equal to
100% of principal amount plus accrued and unpaid interest, if any, to, but not including, the date of purchase, and will be payable in cash. If any Excess Proceeds remain after consummation of the purchase of all properly tendered and not
withdrawn Notes pursuant to an Asset Sale Offer, the Company may use such remaining Excess Proceeds for any purpose not otherwise prohibited by this Indenture. If the aggregate principal amount of Notes and other pari passu Indebtedness
tendered into such Asset Sale Offer exceeds the amount of Excess Proceeds, the Notes and such other pari passu Indebtedness will be purchased on a pro rata basis. Upon completion of each Asset Sale Offer, the amount of Excess Proceeds will be
reset at zero. 
 The Company will comply with the requirements of Rule 14e-1 under the Exchange Act and any other securities laws and
regulations thereunder to the extent those laws and regulations are applicable in connection with each repurchase of Notes pursuant to an Asset Sale Offer. To the extent that the provisions of any securities laws or regulations conflict with the
Asset Sale provisions of this Indenture, the Company will comply with the applicable securities laws and regulations and will not be deemed to have breached its obligations under this Section 4.12 or Section 3.08 by virtue of such
compliance. 
 Section 4.13 Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries. 

The Company will not, and will not permit any of its Restricted Subsidiaries to, directly or indirectly, create or permit to exist or become
effective any consensual encumbrance or restriction on the ability of any of its Restricted Subsidiaries to: 
 (a) pay
dividends or make any other distributions on its Capital Stock to the Company or any of its Restricted Subsidiaries, or with respect to any other interest or participation in, or measured by, its profits, or pay any Indebtedness owed to the Company
or any of its Restricted Subsidiaries; 
 (b) make loans or advances to the Company or any of its Restricted Subsidiaries; or

 (c) transfer any of its properties or assets to the Company or any of its Restricted Subsidiaries. 

However, the preceding restrictions will not apply to encumbrances or restrictions existing under or by reason of: 

(1) agreements governing the Credit Agreement and agreements governing Existing Indebtedness, in each case, as in effect on the
date of this Indenture; 
 (2) this Indenture and the Notes; 

  
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 (3) applicable law or any applicable rule, regulation or order of, or arrangement
with, any regulatory body or agency; 
 (4) any agreement or other instrument of (i) a Person acquired by the Company or
any of its Restricted Subsidiaries as in effect at the time of such acquisition (except to the extent such encumbrance or restriction was created in connection with or in contemplation of such acquisition) or (ii) any Unrestricted Subsidiary at
the time it is designated or is deemed to become a Restricted Subsidiary, which encumbrance or restriction is not applicable to any Person, or the properties or assets of any Person, other than the Person or Unrestricted Subsidiary, or the property
or assets of the Person or Unrestricted Subsidiary, so acquired or designated, as the case may be; 
 (5) restrictions on
cash, Cash Equivalents or other deposits or net worth imposed by customers or governmental regulatory bodies or required by insurance, surety or bonding companies, in each case pursuant to contracts entered into in the ordinary course of business;

 (6) customary non-assignment provisions in leases, licenses, sublicenses and other contracts entered into in the ordinary
course of business; 
 (7) customary restrictions and conditions contained in agreements relating to purchase money
indebtedness for property acquired and Capital Lease Obligations permitted to be incurred under Section 4.09 that impose restrictions of the nature described in Section 4.13(c) on the property so acquired or subject to such obligations;

 (8) any agreement for the sale or other disposition of a Restricted Subsidiary or the assets of a Restricted Subsidiary
pending the closing of such sale or other disposition or the sale or other disposition of its assets; 
 (9) Permitted
Refinancing Indebtedness; provided, however, that the restrictions contained in the agreements governing such Permitted Refinancing Indebtedness are not materially more restrictive, taken as a whole, than those contained in the
agreements governing the Indebtedness being refinanced (as determined in good faith by an Officer of the Company); 
 (10)
Liens securing Indebtedness otherwise permitted to be incurred under Section 4.11 that limit the right of the debtor to dispose of the assets subject to such Liens; 

(11) provisions with respect to the disposition or distribution of assets or property in joint venture agreements, asset sale
agreements, sale-leaseback agreements, stock sale agreements and other similar agreements (including agreements entered into in connection with a Restricted Investment); provided that such provisions with respect to the disposition or distribution
of assets or property relate only to the assets or properties subject to such agreements; 
 (12) other Indebtedness,
Disqualified Stock or preferred stock permitted to be incurred subsequent to the Issue Date under Section 4.09; provided that such incurrence will not materially impair the Company’s ability to make payments under the Notes when due
(as determined in good faith by an Officer of the Company); 
 (13) Contractual Obligations binding upon a HMO Subsidiary or
Insurance Subsidiary, provided that such restrictions apply only to such Subsidiary; 

  
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 (14) any amendment, modification, restatement, renewal, increase, supplement,
refunding, replacement or refinancing of an agreement referred to in clauses (1) through (13) above, provided, however that such amendment, modification, restatement, renewal, increase, supplement, refunding, replacement or
refinancing is not materially more restrictive, taken as a whole, than those prior to such amendment, modification, restatement, renewal, increase, supplement, refunding, replacement or refinancing (as determined in good faith by an Officer of the
Company); 
 (15) Hedging Obligations; and 

(16) customary provisions in any joint venture agreement or similar agreement to the extent prohibiting the pledge of the
Equity Interests of such joint venture. 
 For purposes of determining compliance with this Section 4.13, (1) the priority of any
preferred stock in receiving dividends or liquidating distributions prior to dividends or liquidating distributions being paid on common stock shall not be deemed a restriction on the ability to make distributions on Capital Stock and (2) the
subordination of loans or advances made to the Company or a Restricted Subsidiary to other Indebtedness incurred by the Company or any such Restricted Subsidiary shall not be deemed a restriction on the ability to make loans or advances. 

Section 4.14 Affiliate Transactions. 

(a) The Company will not, and will not permit any of its Restricted Subsidiaries to, make any payment to, or sell, lease, transfer or otherwise
dispose of any of its properties or assets to, or purchase any property or assets from, or enter into or make or amend any transaction, contract, agreement, understanding, loan, advance or Guarantee with, or for the benefit of, any Affiliate (each,
an “Affiliate Transaction”), unless: 
 (1) with respect to any Affiliate Transaction or series of
related Affiliate Transactions involving aggregate consideration in excess of $10.0 million, the Affiliate Transaction is on terms that are not less favorable in any material respect to the Company or the relevant Restricted Subsidiary than those
that would have been obtained in a comparable transaction by the Company or such Restricted Subsidiary with an unrelated Person; and 

(2) the Company delivers to the Trustee with respect to any Affiliate Transaction or series of related Affiliate Transactions
involving aggregate consideration in excess of $30.0 million, a resolution of the Board of Directors set forth in an Officer’s Certificate certifying that such Affiliate Transaction complies with this Section 4.14 and that such Affiliate
Transaction has been approved by a majority of the disinterested members of the Board of Directors of the Company. 
 (b) The following
items will not be deemed to be Affiliate Transactions and, therefore, will not be subject to the provisions of clause (a) of this Section 4.14: 

(1) transactions solely between or among the Company and/or any of its Restricted Subsidiaries or solely among its Restricted
Subsidiaries; 
 (2) any issuances of Equity Interests (other than Disqualified Stock) to Affiliates of the Company; 

  
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 (3) reasonable and customary fees, indemnification and similar arrangements,
consulting fees, employee salaries, bonuses or employment or severance agreements, compensation or employee benefit arrangements or plans and incentive arrangements or plans (including any amendments to the foregoing) with any officer, director,
employee or consultant of the Company or a Restricted Subsidiary entered into in the ordinary course of business or approved in good faith by the Board of Directors of the Company or any Restricted Subsidiary, as applicable; 

(4) any transactions made in compliance with Section 4.10; 

(5) loans (and cancellation of loans) and advances to directors, officers, employees or consultants of the Company or any of
its Restricted Subsidiaries entered into in the ordinary course of business of the Company or any of its Restricted Subsidiaries or approved in good faith by the Board of Directors of the Company or such Restricted Subsidiary, as applicable; 

(6) any agreement as in effect as of the date of this Indenture or any amendment to such agreement so long as any such
amendment is not more disadvantageous to the Holders in any material respect than the original agreement as in effect on the date of this Indenture; 

(7) transactions entered into by a Person prior to the time such Person becomes a Restricted Subsidiary or is merged or
consolidated into the Company or a Restricted Subsidiary (provided such transaction is not entered into in contemplation of such event); 

(8) transactions permitted by, and complying with, Section 5.01; 

(9) transactions with a Person (other than an Unrestricted Subsidiary of the Company) that is an Affiliate of the Company
solely because the Company owns, directly or through a Restricted Subsidiary, an Equity Interest in such Person; 
 (10)
payment of management fees or similar fees under any management agreement entered into or assumed in connection with an acquisition or business expansion; and 

(11) any transaction in which the Company or any Restricted Subsidiary, as the case may be, receives an opinion from a
nationally recognized investment banking, appraisal or accounting firm that such Affiliate Transaction is either fair, from a financial standpoint, to the Company or such Restricted Subsidiary or meets the requirements of Section 4.14(a)(1).

 Section 4.15 Designation of Restricted and Unrestricted Subsidiaries. 

The Board of Directors of the Company may designate any of its Restricted Subsidiaries to be an Unrestricted Subsidiary if that designation
would not cause a Default and if that designation otherwise is consistent with the definition of an Unrestricted Subsidiary. If a Restricted Subsidiary is designated as an Unrestricted Subsidiary, the aggregate Fair Market Value of all outstanding
Investments owned by the Company and its Restricted Subsidiaries in the Subsidiary properly designated shall be deemed to be an Investment made as of the time of the designation and will either reduce the amount available for Restricted Payments
under Section 4.10 or be a Permitted Investment, as determined by the Company; provided that no designation of an Unrestricted Subsidiary may be made in reliance on 4.10(b)(6). Such designation will only be permitted if the Investment would be
permitted at that time and if the Restricted Subsidiary otherwise meets the definition of an Unrestricted Subsidiary. 

  
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 Any designation of a Subsidiary of the Company as an Unrestricted Subsidiary shall be evidenced
to the Trustee by filing with the Trustee a certified copy of a resolution of the Board of Directors of the Company giving effect to such designation and an Officer’s Certificate certifying that such designation complied with the preceding
conditions and was permitted by Section 4.10. If, at any time, any Unrestricted Subsidiary would fail to meet the requirements of an Unrestricted Subsidiary, it will thereafter cease to be an Unrestricted Subsidiary for purposes of this
Indenture, and any Indebtedness of such Subsidiary will be deemed to be incurred by a Restricted Subsidiary of the Company as of such date and, if such Indebtedness is not permitted to be incurred as of such date under Section 4.09, the Company
will be in default of Section 4.09 unless such Unrestricted Subsidiary is made to meet such requirements. 
 The Board of Directors of
the Company may at any time designate any Unrestricted Subsidiary to be a Restricted Subsidiary of the Company; provided that such designation will be deemed to be an incurrence of Indebtedness by a Restricted Subsidiary of the Company of any
outstanding Indebtedness and Liens of such Unrestricted Subsidiary, and such designation will only be permitted if (1) such Indebtedness and Liens are permitted under Sections 4.09 and 4.11, calculated on a pro forma basis as if such
designation had occurred at the beginning of the four-quarter reference period; and (2) no Default or Event of Default would be in existence following such designation. 

Section 4.16 Repurchase at the Option of Holders Upon a Change of Control. 

(a) Upon the occurrence of a Change of Control, the Company, or any other Person in lieu of the Company, shall, within 30 days following any
Change of Control, make an offer (the “Change of Control Offer”) pursuant to the procedures set forth in Section 3.08. Each Holder shall have the right to accept such offer and require the Company, or such other Person
in lieu of the Company, to repurchase all or any part (provided that no Notes of $2,000 or less will be repurchased in part) of such Holder’s Notes pursuant to the Change of Control Offer at a purchase price, in cash (the “Change of
Control Payment”), equal to 101% of the aggregate principal amount of Notes repurchased, plus accrued and unpaid interest, if any, on the Notes repurchased, to, but not including, the Purchase Date (subject to the rights of
Holders of Notes on the relevant record date to receive interest due on the relevant interest payment date). 
 (b) The Company will not be
required to make a Change of Control Offer upon a Change of Control if (i) a third party makes the Change of Control Offer in the manner, at the times and otherwise in compliance with the requirements set forth in this Indenture applicable to a
Change of Control Offer made by the Company and purchases all Notes properly tendered and not withdrawn under the Change of Control Offer or (ii) notice of redemption has been given pursuant to this Indenture as described in Section 3.03,
unless and until there is a default in payment of the applicable Redemption Price. A Change of Control Offer may be made in advance of a Change of Control and may be subject to the occurrence of a Change of Control, if a definitive agreement is in
place for the Change of Control at the time the Change of Control Offer is made. 
 (c) In the event that Holders of not less than 90% in
aggregate principal amount of the outstanding Notes validly tender and do not withdraw such Notes in a Change of Control Offer and the Company, or any other Person making a Change of Control Offer in lieu of the Company as described above, purchases
all of the Notes validly tendered and not withdrawn by such Holders, the Company or such Person will have the right, upon not less than 30 nor more than 60 days’ prior notice, given not more than 30 days following the Purchase Date, to redeem
all Notes that remain outstanding following such purchase at a Redemption Price in cash equal to the applicable Change of Control Payment plus, to the extent not included in the Change of Control Payment, accrued and unpaid interest, if any, to, but
excluding, the Redemption Date. 

  
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 Section 4.17 Limitation on Issuances of Guarantees of Indebtedness. 

The Company will not permit any of its Domestic Subsidiaries, directly or indirectly, to Guarantee or pledge any assets to secure the payment
of any other Indebtedness of the Company or another Guarantor under any Credit Facility or incur Indebtedness under any Credit Facility, unless such Domestic Subsidiary simultaneously executes and delivers a supplemental indenture providing for the
Guarantee of the payment of the Notes by such Domestic Subsidiary. The Subsidiary Guarantee will be (1) senior to such Domestic Subsidiary’s Guarantee of, pledge to secure or obligation to pay such other Indebtedness if such other
Indebtedness is subordinated in right of payment to the Notes; or (2) pari passu in right of payment with such Domestic Subsidiary’s Guarantee of, pledge to secure or obligation to pay such other Indebtedness if such other
Indebtedness is not subordinated in right of payment to the Notes. 
 Section 4.18 Covenant Termination. 

Following the first day (such date, the “Covenant Termination Date”): 

(a) the Notes have an Investment Grade Rating; and 

(b) no Default has occurred and is continuing under this Indenture; 

the Company and its Restricted Subsidiaries shall cease to be subject to the provisions of: 

(1) Section 4.09; 

(2) Section 4.10; 

(3) Section 4.12; 

(4) Section 4.13; 

(5) Section 4.14; and 

(6) Section 4.17 

(collectively, the “Terminated Covenants”). No Default, Event of Default or breach of any kind shall be deemed to exist under this
Indenture or the Notes with respect to the Terminated Covenants based on, and none of the Company or any of its Subsidiaries shall bear any liability for, any actions taken or events occurring after the Notes attain an Investment Grade Rating,
regardless of whether such actions or event would have been permitted if the applicable Terminated Covenants remained in effect. The Terminated Covenants shall not be reinstated even if the Company subsequently does not satisfy the requirements set
forth in clauses (a) and/or (b) above. After the Terminated Covenants have been terminated, the Company and its Restricted Subsidiaries shall remain subject to the provisions of: 

(1) Section 4.03; 

(2) Section 4.11; 

(3) Section 4.16; and 

(4) Section 5.01 (other than the financial test set forth in clause (a)(4) thereof). 

  
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 In addition, after the Terminated Covenants have been terminated, the Company shall no longer be permitted to
designate any of its Restricted Subsidiaries as Unrestricted Subsidiaries pursuant to Section 4.15. 
 The Company shall send prompt
written notice to Holders and the Trustee of the Covenant Termination Date. The Trustee shall not be deemed to have knowledge of any Covenant Termination Date unless a Responsible Officer has received the notice referred to in this
Section 4.18. Moreover, the Trustee shall have no duty to monitor the credit ratings of the Notes, shall not be deemed to have any knowledge of the credit ratings of the Notes and shall have no duty to notify Holders if the Notes achieve an
Investment Grade Rating. 
 ARTICLE 5 

SUCCESSORS 

Section 5.01 Merger, Consolidation or Sale of Assets. 

(a) The Company may not, directly or indirectly, consolidate or merge with or into another Person (whether or not the Company is the surviving
Person) or sell, assign, transfer, convey, lease or otherwise dispose of all or substantially all of its properties or assets in one or more related transactions, to another Person, unless: 

(1) either: 

(A) the Company is the surviving Person; or 

(B) the Person formed by or surviving any such consolidation or merger (if other than the Company) or to which such sale,
assignment, transfer, lease, conveyance or other disposition has been made is an entity organized or existing under the laws of the United States of America, any state thereof or the District of Columbia; provided that, if such entity is not
a corporation, a co-obligor of the Notes is a corporation; 
 (2) the Person formed by or surviving any such consolidation or
merger (if other than the Company) or the Person to which such sale, assignment, transfer, conveyance or other disposition has been made assumes by supplemental indenture and joinders or other agreements to the Registration Rights Agreement all the
obligations of the Company under the Notes, this Indenture and the Registration Rights Agreement (to the extent the Company’s obligations thereunder have not been completed) pursuant to agreements in form satisfactory to the Trustee; 

(3) immediately after such transaction no Default or Event of Default exists; 

(4) the Company or the Person formed by or surviving any such consolidation or merger (if other than the Company), or to which
such sale, assignment, transfer, conveyance or other disposition has been made will, on the date of such transaction after giving pro forma effect thereto and any related financing transactions as if the same had occurred at the beginning of the
applicable four-quarter period, (a) be permitted to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio test set forth in Section 4.09(a) hereof or (b) have a Fixed Charge Coverage Ratio that is
no worse than the Fixed Charge Coverage Ratio of the Company for such applicable four-quarter period without giving pro forma effect to such transactions and any related financing transactions; and 

  
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 (5) the Company shall deliver, or cause to be delivered, to the Trustee, in form
satisfactory to the Trustee, an Officer’s Certificate and an Opinion of Counsel, each stating that such transaction or series of transactions and the supplemental indenture, if any, in respect thereto comply with this Section 5.01 and that
all conditions precedent herein provided for relating to such transaction or series of transactions have been satisfied. 
 (b) The sale,
assignment, transfer, lease, conveyance or other disposition of all or substantially all of the properties or assets of one or more Subsidiaries of the Company, which properties or assets, if held by the Company instead of such Subsidiaries, would
constitute all or substantially all of the properties or assets of the Company on a consolidated basis, shall be deemed to be the transfer of all or substantially all of the properties or assets of the Company. 

(c) Upon any transaction or series of transactions that are of the type described in, and are effected in accordance with, conditions
described in this Section 5.01, the surviving entity shall succeed to, and be substituted for, and may exercise every right and power of, the Company or the Guarantor, as applicable, under this Indenture and the Notes with the same effect as if
such surviving entity had been named as the Company or the Guarantor, as applicable, of the Notes; and when a surviving entity duly assumes all of the obligations and covenants of the Company or the Guarantor, as applicable, pursuant to this
Indenture, the Notes, the Subsidiary Guarantee and, if applicable, the Registration Rights Agreement, the Company or the Guarantor, as applicable, or any other predecessor Person shall be relieved of such obligations. 

(d) Section 5.01(a) will not apply to any sale, assignment, transfer, conveyance, lease or other disposition of assets between or among
the Company or any of its Restricted Subsidiaries. Clauses (3) and (4) of Section 5.01(a) will not apply to (1) any merger or consolidation of the Company or a Guarantor with or into a Restricted Subsidiary of the Company for any
purpose or (2) the merger of the Company or a Guarantor with or into an Affiliate solely for the purpose of reincorporating the Company or such Guarantor, as the case may be, in another jurisdiction under the laws of the United States, any
state of the United States or the District of Columbia so long as the amount of Indebtedness of the Company and its Restricted Subsidiaries is not increased thereby. 

Section 5.02 Successor Corporation Substituted. 

The Person formed by or surviving any consolidation or merger described in Section 5.01 (if other than the Company) or the Person to which
any sale, assignment, transfer, conveyance or other disposition described in Section 5.01 has been made, as applicable, shall succeed to, and be substituted for, and may exercise every right and power of the Company under this Indenture, the
Notes and, if applicable, the Registration Rights Agreement; provided, however, that the predecessor entity shall not be released from any of the obligations or covenants under this Indenture, including with respect to the payment of
the Notes in the case of: 
 (a) a sale, transfer, assignment, conveyance or other disposition (unless such sale, transfer,
assignment, conveyance or other disposition is of all or substantially all of the assets of the Company, taken as a whole), or 

(b) a lease. 

  
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 ARTICLE 6 

DEFAULTS AND REMEDIES 

Section 6.01 Events of Default. 

Each of the following constitutes an “Event of Default” with respect to the Notes: 

(a) default for 30 days in the payment when due of interest on the Notes; 

(b) default in payment when due (at maturity, upon redemption or otherwise) of the principal of or premium, if any, on the
Notes; 
 (c) failure by the Company or any of its Restricted Subsidiaries to comply with Section 5.01 hereof; 

(d) failure by the Company or any of its Restricted Subsidiaries for 30 days after notice to the Company by the Trustee or the
Holders of at least 25% in aggregate principal amount of the Notes then outstanding to comply with the provisions described under Sections 4.12 or 4.16 hereof; 

(e) failure by the Company for 120 days after notice to the Company by the Trustee or the Holders of at least 25% in aggregate
principal amount of the Notes then outstanding to comply with the provisions described under Section 4.03 hereof; 
 (f)
failure by the Company or any of its Restricted Subsidiaries for 60 days after notice to the Company by the Trustee or the Holders of at least 25% in aggregate principal amount of the Notes then outstanding to comply with any of the other agreements
in this Indenture or the Notes; 
 (g) default under any mortgage, indenture or instrument under which there may be issued or
by which there may be secured or evidenced any Indebtedness for money borrowed by the Company or any of its Restricted Subsidiaries (or the payment of which is Guaranteed by the Company or any of its Restricted Subsidiaries), whether such
Indebtedness or Guarantee now exists, or is created after the date of this Indenture, if that default: 
 (A) is caused by a
failure to pay principal of, or interest or premium, if any, on such Indebtedness on or prior to the expiration of any grace period provided in such Indebtedness on the date of such default (a “Payment Default”); or 

(B) results in the acceleration of such Indebtedness prior to its Stated Maturity, and, in each case, the principal amount of
any such Indebtedness, together with the principal amount of any other such Indebtedness under which there has been a Payment Default or the maturity of which has been so accelerated, aggregating in excess of $30.0 million; 

(h) failure by the Company or any of its Restricted Subsidiaries to pay final non-appealable judgments entered by a court or
courts of competent jurisdiction aggregating in excess of $30.0 million, which judgments are not paid, discharged or stayed for a period of 60 days; 

  
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 (i) any Subsidiary Guarantee by a Guarantor that is a Significant Subsidiary of
the Company is held in any judicial proceeding to be unenforceable or invalid or, except as contemplated by the terms of this Indenture, ceases for any reason to be in full force and effect, or any Guarantor that is a Significant Subsidiary of the
Company, or any Person acting on behalf of any such Guarantor, denies or disaffirms its obligations under its Subsidiary Guarantee; 

(j) the Company or any Significant Subsidiary or any group of Subsidiaries that, taken together, would constitute a Significant
Subsidiary pursuant to or within the meaning of any Bankruptcy Law: 
 (A) commences a voluntary case or gives notice of
intention to make a proposal under any Bankruptcy Law; 
 (B) consents to the entry of an order for relief against it in an
involuntary case or consents to its dissolution or winding up; 
 (C) consents to the appointment of a receiver, interim
receiver, receiver and manager, liquidator, trustee or custodian of it or for all or substantially all of its property; 

(D) makes a general assignment for the benefit of its creditors; or 

(E) admits in writing its inability to pay its debts as they become due or otherwise admits its insolvency; and 

(k) a court of competent jurisdiction enters an order or decree under any Bankruptcy Law that: 

(A) is for relief against the Company or any of its Significant Subsidiaries or any group of Subsidiaries that, when taken
together, would constitute a Significant Subsidiary in an involuntary case; or 
 (B) appoints a receiver, interim receiver,
receiver and manager, liquidator, trustee or custodian of the Company or any of its Significant Subsidiaries or any group of Subsidiaries that, when taken together, would constitute a Significant Subsidiary or for all or substantially all of the
property of the Company or any of its Significant Subsidiaries or any group of Subsidiaries that, when taken together, would constitute a Significant Subsidiary; or 

(C) orders the liquidation of the Company or any of its Significant Subsidiaries or any group of Subsidiaries that, when taken
together, would constitute a Significant Subsidiary; 
 and such order or decree remains unstayed and in effect for 60 consecutive days.

 Section 6.02 Acceleration. 

If any Event of Default (other than those of the type described in Section 6.01(j) or (k)) occurs and is continuing, the Trustee may or
the Holders of at least 25% in aggregate principal amount of outstanding Notes may, declare the principal, premium, if any, and accrued and unpaid interest, and Additional Interest, if any, of all the outstanding Notes, to be due and payable by
notice in writing to the Company and the Trustee specifying the respective Event of Default and that such notice is a notice of acceleration (the “Acceleration Notice”), and the same shall become immediately due and payable.


  
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 In the case of an Event of Default specified in Section 6.01(j) or (k) the principal,
premium, if any, and accrued and unpaid interest, if any, of all of the outstanding Notes shall become due and payable immediately without any further action or notice on the part of the Trustee or the Holders. 

The Holders of at least a majority in aggregate principal amount of the outstanding Notes by notice to the Trustee and the Company may rescind
and annul any declaration of acceleration if the rescission would not conflict with any judgment or decree and if all existing Events of Default have been cured or waived except nonpayment of principal, premium or interest that has become due solely
because of the acceleration. No such rescission shall affect any subsequent Default or impair any right consequent thereto. 

Section 6.03 Other Remedies. 

If an Event of Default occurs and is continuing, the Trustee may pursue any available remedy to collect the payment of principal, premium, if
any, and interest on the Notes or to enforce the performance of any provision of the Notes or this Indenture. 
 The Trustee may maintain a
proceeding even if it does not possess any of the Notes or does not produce any of them in the proceeding. A delay or omission by the Trustee or any Holder in exercising any right or remedy accruing upon an Event of Default shall not impair the
right or remedy or constitute a waiver of or acquiescence in the Event of Default. All remedies shall be cumulative to the extent permitted by law. 

Section 6.04 Waiver of Defaults. 

(a) The Holders of at least a majority in aggregate principal amount of the Notes then outstanding by notice to the Trustee may on behalf of
the Holders of all of the Notes waive any existing Default or Event of Default and its consequences under this Indenture, except a continuing Default or Event of Default in the payment of interest on, or the principal of, the Notes. 

(b) In the event of any Event of Default specified in Section 6.01(g), such Event of Default and all consequences thereof (excluding any
resulting payment default, other than as a result of the acceleration of the Notes) shall be annulled, waived and rescinded, automatically and without any action by the Trustee or Holders of the Notes, if within 20 days after such Event of Default
arose: 
 (1) the Indebtedness or Guarantee that is the basis for such Event of Default has been discharged, 

(2) the Holders thereof have rescinded or waived the acceleration, notice or action (as the case may be) giving rise to such
Event of Default, or 
 (3) if the default that is the basis for such Event of Default has been cured. 

(c) Upon any waiver of a Default or Event of Default, such Default shall cease to exist, and any Event of Default arising therefrom shall be
deemed cured for every purpose of this Indenture but no such waiver shall extend to any subsequent or other Default or Event of Default or impair any right consequent thereon. 

  
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 Section 6.05 Control by Majority. 

Subject to Sections 7.01, 7.02(f) (including the Trustee’s receipt of the security or indemnification described therein) and 7.07 hereof,
in case an Event of Default shall occur and be continuing, the Holders of at least a majority in aggregate principal amount of the Notes then outstanding shall have the right to direct the time, method and place of conducting any proceeding for any
remedy available to the Trustee or exercising any trust or power conferred on the Trustee with respect to the Notes. 
 Section 6.06
Limitation on Suits. 
 No Holder of a Note may pursue any remedy with respect to this Indenture or the Notes unless: 

(a) such Holder has previously given to the Trustee written notice of a continuing Event of Default or the Trustee receives the
notice from the Company; 
 (b) Holders of at least 25% in aggregate principal amount of the Notes then outstanding make a
written request to the Trustee to pursue the remedy; 
 (c) such Holder or Holders offer to the Trustee security or indemnity
reasonably satisfactory to the Trustee against any loss, liability or expense; 
 (d) the Trustee does not comply with such
request within 60 days after receipt of the request and the offer of security or indemnity; and 
 (e) during such 60-day
period, Holders of a majority in aggregate principal amount of the then outstanding Notes do not give the Trustee a direction inconsistent with such request. 

The preceding limitations shall not apply to a suit instituted by a Holder for enforcement of payment of principal of, and premium, if any, or
interest on, a Note on or after the respective due dates for such payments set forth in such Note. 
 A Holder may not use this Indenture to
affect, disturb or prejudice the rights of another Holder or to obtain a preference or priority over another Holder. 
 Section 6.07
Rights of Holders to Receive Payment. 
 Notwithstanding any other provision of this Indenture (including Section 6.06), the right
of any Holder to receive payment of principal, premium, if any, and interest on the Notes held by such Holder, on or after the respective due dates expressed in the Notes (including in connection with an Offer to Purchase), or to bring suit for the
enforcement of any such payment on or after such respective dates, shall not be impaired or affected without the consent of such Holder. 

Section 6.08 Collection Suit by Trustee. 

If an Event of Default specified in Section 6.01(a) or (b) occurs and is continuing, the Trustee is authorized to recover judgment in
its own name and as trustee of an express trust against the Company for the whole amount of principal of, premium, if any, and interest then due and owing (together with interest on overdue principal and, to the extent lawful, interest) and such
further amount as shall be sufficient to cover the costs and expenses of collection, including the reasonable compensation, expenses, disbursements and advances of the Trustee, its agents and counsel. 

  
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 Section 6.09 Trustee May File Proofs of Claim. 

The Trustee shall be authorized to file such proofs of claim and other papers or documents as may be necessary or advisable in order to have
the claims of the Trustee (including any claim for the reasonable compensation, expenses, disbursements and advances of the Trustee, its agents and counsel) and the Holders allowed in any judicial proceedings relative to the Company (or any other
obligor upon the Notes), its assets or its property and shall be entitled and empowered to collect, receive and distribute any money or other property payable or deliverable on any such claims and any custodian in any such judicial proceeding is
hereby authorized by each Holder to make such payments to the Trustee, and in the event that the Trustee shall consent to the making of such payments directly to the Holders, to pay to the Trustee any amount due to it for the reasonable
compensation, expenses, disbursements and advances of the Trustee, its agents and counsel, and any other amounts due the Trustee under Section 7.07 hereof. To the extent that the payment of any such compensation, expenses, disbursements and
advances of the Trustee and its agents and counsel, and any other amounts due the Trustee under Section 7.07 hereof out of the estate in any such proceeding, shall be denied for any reason, payment of the same shall be secured by a Lien on, and
shall be paid out of, any and all distributions, moneys, securities and any other properties that the Holders may be entitled to receive in such proceeding whether in liquidation or under any plan of reorganization or arrangement or otherwise.
Nothing herein contained shall be deemed to authorize the Trustee to authorize or consent to or accept or adopt on behalf of any Holder any plan of reorganization, arrangement, adjustment or composition affecting the Notes or the rights of any
Holder, or to authorize the Trustee to vote in respect of the claim of any Holder in any such proceeding. 
 Section 6.10
Priorities. 
 If the Trustee collects any money pursuant to this Article 6, it shall pay out the money in the following order: 

First: to the Trustee, its agents and attorneys for amounts due under Section 7.07 hereof, including payment of all
compensation, expenses and liabilities incurred, and all advances made, by the Trustee and the costs and expenses of collection; 

Second: to Holders for amounts due and unpaid on the Notes for principal, premium, if any, and interest ratably, without
preference or priority of any kind, according to the amounts due and payable on the Notes for principal, premium, if any, and interest, respectively; and 

Third: to the Company or to such party as a court of competent jurisdiction shall direct. 

The Trustee may fix a record date and payment date for any payment to Holders pursuant to this Section 6.10. 

Section 6.11 Undertaking for Costs. 

In any suit for the enforcement of any right or remedy under this Indenture or in any suit against the Trustee for any action taken or omitted
by it as a Trustee, a court in its discretion may require the filing by any party litigant in such suit of an undertaking to pay the costs of such suit, and the court in its discretion may assess reasonable costs, including reasonable
attorneys’ fees and expenses, against any party litigant in such suit, having due regard to the merits and good faith of the claims or defenses made by the party litigant. This Section 6.11 shall not apply to a suit by the Trustee, a suit
by the Company, a suit by a Holder pursuant to Section 6.07 hereof, or a suit by Holders of more than 10% in principal amount of the then-outstanding Notes. 

  
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 ARTICLE 7 

TRUSTEE 

Section 7.01 Duties of Trustee. 

(a) If an Event of Default has occurred and is continuing, the Trustee shall exercise such of the rights and powers vested in it by this
Indenture, and use the same degree of care and skill in its exercise, as a prudent Person would exercise or use under the circumstances in the conduct of such Person’s own affairs. 

(b) Except during the continuance of an Event of Default: 

(1) the duties of the Trustee shall be determined solely by the express provisions of this Indenture and the Trustee need
perform only those duties that are specifically set forth in this Indenture and no others, and no implied covenants or obligations shall be read into this Indenture against the Trustee; and 

(2) in the absence of bad faith on its part, the Trustee may conclusively rely, as to the truth of the statements and the
correctness of the opinions expressed therein, upon certificates or opinions furnished to the Trustee and conforming to the requirements of this Indenture. However, in the case of certificates or opinions specifically required by any provision
herein to be furnished to it, the Trustee shall examine the certificates and opinions to determine whether or not they conform to the requirements of this Indenture (but need not confirm or investigate the accuracy of mathematical calculations or
other facts stated therein). 
 (c) The Trustee may not be relieved from liabilities for its own negligent action, its own negligent failure
to act, or its own willful misconduct, except that: 
 (1) this paragraph does not limit the effect of paragraph (b) of
this Section 7.01; 
 (2) the Trustee shall not be liable for any error of judgment made in good faith by a Responsible
Officer, unless it is proved that the Trustee was negligent in ascertaining the pertinent facts; and 
 (3) the Trustee shall
not be liable with respect to any action it takes or omits to take in good faith in accordance with a direction received by it pursuant to Section 6.05 hereof. 

(d) Whether or not therein expressly so provided, every provision of this Indenture that in any way relates to the Trustee is subject to
paragraphs (a), (b), (c) and (e) of this Section 7.01. 
 (e) No provision of this Indenture shall require the Trustee to
expend or risk its own funds or incur any liability. The Trustee shall be under no obligation to exercise any of the rights or powers vested in it by this Indenture at the request or direction of any Holders pursuant to this Indenture, unless such
Holders shall have offered to the Trustee security or indemnity satisfactory to the Trustee against any loss, liability or expense which might be incurred by it in compliance with such request or direction. 

(f) The Trustee shall not be liable for interest on any money received by it except as the Trustee may agree in writing with the Company.
Money or property held in trust by the Trustee need not be segregated from other funds or property except to the extent required by law. 

  
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 (g) The Trustee shall have no duty to calculate or verify the calculations of the Applicable
Premium. 
 Section 7.02 Rights of Trustee. 

Subject to TIA §315: 

(a) The Trustee may conclusively rely upon any document believed by it to be genuine and to have been signed or presented by
the proper Person. 
 (b) Before the Trustee acts or refrains from acting, it may require an Officer’s Certificate or an
Opinion of Counsel or both. The Trustee shall not be liable for any action it takes or omits to take in good faith in reliance on such Officer’s Certificate or Opinion of Counsel. The Trustee may consult with counsel of its selection and the
advice of such counsel or any Opinion of Counsel shall be full and complete authorization and protection from liability in respect of any action taken, suffered or omitted by it hereunder in good faith and in reliance thereon. 

(c) The Trustee shall not be liable for any action it takes or omits to take in good faith that it believes to be authorized or
within the rights or powers conferred upon it by this Indenture. 
 (d) Unless otherwise specifically provided in this
Indenture, any demand, request, direction or notice from the Company shall be sufficient if signed by an Officer of the Company. 

(e) The Trustee shall not be deemed to have notice of any Default or Event of Default unless a Responsible Officer of the
Trustee has actual knowledge thereof or unless written notice of any event which is in fact such a Default or Event of Default is received by a Responsible Officer of the Trustee at the Corporate Trust Office of the Trustee from the Company or the
Holders of at least 25% in aggregate principal amount of the outstanding Notes, and such notice references the specific Default or Event of Default, the Notes and this Indenture. 

(f) The Trustee shall not be required to give any bond or surety in respect of the performance of its power and duties
hereunder. 
 (g) The Trustee shall have no duty to inquire as to the performance of the Company’s covenants herein.

 (h) The Trustee may execute any of the trusts or powers hereunder or perform any duties hereunder either directly or by or
through agents or attorneys and the Trustee shall not be responsible for any misconduct or negligence on the part of any agent or attorney appointed with due care by it hereunder. 

(i) [Reserved]. 

(j) In no event shall the Trustee be responsible or liable for special, indirect, or consequential loss or damage of any kind
whatsoever (including, but not limited to, loss of profit) irrespective of whether the Trustee has been advised of the likelihood of such loss or damage and regardless of the form of action. 

(k) [Reserved]. 

  
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 (l) The rights, privileges, protections, immunities and benefits given to the
Trustee, including, without limitation, its right to be indemnified, are extended to, and shall be enforceable by, the Trustee in each of its capacities hereunder, and each agent, custodian and other Person employed to act hereunder by or on behalf
of the Trustee. 
 (m) The Trustee shall not be bound to make any investigation into the facts or matters stated in any
resolution, certificate, statement, instrument, opinion, report, notice, request, direction, consent, order, bond, debenture, note, other evidence of indebtedness or other paper or document, but the Trustee, in its discretion, may make such further
inquiry or investigation into such facts or matters as it may see fit, and, if the Trustee shall determine to make such further inquiry or investigation, it shall be entitled to examine the books, records and premises of the Company, personally or
by agent or attorney at the sole cost of the Company and shall incur no liability or additional liability of any kind by reason of such inquiry or investigation. 

(n) None of the provisions of this Indenture shall require the Trustee to expend or risk its own funds or otherwise to incur
any liability, financial or otherwise, in the performance of any of its duties hereunder, or in the exercise of any of its rights or powers if it shall have reasonable grounds for believing that repayment of such funds or indemnity satisfactory to
it against such risk or liability is not assured to it. 
 Section 7.03 Individual Rights of Trustee. 

The Trustee in its individual or any other capacity may become the owner or pledgee of Notes and may otherwise deal with the Company or any
Affiliate of the Company with the same rights it would have if it were not Trustee. However, in the event that the Trustee acquires any conflicting interest within the meaning of the TIA it must eliminate such conflict within 90 days, apply to the
SEC for permission to continue as Trustee or resign. Any Agent may do the same with like rights and duties. The Trustee shall also be subject to Sections 7.10 and 7.11 hereof. 

Section 7.04 Trustee’s Disclaimer. 

The Trustee shall not be responsible for and makes no representation as to the validity or adequacy of this Indenture or the Notes, it shall
not be accountable for the Company’s use of the proceeds from the Notes or any money paid to the Company or upon the Company’s direction under any provision of this Indenture, it shall not be responsible for the use or application of any
money received by any Paying Agent other than the Trustee, and it shall not be responsible for any statement or recital herein or any statement in the Notes or any other document in connection with the sale of the Notes or pursuant to this Indenture
other than its certificate of authentication and any other certificate or other document executed by the Trustee and delivered to the Company. 

Section 7.05 Notice of Defaults. 

If a Default or Event of Default occurs and is continuing and if it is known to a Responsible Officer of the Trustee, the Trustee shall mail to
Holders a notice of the Default or Event of Default within 90 days after such Default or Event of Default becomes known to a Responsible Officer. Except in the case of a Default or Event of Default in payment of principal of, premium, if any, or
interest on any Note, the Trustee may withhold the notice if and so long as a Responsible Officer in good faith determines that withholding the notice is in the interests of the Holders. 

  
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 Section 7.06 Reports by Trustee to Holders. 

Within 60 days after each May 15 beginning with the May 15 following the Issue Date, and for so long as Notes remain outstanding, the
Trustee shall mail to the Holders a brief report dated as of such reporting date that complies with TIA § 313(a) (but if no event described in TIA § 313(a) has occurred within the twelve months preceding the reporting date, no
report need be transmitted). The Trustee also shall comply with TIA § 313(b)(2). The Trustee shall also transmit by mail all reports as required by TIA § 313(c). 

A copy of each report at the time of its mailing to the Holders shall be mailed to the Company and filed with the SEC and each stock exchange
on which the Notes are listed in accordance with TIA § 313(d). The Company shall promptly notify the Trustee when the Notes are listed on any stock exchange and any delisting thereof. 

Section 7.07 Compensation and Indemnity. 

The Company shall pay to the Trustee from time to time compensation for its acceptance of this Indenture and services hereunder. The
Trustee’s compensation shall not be limited by any law on compensation of a trustee of an express trust. The Company shall reimburse the Trustee promptly upon request for all reasonable disbursements, advances and expenses incurred or made by
it in addition to the compensation for its services. Such expenses shall include the reasonable compensation, disbursements and expenses of the Trustee’s agents and counsel. 

The Company, and the Guarantors, shall, jointly and severally, indemnify the Trustee, its directors, officers, employees, agents and any
predecessor Trustee against any and all losses, claims, damages, penalties, fines, liabilities or expenses, including incidental and out-of-pocket expenses and reasonable attorneys’ fees and expenses (for purposes of this Article,
“losses”) incurred by it arising out of or in connection with the acceptance or administration of its duties under this Indenture, including the costs and expenses of enforcing this Indenture against the Company (including
this Section 7.07) and defending itself against any claim (whether asserted by the Company or any Holder or any other Person) or liability in connection with the exercise or performance of any of its powers or duties hereunder, except to the
extent such losses have been determined to have been caused by its own negligence or willful misconduct. The Trustee shall notify the Company promptly of any claim of which a Responsible Officer has received written notice and for which it may seek
indemnity. Failure by the Trustee to so notify the Company shall not relieve the Company of its obligations under this Section 7.07. The Company shall defend the claim, and the Trustee shall cooperate in the defense. The Trustee may have
separate counsel if the Trustee has been reasonably advised by counsel that it is advisable for the Trustee to engage separate counsel, and the Company shall pay the reasonable fees and expenses of such counsel. Neither the Company nor any Guarantor
need pay for any settlement made without the Company’s consent, which consent shall not be unreasonably withheld. Neither the Company nor any Guarantor need pay any expense or indemnify against any loss incurred by the Trustee through the
Trustee’s own willful misconduct or gross negligence, as determined by a final non-appealable order of a court of competent jurisdiction not subject to appeals. 

The obligations of the Company and the Guarantors under this Section 7.07 shall survive the satisfaction and discharge of this Indenture,
the resignation or removal of the Trustee and payment in full of the Notes. 
 To secure the Company’s and Guarantors’ payment
obligations in this Section, the Trustee shall have a Lien prior to the Notes on all money or property held or collected by the Trustee, except that held in trust to pay principal, premium, if any, and interest on particular Notes. Such Lien shall
survive the satisfaction and discharge of this Indenture and the resignation and removal of the Trustee hereunder. 

  
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 When the Trustee incurs expenses or renders services after an Event of Default specified in
Section 6.01(j) or (k) hereof occurs, the expenses and the compensation for the services (including the fees and expenses of its agents and counsel) are intended to constitute expenses of administration under any Bankruptcy Law. 

Section 7.08 Replacement of Trustee. 

A resignation or removal of the Trustee and appointment of a successor Trustee shall become effective only upon the successor Trustee’s
acceptance of appointment as provided in this Section 7.08. 
 The Trustee may resign in writing at any time upon 30 days’ prior
notice to the Company and be discharged from the trust hereby created by so notifying the Company. The Holders of a majority in aggregate principal amount of the then outstanding Notes may remove the Trustee by so notifying the Trustee and the
Company in writing. The Company may remove the Trustee if: 
 (a) the Trustee fails to comply with Section 7.10 hereof;

 (b) the Trustee is adjudged bankrupt or insolvent or an order for relief is entered with respect to the Trustee under any
Bankruptcy Law; 
 (c) a custodian or public officer takes charge of the Trustee or its property; or 

(d) the Trustee becomes incapable of acting. 

If the Trustee resigns or is removed or if a vacancy exists in the office of Trustee for any reason (the Trustee in such event being referred
to herein as the retiring Trustee), the Company shall promptly appoint a successor Trustee. 
 Within one year after the successor Trustee
takes office, the Holders of a majority in principal amount of the then outstanding Notes may appoint a successor Trustee to replace the successor Trustee appointed by the Company. 

If a successor Trustee does not take office within 30 days after the retiring Trustee resigns or is removed, the retiring Trustee, the
Company, or the Holders of at least 10% in aggregate principal amount of the then outstanding Notes may, at the expense of the Company, petition any court of competent jurisdiction for the appointment of a successor Trustee. 

If the Trustee, after written request by any Holder who has been a Holder for at least six months, fails to comply with Section 7.10
hereof, such Holder may petition any court of competent jurisdiction for the removal of the Trustee and the appointment of a successor Trustee. 

A successor Trustee shall deliver a written acceptance of its appointment to the retiring Trustee and to the Company and enter into a
supplemental indenture with the retiring Trustee and the Company in which it assumes the rights, powers and duties of the Trustee under this Indenture. Thereupon, the resignation or removal of the retiring Trustee shall become effective, and the
successor Trustee shall have all the rights, powers and duties of the Trustee under this Indenture. The successor Trustee shall mail a notice of its succession to the Holders. Subject to the Lien provided for in Section 7.07 hereof, the
retiring Trustee shall promptly transfer all property held by it as Trustee to the successor Trustee; 

  
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 provided, however, that all sums owing to the Trustee hereunder shall have been paid.
Notwithstanding replacement of the Trustee pursuant to this Section 7.08, the Company’s obligations under Section 7.07 hereof shall continue for the benefit of the retiring Trustee. 

In the case of an appointment hereunder of a separate or successor Trustee with respect to the Notes, the Company, any retiring Trustee and
each successor or separate Trustee with respect to the Notes shall execute and deliver a supplemental indenture hereto (1) which shall contain such provisions as shall be deemed necessary by the Company or retiring Trustee or desirable to
confirm that all the rights, powers, trusts and duties of any retiring Trustee with respect to the Notes have been assumed by a successor Trustee and in the case where any retiring Trustee is retiring only with respect to some of the Notes that the
rights, powers, trusts and duties of any retiring Trustee with respect to the Notes as to which any such retiring Trustee is not retiring shall continue to be vested in such retiring Trustee and (2) that shall add to or change any of the
provisions of this Indenture as shall be necessary to provide for or facilitate the administration of the trusts hereunder by more than one Trustee, it being understood that nothing herein or in such supplemental indenture shall constitute such
Trustee co-trustees of the same trust and that each such separate, retiring or successor Trustee shall be Trustee of a trust or trusts hereunder separate and apart from any trust or trusts hereunder administered by any such other Trustee. 

Section 7.09 Successor Trustee by Merger, etc. 

If the Trustee consolidates, merges or converts into, or transfers all or substantially all of its corporate trust business to, another
corporation or banking association, the successor corporation or banking association without any further act shall, if such successor corporation or banking association is otherwise eligible hereunder, be the successor Trustee. 

Section 7.10 Eligibility; Disqualification. 

There shall at all times be a Trustee hereunder that is a Person organized and doing business under the laws of the United States of America or
of any state thereof that is authorized under such laws to exercise corporate trustee power, that is subject to supervision or examination by federal or state authorities and that has a combined capital and surplus of at least $50.0 million (or a
wholly-owned subsidiary of a bank or trust company, or of a bank holding company, the principal subsidiary of which is a bank or trust company having a combined capital and surplus of at least $50.0 million) as set forth in its most recent published
annual report of condition. 
 This Indenture shall always have a Trustee who satisfies the requirements of TIA § 310(a)(1),
(2) and (5). The Trustee is subject to TIA § 310(b). 
 Section 7.11 Preferential Collection of Claims Against
Company. 
 The Trustee is subject to TIA § 311(a), excluding any creditor relationship listed in TIA § 311(b). A
Trustee who has resigned or been removed shall be subject to TIA § 311(a) to the extent indicated therein. 

  
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 ARTICLE 8 

LEGAL DEFEASANCE AND COVENANT DEFEASANCE 

Section 8.01 Option to Effect Legal Defeasance or Covenant Defeasance. 

The Company may, at its option and at any time, elect to have either Sections 8.02 or 8.03 hereof be applied to all outstanding Notes upon
compliance with the conditions set forth in this Article 8. Any such election shall be evidenced by a Board Resolution set forth in an Officer’s Certificate. 

Section 8.02 Legal Defeasance and Discharge. 

Upon the Company’s exercise under Section 8.01 of the option applicable to this Section 8.02, the Company shall, subject to the
satisfaction of the conditions set forth in Section 8.04, be deemed to have been discharged from its Obligations with respect to all outstanding Notes on the date the conditions set forth below are satisfied (hereinafter, “Legal
Defeasance”) and each Guarantor shall be released from all of its Obligations under its Subsidiary Guarantee. For this purpose, Legal Defeasance means that the Company shall be deemed to have paid and discharged the entire Indebtedness
represented by the outstanding Notes, which shall thereafter be deemed to be “outstanding” only for the purposes of Section 8.05 and the other Sections of this Indenture referred to in clauses (a) and (b) below, and to have
satisfied all its other Obligations under the Notes and this Indenture (and the Trustee, at the written request of and at the expense of the Company, shall execute such instruments reasonably required by the Company acknowledging the same), except
for the following provisions which shall survive until otherwise terminated or discharged hereunder: (a) the rights of Holders of outstanding Notes to receive solely from the trust fund described in Section 8.04, and as more fully set
forth in such Section, payments in respect of the principal of, premium, if any, or interest on such Notes when such payments are due, (b) the Company’s Obligations with respect to such Notes under Article 2 and Sections 4.01 and 4.02,
(c) the rights, powers, trusts, duties and immunities of the Trustee hereunder and the Company’s and the Guarantors’ Obligations in connection therewith and (d) this Section 8.02. If the Company exercises under
Section 8.01 the option applicable to this Section 8.02, subject to the satisfaction of the conditions set forth in Section 8.04, payment of the Notes may not be accelerated because of an Event of Default. Subject to compliance with
this Article 8, the Company may exercise its option under this Section 8.02 notwithstanding the prior exercise of its option under Section 8.03. 

Section 8.03 Covenant Defeasance. 

Upon the Company’s exercise under Section 8.01 of the option applicable to this Section 8.03, the Company shall, subject to the
satisfaction of the conditions set forth in Section 8.04, be released from its Obligations under the covenants contained in Sections 4.09, 4.10, 4.11, 4.12, 4.13, 4.14, 4.15, 4.16 and 4.17 hereof, and the operation of Section 5.01(a)(4)
and any events set forth in Section 6.01(c) through 6.01(g) with respect to the outstanding Notes on and after the date the conditions set forth in Section 8.04 are satisfied (hereinafter, “Covenant Defeasance”) and
each Guarantor shall be released from all of its Obligations under its Subsidiary Guarantee with respect to such covenants in connection with such outstanding Notes and the Notes shall thereafter be deemed not “outstanding” for the
purposes of any direction, waiver, consent or declaration or act of Holders (and the consequences of any thereof) in connection with such covenants, but shall continue to be deemed “outstanding” for all other purposes hereunder (it being
understood that such Notes shall not be deemed outstanding for accounting purposes). For this purpose, Covenant Defeasance means that, with respect to the outstanding Notes, the Company may omit to comply with and shall have no liability in respect
of any term, condition or limitation set forth in any such covenant, whether directly or indirectly, by reason of any reference elsewhere herein to any such covenant or by reason of any reference in any such covenant to any other provision herein or
in 

  
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any other document and such omission to comply shall not constitute a Default or an Event of Default under Section 6.01, but, except as specified above, the remainder of this Indenture and
such Notes shall be unaffected thereby. If the Company exercises under Section 8.01 the option applicable to this Section 8.03, subject to the satisfaction of the conditions set forth in Section 8.04, payment of the Notes may not be
accelerated because of an Event of Default specified in clause (c) of Section 6.01(with respect to the covenant contained in Section 5.01(a)(4) hereof), clause (d) of Section 6.01 (with respect to the covenants contained in
Sections 4.12 and 4.16 hereof), clause (f) of Section 6.01 (with respect to the covenants contained in Sections 4.09, 4.10, 4.11, 4.13, 4.14, 4.15 and 4.17 hereof), and clauses (g), (h), (j) and (k) of Section 6.01 (but in
the case of (j) and (k) of Section 6.01, with respect to Significant Subsidiaries only). 
 Section 8.04 Conditions
to Legal or Covenant Defeasance. 
 The following shall be the conditions to the application of either Section 8.02 or 8.03 to the
outstanding Notes. 
 The Legal Defeasance or Covenant Defeasance may be exercised only if: 

(a) the Company irrevocably deposits with the Trustee, in trust, for the benefit of the Holders of the Notes, cash in U.S.
dollars, Government Securities, or a combination of cash in U.S. dollars and U.S. Government Securities, in amounts as will be sufficient, without consideration of any reinvestment of interest, in the opinion of a nationally recognized firm of
independent public accountants (a copy of which shall be provided to the Trustee), to pay the principal of, or interest and premium, if any, on the outstanding Notes on the Stated Maturity or on the next Redemption Date, as the case may be, and the
Company shall specify whether the Notes are being defeased to maturity or to such particular Redemption Date; 
 (b) in the
case of Legal Defeasance, the Company shall deliver to the Trustee an Opinion of Counsel reasonably acceptable to the Trustee confirming that, subject to customary assumptions and exclusions, (i) the Company has received from, or there has been
published by, the Internal Revenue Service a ruling or (ii) subsequent to the Issue Date, there has been a change in the applicable federal income tax law, in either case to the effect that, and based thereon such Opinion of Counsel shall
confirm that, subject to customary assumptions and exclusions, the Holders of the outstanding Notes will not recognize income, gain or loss for federal income tax purposes as a result of such Legal Defeasance and will be subject to federal income
tax on the same amounts, in the same manner and at the same times as would have been the case if such Legal Defeasance had not occurred; 

(c) in the case of Covenant Defeasance, the Company shall deliver to the Trustee an Opinion of Counsel reasonably acceptable to
the Trustee confirming that subject to customary assumptions and exclusions the Holders of the outstanding Notes will not recognize income, gain or loss for federal income tax purposes as a result of such Covenant Defeasance and will be subject to
federal income tax on the same amounts, in the same manner and at the same times as would have been the case if such Covenant Defeasance had not occurred; 

(d) no Default or Event of Default has occurred and is continuing on the date of such deposit (other than a Default or Event of
Default resulting from the borrowing of funds to be applied to make such deposit and the grant of any Lien securing such borrowing); 

(e) such Legal Defeasance or Covenant Defeasance shall not result in a breach or violation of, or constitute a default under,
any material agreement or instrument (other than this Indenture) to which the Company or any Subsidiary is a party or by which the Company or any Subsidiary is bound (other than resulting from the borrowing of funds to be applied to make such
deposit and the grant of any Lien securing such borrowing); 

  
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 (f) the Company shall deliver to the Trustee an Officer’s Certificate
stating that the deposit was not made by the Company with the intent of preferring the Holders of Notes over other creditors of the Company with the intent of defeating, hindering, delaying or defrauding such creditors or others; and 

(g) the Company shall deliver to the Trustee an Officer’s Certificate and an Opinion of Counsel, each stating that all
conditions precedent relating to the Legal Defeasance or the Covenant Defeasance have been complied with. 
 Section 8.05 Deposited
Cash and Government Securities to be Held in Trust; Other Miscellaneous Provisions. 
 Subject to Section 8.06, all cash and
non-callable Government Securities (including the proceeds thereof) deposited with the Trustee (or other qualifying trustee, collectively for purposes of this Section 8.05, the “Trustee”) pursuant to Section 8.04 in
respect of the outstanding Notes shall be held in trust and applied by the Trustee, in accordance with the provisions of such Notes and this Indenture, to the payment, either directly or through any Paying Agent (including the Company acting as
Paying Agent) as the Trustee may determine, to the Holders of all sums due and to become due thereon in respect of principal, premium, if any, and interest but such cash and securities need not be segregated from other funds except to the extent
required by law. 
 The Company shall pay and indemnify the Trustee against any tax, fee or other charge imposed on or assessed against the
cash or non-callable Government Securities deposited pursuant to Section 8.04 hereof or the principal and interest received in respect thereof other than any such tax, fee or other charge which by law is for the account of the Holders of the
outstanding Notes. 
 Anything in this Article 8 to the contrary notwithstanding, the Trustee shall deliver or pay to the Company from time
to time upon the request of the Company any cash or non-callable Government Securities held by it as provided in Section 8.04 which, in the opinion of a nationally recognized firm of independent certified public accountants expressed in a
written certification thereof delivered to the Trustee (which may be the certification delivered under Section 8.04(a)), are in excess of the amount thereof that would then be required to be deposited to effect an equivalent Legal Defeasance or
Covenant Defeasance. 
 Section 8.06 Repayment to Company. 

The Trustee or Paying Agent shall promptly, and in any event, no later than five (5) Business Days, pay to the Company after request
therefor, any excess money held with respect to the Notes at such time in excess of amounts required to pay any of the Company’s Obligations then owing with respect to the Notes. 

Any cash or non-callable Government Securities deposited with the Trustee or any Paying Agent, or then held by the Company, in trust for the
payment of the principal, premium, if any, or interest on any Note and remaining unclaimed for one year after such principal, premium, if any, or interest has become due and payable shall be paid to the Company on its request or (if then held by the
Company) shall be discharged from such trust; and the Holder shall thereafter, as an unsecured creditor, look only to the Company for payment thereof, and all liability of the Trustee or such Paying Agent with respect to such cash and securities,
and all liability of the Company as trustee thereof, shall thereupon cease; provided, 

  
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however, that the Trustee or such Paying Agent, before being required to make any such repayment, may at the expense of the Company cause to be published once, in The New York Times and
The Wall Street Journal (national edition), notice that such cash and securities remains unclaimed and that, after a date specified therein, which shall not be less than 30 days from the date of such notification or publication, any unclaimed
balance of such cash and securities then remaining shall be repaid to the Company. 
 Section 8.07 Reinstatement. 

If the Trustee or Paying Agent is unable to apply any cash or non-callable Government Securities in accordance with Sections 8.02 or 8.03, as
the case may be, by reason of any order or judgment of any court or governmental authority enjoining, restraining or otherwise prohibiting such application, then the Company’s obligations under this Indenture and the Notes shall be revived and
reinstated as though no deposit had occurred pursuant to Sections 8.02 or 8.03 until such time as the Trustee or Paying Agent is permitted to apply all such cash and securities in accordance with Sections 8.02 or 8.03, as the case may be;
provided, however, that, if the Company makes any payment of principal of, premium, if any, or interest on any Note following the reinstatement of its Obligations, the Company shall be subrogated to the rights of the Holders to receive
such payment from the cash and securities held by the Trustee or Paying Agent. 
 ARTICLE 9 

AMENDMENT, SUPPLEMENT AND WAIVER 

Section 9.01 Without Consent of Holders of Notes. 

(a) Notwithstanding Section 9.02 of this Indenture, the Company, the Guarantors (except no existing Guarantor need execute a supplemental
indenture with respect to clause (7) below) and the Trustee may amend or supplement this Indenture, the Notes or any Subsidiary Guarantee without the consent of any Holder: 

(1) to cure any ambiguity, mistake, defect or inconsistency; 

(2) to provide for uncertificated Notes in addition to or in place of certificated Notes; 

(3) to provide for the assumption of the Company’s or a Guarantor’s obligations to Holders of Notes and Subsidiary
Guarantees in the case of a merger or consolidation or sale of all or substantially all of the Company’s or such Guarantor’s assets, as applicable; 

(4) to make any change that would provide any additional rights or benefits to the Holders of Notes or that does not adversely
affect the legal rights under this Indenture of any such Holder; 
 (5) to provide for or confirm the issuance of Additional
Notes otherwise permitted to be incurred by this Indenture; or 
 (6) to comply with requirements of the SEC in order to
effect or maintain the qualification of this Indenture under the TIA; 
 (7) to allow any Guarantor to execute a supplemental
indenture and/or Guarantee with respect to the Notes; 

  
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 (8) to evidence and provide the acceptance of the appointment of a successor
trustee under this Indenture; 
 (9) to mortgage, pledge, hypothecate or grant a security interest in favor of the trustee
for the benefit of the Holders of Notes as additional security for the payment and performance of the Company’s or a Guarantor’s obligations; 

(10) to comply with the rules of any applicable Depositary; 

(11) to release a Guarantor from its Subsidiary Guarantee pursuant to the terms of this Indenture when permitted or required
pursuant to the terms herein; or 
 (12) to conform the text of this Indenture, the Notes or the Subsidiary Guarantees to any
provision of the “Description of Notes” in the Offering Memorandum to the extent that such provision in the “Description of Notes” was intended to be a substantially verbatim recitation of a provision of this Indenture, the Notes
or the Subsidiary Guarantees. 
 After an amendment, supplement or waiver under this Section 9.01 becomes effective, the Company shall
mail to the Holder of each Note affected thereby to such Holder’s address appearing in the Note Register a notice briefly describing the amendment, supplement or waiver. Any failure of the Company to mail such notice, or any defect therein,
shall not, however, in any way impair or affect the validity of any amended or supplemental indenture or waiver. 
 Section 9.02
With Consent of Holders of Notes. 
 Except as provided below in this Section 9.02, the Company and the Trustee may amend or
supplement this Indenture, the Notes or any Subsidiary Guarantee with the consent of the Holders of at least a majority in aggregate principal amount of the Notes then outstanding voting as a single class (including, without limitation, consents
obtained in connection with a purchase of or tender offer or exchange offer for the Notes), and, subject to Sections 6.04 and 6.07, any existing Default or Event of Default or compliance with any provision of this Indenture, the Notes or a
Subsidiary Guarantee may be waived with the consent of the Holders of at least a majority in aggregate principal amount of the Notes then outstanding voting as a single class (including, without limitation, consents obtained in connection with a
purchase of or tender offer or exchange offer for the Notes). 
 Without the consent of each Holder affected, an amendment, supplement or
waiver may not (with respect to any Notes held by a non-consenting Holder): 
 (1) reduce the principal amount of Notes whose
Holders must consent to an amendment, supplement or waiver; 
 (2) reduce the principal of or change the Stated Maturity of
any Note or alter the provisions with respect to the redemption or repurchase of the Notes (except those provisions relating to Sections 4.12 or 4.16 hereof); 

(3) reduce the rate of, or change the time for, payment of interest on any Note; 

(4) waive a Default or Event of Default in the payment of principal of, or interest or premium, if any, on the Notes (except a
rescission of acceleration of the Notes by the Holders of at least a majority in aggregate principal amount of the Notes and a waiver of the Payment Default that resulted from such acceleration); 

  
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 (5) make any Note payable in money other than that stated in the Notes; 

(6) make any change in the provisions (including applicable definitions) of this Indenture relating to waivers of past Defaults
or the rights of Holders of Notes to receive payments of principal of, or interest or premium, if any, on the Notes; 
 (7)
waive a redemption or repurchase payment with respect to any Note (other than a payment required by the provisions described under Sections 4.12 or 4.16 hereof); 

(8) release any Guarantor from any of its obligations under its Subsidiary Guarantee or this Indenture, except in accordance
with the terms of this Indenture, including as provided in clauses (a)(3), (11) and (12) of Section 9.01; 

(9) make any change in the ranking of the Notes in a manner adverse to the Holders of the Notes; or 

(10) make any change in the preceding amendment and waiver provisions. 

The Company may, but shall not be obligated to, fix a record date for the purpose of determining the Persons entitled to consent to any
supplemental indenture. If a record date is fixed, the Holders on such record date, or their duly designated proxies, and only such Persons, shall be entitled to consent to such supplemental indenture, whether or not such Holders remain
Holders after such record date; provided that unless such consent shall have become effective by virtue of the requisite percentage having been obtained prior to the date which is 120 days after such record date, any such consent previously
given shall automatically and without further action by any Holder be cancelled and of no further effect. 
 It shall not be necessary for
the consent of the Holders under this Section 9.02 to approve the particular form of any proposed amendment, supplement or waiver, but it shall be sufficient if such consent approves the substance thereof. 

After an amendment, supplement or waiver under this Section 9.02 becomes effective, the Company shall mail to the Holder of each Note
affected thereby to such Holder’s address appearing in the Note Register a notice briefly describing the amendment, supplement or waiver. Any failure of the Company to mail such notice, or any defect therein, shall not, however, in any way
impair or affect the validity of any such amended or supplemental indenture or waiver. 
 Section 9.03 Compliance with Trust
Indenture Act. 
 Every amendment or supplement to this Indenture or the Notes shall be set forth in an amended or supplemental indenture
that complies with the TIA as then in effect. 
 Section 9.04 Revocation and Effect of Consents. 

Until an amendment, supplement or waiver becomes effective, a consent to it by a Holder is a continuing consent by the Holder of a Note and
every subsequent Holder of a Note or portion thereof that evidences the same debt as the consenting Holder’s Note, even if notation of the consent is not made on any Note. However, any such Holder or subsequent Holder may revoke the consent as
to its Note or portion thereof if the Trustee receives written notice of revocation before the date the waiver, supplement or amendment becomes effective. An amendment, supplement or waiver shall become effective in accordance with its terms and
thereafter shall bind every Holder. 

  
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 Section 9.05 Notation on or Exchange of Notes. 

The Trustee may place an appropriate notation about an amendment, supplement or waiver on any Note thereafter authenticated. The Company in
exchange for all Notes may issue and, upon receipt of a Company Order in accordance with Section 2.02 hereof, the Trustee shall authenticate new Notes that reflect the amendment, supplement or waiver. 

Failure to make the appropriate notation or issue a new Note shall not affect the validity and effect of such amendment, supplement or waiver.

 Section 9.06 Trustee to Sign Amendments, etc. 

The Trustee shall sign any amended or supplemental indenture authorized pursuant to this Article 9 if the amendment or supplement does not
adversely affect the rights, duties, liabilities or immunities of the Trustee. The Company may not sign an amendment or supplemental indenture until its Board of Directors (or committee serving a similar function) approves it. In executing any
amended or supplemental indenture, the Trustee shall be provided with and (subject to Section 7.01 hereof) shall be fully protected in relying upon an Officer’s Certificate and an Opinion of Counsel stating that the execution of such
amended or supplemental indenture is authorized or permitted by this Indenture and that such amended or supplemental indenture is the legal, valid and binding obligation of the Company enforceable against it in accordance with its terms, subject to
customary exceptions and that such amended or supplemental indenture complies with the provisions hereof (including Section 9.03). 

ARTICLE 10 
 SUBSIDIARY
GUARANTEE 
 Section 10.01 Subsidiary Guarantees. 

Subject to this Article 10, the Guarantors hereby unconditionally guarantee to each Holder of a Note authenticated and delivered by the Trustee
and to the Trustee and its successors and assigns: (a) the due and punctual payment of the principal of, premium, if any, and interest on the Notes, subject to any applicable grace period, whether at Stated Maturity, by acceleration, redemption
or otherwise, the due and punctual payment of interest on the overdue principal of and premium, if any, and, to the extent permitted by law, interest, and the due and punctual performance of all other obligations of the Company to the Holders or the
Trustee under this Indenture and the Notes, all in accordance with the terms hereof and thereof; and (b) in case of any extension of time of payment or renewal of any Notes or any of such other obligations, that same shall be promptly paid in
full when due or performed in accordance with the terms of the extension or renewal, whether at Stated Maturity, by acceleration pursuant to Section 6.02, redemption or otherwise. Failing payment when due of any amount so guaranteed or any
performance so guaranteed for whatever reason, the Guarantors shall be jointly and severally obligated to pay the same immediately. Each Guarantor agrees that this is a guarantee of payment and not a guarantee of collection. 

Each Guarantor hereby agrees that its obligations with regard to its Subsidiary Guarantee shall be joint and several, unconditional,
irrespective of the validity or enforceability of the Notes or the obligations of the Company under this Indenture, the absence of any action to enforce the same, the recovery of any judgment against the Company or any other obligor with respect to
this Indenture, the Notes or the Obligations of the Company under this Indenture or the Notes, any action to enforce the same or any other circumstances (other than complete performance) which might otherwise constitute a legal or equitable
discharge or defense of a Guarantor. Each Guarantor further, to the extent permitted by law, waives and relinquishes all claims, rights and remedies accorded by applicable law to guarantors and 

  
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agrees not to assert or take advantage of any such claims, rights or remedies, including but not limited to: (a) any right to require any of the Trustee, the Holders or the Company (each a
“Benefited Party”), as a condition of payment or performance by such Guarantor, to (1) proceed against the Company, any other guarantor (including any other Guarantor) of the Obligations under the Subsidiary Guarantees
or any other Person, (2) proceed against or exhaust any security held from the Company, any such other guarantor or any other Person, (3) proceed against or have resort to any balance of any deposit account or credit on the books of any
Benefited Party in favor of the Company or any other Person, or (4) pursue any other remedy in the power of any Benefited Party whatsoever; (b) any defense arising by reason of the incapacity, lack of authority or any disability or other
defense of the Company including any defense based on or arising out of the lack of validity or the unenforceability of the Obligations under the Subsidiary Guarantees or any agreement or instrument relating thereto or by reason of the cessation of
the liability of the Company from any cause other than payment in full of the Obligations under the Subsidiary Guarantees; (c) any defense based upon any statute or rule of law which provides that the obligation of a surety must be neither
larger in amount nor in other respects more burdensome than that of the principal; (d) any defense based upon any Benefited Party’s errors or omissions in the administration of the Obligations under the Subsidiary Guarantees, except
behavior which amounts to bad faith; (e) (1) any principles or provisions of law, statutory or otherwise, which are or might be in conflict with the terms of the Subsidiary Guarantees and any legal or equitable discharge of such
Guarantor’s obligations hereunder, (2) the benefit of any statute of limitations affecting such Guarantor’s liability hereunder or the enforcement hereof, (3) any rights to set-offs, recoupments and counterclaims and
(4) promptness, diligence and any requirement that any Benefited Party protect, secure, perfect or insure any security interest or lien or any property subject thereto; (f) notices, demands, presentations, protests, notices of protest,
notices of dishonor and notices of any action or inaction, including acceptance of the Subsidiary Guarantees, notices of Default under the Notes or any agreement or instrument related thereto, notices of any renewal, extension or modification of the
Obligations under the Subsidiary Guarantees or any agreement related thereto, and notices of any extension of credit to the Company and any right to consent to any thereof; (g) to the extent permitted under applicable law, the benefits of any
“One Action” rule and (h) any defenses or benefits that may be derived from or afforded by law which limit the liability of or exonerate guarantors or sureties, or which may conflict with the terms of the Subsidiary Guarantees. Except
to the extent expressly provided herein, including Sections 8.02, 8.03 and 10.05, each Guarantor hereby covenants that its Subsidiary Guarantee shall not be discharged except by complete performance of the obligations contained in its Subsidiary
Guarantee and this Indenture. 
 If any Holder or the Trustee is required by any court or otherwise to return to the Company, the Guarantors
or any custodian, trustee, liquidator or other similar official acting in relation to either the Company or the Guarantors, any amount paid by either to the Trustee or such Holder, this Subsidiary Guarantee, to the extent theretofore discharged,
shall be reinstated in full force and effect. 
 Each Guarantor agrees that it shall not be entitled to any right of subrogation in relation
to the Holders in respect of any obligations guaranteed hereby until payment in full of all obligations guaranteed hereby. Each Guarantor further agrees that, as between the Guarantors, on the one hand, and the Holders and the Trustee, on the other
hand, (x) the maturity of the obligations guaranteed hereby may be accelerated as provided in Section 6.02 hereof for the purposes of this Subsidiary Guarantee, notwithstanding any stay, injunction or other prohibition preventing such
acceleration in respect of the obligations guaranteed hereby and (y) in the event of any declaration of acceleration of such obligations as provided in Section 6.02 hereof, such obligations (whether or not due and payable) shall forthwith
become due and payable by the Guarantors for the purpose of this Subsidiary Guarantee. The Guarantors shall have the right to seek contribution from any non-paying Guarantor so long as the exercise of such right does not impair the rights of the
Holders under the Subsidiary Guarantee. 

  
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 Section 10.02 Limitation on Guarantors’ Liability. 

(a) Each Guarantor, and by its acceptance of Notes, each Holder, hereby confirms that it is the intention of all such parties that the
guarantee of such Guarantor not constitute a fraudulent transfer or conveyance for purposes of Bankruptcy Law, the Uniform Fraudulent Conveyance Act, the Uniform Fraudulent Transfer Act or any similar federal or state law to the extent applicable to
any guarantee. To effectuate the foregoing intention, the Trustee, the Holders and the Guarantors hereby irrevocably agree that each Guarantor’s liability shall be that amount from time to time equal to the aggregate liability of such Guarantor
under the guarantee, but shall be limited to the lesser of (i) the aggregate amount of the Company’s obligations under the Notes and this Indenture or (ii) the amount, if any, which would not have (A) rendered the Guarantors
“insolvent” (as such term is defined in the Federal Bankruptcy Code and in the Debtor and Creditor Law of the State of New York) or (B) left it with unreasonably small capital at the time its guarantee with respect to the Notes was
entered into, after giving effect to the incurrence of existing Indebtedness immediately before such time; provided, however, it shall be a presumption in any lawsuit or proceeding in which a Guarantor is a party that the amount
guaranteed pursuant to the guarantee with respect to the Notes is the amount described in clause (i) above unless any creditor, or representative of creditors of the Guarantor, or debtor in possession or trustee in bankruptcy of the Guarantor,
otherwise proves in a lawsuit that the aggregate liability of each of the Guarantors is limited to the amount described in clause (ii) above. 

(b) In making any determination as to the solvency or sufficiency of capital of a Guarantor in accordance with the proviso of
Section 10.02(a), the right of each Guarantor to contribution from other Guarantors and any other rights such Guarantor may have, contractual or otherwise, shall be taken into account. 

Section 10.03 Execution and Delivery of Subsidiary Guarantee. 

To evidence its Subsidiary Guarantee set forth in Section 10.01, each Guarantor hereby agrees that a notation of such Subsidiary Guarantee
in substantially the form included in Exhibit B attached hereto shall be endorsed by an Officer of such Guarantor on each Note authenticated and delivered by the Trustee and that this Indenture shall be executed on behalf of such Guarantor by
an Officer of such Guarantor. 
 Each Guarantor hereby agrees that its Subsidiary Guarantee set forth in Section 10.01 shall remain in
full force and effect notwithstanding any failure to endorse on each Note a notation of such Subsidiary Guarantee. 
 If an Officer whose
signature is on this Indenture or on the Subsidiary Guarantee no longer holds that office at the time the Trustee authenticates the Note on which a Subsidiary Guarantee is endorsed, the Subsidiary Guarantee shall be valid nevertheless. 

The delivery of any Note by the Trustee, after the authentication thereof hereunder, shall constitute due delivery of the Subsidiary Guarantee
set forth in this Indenture on behalf of the Guarantors. 
 The Company hereby agrees that it shall cause each Domestic Subsidiary that
becomes obligated to provide a Subsidiary Guarantee pursuant to Section 4.17 to execute a supplemental indenture in form and substance reasonably satisfactory to the Trustee, pursuant to which such Domestic Subsidiary provides the Guarantee set
forth in this Article 10 and otherwise assumes the obligations and accepts the rights of a Guarantor under this Indenture, in each case with the same effect and to the same extent as if such Domestic Subsidiary had been named herein as a Guarantor.
The Company also hereby agrees to cause each such new Guarantor to evidence its Guarantee by endorsing a notation of such Subsidiary Guarantee on each Note as provided in this Section 10.03. 

  
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 Section 10.04 Guarantors May Consolidate, etc., on Certain Terms. 

Except as otherwise provided in Section 10.05, a Guarantor may not sell or otherwise dispose of all or substantially all of its assets to,
or consolidate with or merge with or into (whether or not such Guarantor is the surviving Person) another Person, other than the Company or another Guarantor, unless: 

(a) immediately after giving effect to that transaction, no Default or Event of Default exists; and 

(b) either: 
 (i)
(A) such Guarantor shall be the Person surviving any such consolidation or merger or (ii) the Person acquiring the assets in any such sale or other disposition or the Person formed by or surviving any such consolidation or merger assumes
all the obligations of that Guarantor under this Indenture and its Subsidiary Guarantee and the Registration Rights Agreement pursuant to agreements in form satisfactory to the Trustee; or 

(B) such sale or other disposition does not violate Section 4.12. 

In case of any such consolidation, merger, sale or conveyance and upon the assumption by the Person formed by or surviving any such
consolidation or merger (if other than the applicable Guarantor) or the Person to which any such sale, assignment, transfer, conveyance or other disposition has been made, as applicable, by supplemental indenture, executed and delivered to the
Trustee and satisfactory in form to the Trustee, of the Subsidiary Guarantee endorsed upon the Notes and the due and punctual performance of all of the covenants and conditions of this Indenture and the Registration Rights Agreement to be performed
by the Guarantor, such successor Person shall succeed to and be substituted for such Guarantor with the same effect as if it had been named herein as a Guarantor. Such successor Person thereupon may cause to be signed any or all of the Subsidiary
Guarantees to be endorsed upon all of the Notes issuable hereunder which theretofore shall not have been signed by the Company and delivered to the Trustee. All the Subsidiary Guarantees so issued shall in all respects have the same legal rank and
benefit under this Indenture as the Subsidiary Guarantees theretofore and thereafter issued in accordance with the terms of this Indenture as though all of such Subsidiary Guarantees had been issued at the date of the execution hereof. 

Except as set forth in Articles 4 and 5, and notwithstanding clauses (a) and (b) above, nothing contained in this Indenture or in
any of the Notes shall prevent any consolidation or merger of a Guarantor with or into the Company or a Restricted Subsidiary of the Company, or shall prevent any sale or conveyance of the property of a Guarantor as an entirety or substantially as
an entirety to the Company or a Restricted Subsidiary of the Company. 
 Section 10.05 Releases Following Merger, Consolidation or
Sale of Assets, Etc. 
 (a) Any Subsidiary Guarantee of a Guarantor will be automatically and unconditionally released: 

(1) in connection with any sale or other disposition of all or substantially all of the assets of that Guarantor (including by
way of merger or consolidation) to a Person that is not (either before or after giving effect to such transaction) the Company or a Restricted Subsidiary of the Company, if the sale or other disposition does not violate Section 4.12; 

  
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 (2) in connection with any sale or other disposition of all of the Capital Stock
of that Guarantor to a Person that is not (either before or after giving effect to such transaction) the Company or a Restricted Subsidiary of the Company, if the sale or other disposition does not violate Section 4.12; 

(3) if the Company designates any of its Restricted Subsidiaries that is a Guarantor to be an Unrestricted Subsidiary in
accordance with the applicable provisions of this Indenture; 
 (4) if such Guarantor is dissolved or liquidated; 

(5) upon legal defeasance, covenant defeasance or satisfaction and discharge of the Notes as provided below under
Section 8.02, 8.03 and 11.01; or 
 (6) if such Guarantor is released or discharged from the underlying Guarantee of
Indebtedness giving rise to the execution of a Subsidiary Guarantee, except as a result of the repayment in full of such Guarantee in connection with the enforcement of remedies under such Guarantee (it being understood that a release subject to a
contingent reinstatement will constitute a release, and that if any such Guarantee is so reinstated, the Subsidiary Guarantee shall also be reinstated, subject to Section 4.17). 

(b) Any Guarantor not released from its obligations under its Subsidiary Guarantee shall remain liable for the full amount of principal of,
premium, if any, and interest on the Notes and for the other obligations of any Guarantor under this Indenture as provided in this Article 10. 

ARTICLE 11 

SATISFACTION AND DISCHARGE 

Section 11.01 Satisfaction and Discharge. 

This Indenture (including the Subsidiary Guarantees) will be discharged and will cease to be of further effect, as to all Notes issued
hereunder (except for the Trustee’s rights under Section 7.07, which shall survive), when: 
 (a) either: 

(1) all Notes that have been authenticated, except lost, stolen or destroyed Notes that have been replaced or paid and Notes
for whose payment money has been deposited in trust and thereafter repaid to the Company, have been delivered to the Trustee for cancellation; or 

(2) all Notes that have not been delivered to the Trustee for cancellation have become due and payable by reason of the
delivery of a notice of redemption or otherwise or will become due and payable within one year, and the Company or any Subsidiary of the Company has irrevocably deposited or caused to be deposited with the Trustee as trust funds in trust solely for
the benefit of the Holders, cash in U.S. dollars, Government Securities, or a combination of cash in U.S. dollars and Government Securities, in such amounts as will be sufficient without consideration of any


  
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reinvestment of interest, to pay and discharge the entire indebtedness on the Notes not delivered to the Trustee for cancellation for principal, premium, if any, and accrued interest to the date
of maturity or redemption; 
 (b) no Default or Event of Default (other than a Default or Event of Default resulting from the
borrowing of funds to be applied to such deposit and the grant of any Lien securing such borrowing) has occurred and is continuing on the date of the deposit and the deposit will not result in a breach or violation of, or constitute a default under,
any material agreement or instrument (other than resulting from the borrowing of funds to be applied to make such deposit and the grant of any Liens securing such borrowing) to which the Company or any Subsidiary of the Company is a party or by
which the Company or any Subsidiary of the Company is bound; 
 (c) the Company or any Subsidiary of the Company has paid or
caused to be paid all sums payable by the Company under this Indenture; and 
 (d) the Company has delivered irrevocable
instructions to the Trustee to apply the deposited money toward the payment of the Notes at maturity or the Redemption Date, as the case may be. 

In addition, the Company must deliver an Officer’s Certificate and an Opinion of Counsel to the Trustee stating that all conditions
precedent to satisfaction and discharge have been satisfied. 
 Section 11.02 Deposited Cash and Government Securities to be Held in
Trust; Other Miscellaneous Provisions. 
 Subject to Section 11.03, all cash and non-callable Government Securities (including the
proceeds thereof) deposited with the Trustee (or other qualifying trustee, collectively for purposes of this Section 11.02, the “Trustee”) pursuant to Section 11.01 hereof in respect of the outstanding Notes shall
be held in trust and applied by the Trustee, in accordance with the provisions of such Notes and this Indenture, to the payment, either directly or through any Paying Agent (including the Company acting as Paying Agent) as the Trustee may determine,
to the Holders of such Notes of all sums due and to become due thereon in respect of principal, premium, if any, and interest but such cash and securities need not be segregated from other funds except to the extent required by law. 

Section 11.03 Repayment to Company. 

Subject to applicable abandoned property laws, any cash or non-callable Government Securities deposited with the Trustee or any Paying Agent,
or then held by the Company, in trust for the payment of the principal of, premium, if any, or interest on, any Note and remaining unclaimed for two years after such principal, and premium, if any, or interest has become due and payable shall be
paid to the Company on its request or (if then held by the Company) shall be discharged from such trust; and the Holder shall thereafter, as an unsecured creditor, look only to the Company for payment thereof, and all liability of the Trustee or
such Paying Agent with respect to such cash and securities, and all liability of the Company as trustee thereof, shall thereupon cease; provided, however, that the Trustee or such Paying Agent, before being required to make any such
repayment, may at the expense of the Company cause to be published once, in The New York Times and The Wall Street Journal (national edition), notice that such cash and securities remains unclaimed and that, after a date specified therein, which
shall not be less than 30 days from the date of such notification or publication, any unclaimed balance of such cash and securities then remaining shall be repaid to the Company. 

  
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 ARTICLE 12 

MISCELLANEOUS 

Section 12.01 Trust Indenture Act Controls. 

Upon qualification of this Indenture under the TIA, if any provision of this Indenture limits, qualifies or conflicts with another provision
which is required to be included in this Indenture by the TIA, the provision required by the TIA shall control. If any provision of this Indenture modifies or excludes any provision of the TIA that may be so modified or excluded, the latter
provisions shall be deemed to apply to this Indenture as so modified or excluded, as the case may be. 
 Section 12.02 Notices.

 Any notice or communication by the Company or the Trustee to the other is duly given if in writing and delivered in person or mailed
by first class mail (registered or certified, return receipt requested), facsimile transmission or overnight air courier guaranteeing next-day delivery, to the other’s address: 

If to the Company: 
 Molina
Healthcare, Inc. 
 200 Oceangate, Suite 100 

Long Beach, CA 90802 
 Attention:
Joseph White, Chief Accounting Officer 
 Telecopier No.: (562) 499-0612 

If to the Trustee: 
 U.S. Bank
National Association 
 633 West Fifth Street, 24th Floor 

Los Angeles, CA 90071 
 Attention:
Paula Oswald 
 Telecopier No.: (213) 615-6197 

The Company or the Trustee, by notice to the other, may designate additional or different addresses for subsequent notices or communications.

 All notices and communications (other than those sent to the Trustee) shall be deemed to have been duly given: at the time delivered by
hand, if personally delivered; five Business Days after being deposited in the mail, postage prepaid, if mailed; when receipt acknowledged, if sent by facsimile transmission; and the next Business Day after timely delivery to the courier, if sent by
overnight air courier guaranteeing next-day delivery. All notices and communications to the Trustee shall be deemed duly given and effective only upon receipt. 

Any notice or communication to a Holder shall be mailed by first class mail, certified or registered, return receipt requested, or by
overnight air courier guaranteeing next-day delivery to its address shown on the Note Register or, if required or permitted by Section 3.03 or 3.08(c), by electronic transmission. 

  
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 Any notice or communication shall also be so mailed to any Person described in TIA
§ 313(c), to the extent required by the TIA. Failure to mail a notice or communication to a Holder or any defect in it shall not affect its sufficiency with respect to other Holders. 

If a notice or communication is mailed or delivered in the manner provided above within the time prescribed, it is duly given, whether or not
the addressee receives it. 
 If the Company sends a notice or communication to Holders, it shall mail a copy to the Trustee and each Agent
at the same time. 
 The Trustee agrees to accept and act upon instructions or directions pursuant to this Indenture sent by unsecured
e-mail, pdf, facsimile transmission or other similar unsecured electronic methods, provided, however, that the Trustee shall have received an incumbency certificate listing persons designated to give such instructions or directions and
containing specimen signatures of such designated persons, which such incumbency certificate shall be amended and replaced whenever a person is to be added or deleted from the listing. If the Company elects to give the Trustee e-mail or facsimile
instructions (or instructions by a similar electronic method) and the Trustee in its discretion elects to act upon such instructions, the Trustee’s understanding of such instructions shall be deemed controlling. The Trustee shall not be liable
for any losses, costs or expenses arising directly or indirectly from the Trustee’s reliance upon and compliance with such instructions notwithstanding such instructions conflict with or are inconsistent with a subsequent written instruction.
The Company agrees to assume all risks arising out of the use of such electronic methods to submit instructions and directions to the Trustee, including without limitation the risk of the Trustee acting on unauthorized instructions, and the risk or
interception and misuse by third parties. 
 Notwithstanding any other provision of this Indenture or any Note, where this Indenture or any
Note provides for notice of any event (including any notice of redemption or purchase) to a Holder of a Global Note (whether by mail or otherwise), such notice shall be sufficiently given if given to DTC (or its designee) pursuant to the standing
instructions from DTC or its designee. 
 Section 12.03 Communication by Holders of Notes with Other Holders of Notes. 

Holders may communicate pursuant to TIA § 312(b) with other Holders with respect to their rights under this Indenture or the Notes.
The Company, the Trustee, the Note Registrar and anyone else shall have the protection of TIA § 312(c). 
 Section 12.04
Certificate and Opinion as to Conditions Precedent. 
 Upon any request or application by the Company to the Trustee to take any action
under any provision of this Indenture, the Company shall furnish to the Trustee: 
 (a) an Officer’s Certificate in form
reasonably satisfactory to the Trustee (which shall include the statements set forth in Section 12.05 hereof) stating that, in the opinion of the signer, all conditions precedent and covenants, if any, provided for in this Indenture relating to
the proposed action have been complied with; and 
 (b) an Opinion of Counsel in form reasonably satisfactory to the Trustee
(which shall include the statements set forth in Section 12.05 hereof) stating that, in the opinion of such counsel, all such conditions precedent and covenants have been complied with. 

  
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 Section 12.05 Statements Required in Certificate or Opinion. 

Each certificate or opinion with respect to compliance with a condition or covenant provided for in this Indenture (other than a certificate
provided pursuant to TIA § 314(a)(4)) shall comply with the provisions of TIA § 314(e) and shall include: 

(a) a statement that the Person making such certificate or opinion has read such covenant or condition; 

(b) a brief statement as to the nature and scope of the examination or investigation upon which the statements or opinions
contained in such certificate or opinion are based; 
 (c) a statement that, in the opinion of such Person, he or she has
made such examination or investigation as is necessary to enable such Person to express an informed opinion as to whether or not such covenant or condition has been complied with; and 

(d) a statement as to whether or not, in the opinion of such Person, such condition or covenant has been complied with. 

With respect to matters of fact, an Opinion of Counsel may rely on an Officer’s Certificate, certificates of public officials or reports
or opinions of experts. 
 Section 12.06 Rules by Trustee and Agents. 

The Trustee may make reasonable rules for action by or at a meeting of Holders. The Note Registrar or Paying Agent may make reasonable rules
and set reasonable requirements for its functions. 
 Section 12.07 No Personal Liability of Directors, Officers, Incorporators,
Employees or Stockholders. 
 No past, present or future director, officer, employee, incorporator, stockholder, member, manager or
partner of the Company or any Restricted Subsidiary, as such, shall have any liability for any Obligations of the Company or any Restricted Subsidiary under the Notes, the Subsidiary Guarantees, this Indenture, or for any claim based on, in respect
of, or by reason of, such Obligations or their creation. Each Holder of Notes by accepting a Note waives and releases all such liability. The waiver and release are part of the consideration for issuance of the Notes. The waiver and release may not
be effective to waive or release liabilities under the federal securities laws. 
 Section 12.08 Governing Law. 

THE LAWS OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS INDENTURE AND THE NOTES WITHOUT GIVING EFFECT TO APPLICABLE
PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 

Section 12.09 No Adverse Interpretation of Other Agreements. 

This Indenture may not be used to interpret any other indenture, loan or debt agreement of the Company or its Subsidiaries or of any other
Person. Any such indenture, loan or debt agreement may not be used to interpret this Indenture. 

  
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 Section 12.10 Successors. 

All covenants and agreements of the Company in this Indenture and the Notes shall bind its successors. All covenants and agreements of the
Trustee in this Indenture shall bind its successors. 
 Section 12.11 Severability. 

In case any provision in this Indenture or in the Notes shall be invalid, illegal or unenforceable, the validity, legality and enforceability
of the remaining provisions shall not in any way be affected or impaired thereby. 
 Section 12.12 Counterpart Originals. 

The parties may sign any number of copies of this Indenture. The exchange of copies of this Indenture and of signature pages by facsimile or
pdf transmission shall constitute effective execution and delivery of this Indenture as to the parties hereto. Each signed copy shall be an original, but all of them together shall represent one and the same agreement. 

Section 12.13 Table of Contents, Headings, etc. 

The Table of Contents, Cross-Reference Table and Headings in this Indenture have been inserted for convenience of reference only, are not to be
considered a part of this Indenture and shall in no way modify or restrict any of the terms or provisions hereof. 
 Section 12.14
Qualification of this Indenture. 
 Upon the issuance of the Exchange Notes, if any, or the effectiveness of an Exchange Offer
Registration Statement, the Company shall qualify this Indenture under the TIA and shall pay all reasonable costs and expenses (including reasonable attorneys’ fees and expenses for the Company and the Trustee) incurred in connection therewith,
including, but not limited to, costs and expenses of qualification of this Indenture and the Exchange Notes, if any, and printing this Indenture and the Exchange Notes, if any. The Trustee shall be provided with any such Officer’s Certificates,
Opinions of Counsel or other documentation as it may reasonably request in connection with any such qualification of this Indenture under the TIA. 

Section 12.15 Waiver of Jury Trial. 

EACH OF THE COMPANY, THE GUARANTORS AND THE TRUSTEE HEREBY IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY AND ALL
RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS INDENTURE, THE NOTES OR THE TRANSACTION CONTEMPLATED HEREBY. 

Section 12.16 Force Majeure. 

In no event shall the Trustee be responsible or liable for any failure or delay in the performance of its obligations hereunder arising out of
or caused by, directly or indirectly, forces beyond its control, including, without limitation, strikes, work stoppages, accidents, acts of war or terrorism, civil or military disturbances, nuclear or natural catastrophes or acts of God, and
interruptions, loss or malfunctions of utilities, communications or computer (software and hardware) services; it being understood that the Trustee shall use reasonable efforts which are consistent with accepted practices in the banking industry to
resume performance as soon as practicable under the circumstances. 

  
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 Section 12.17 USA Patriot Act. 

The parties hereto acknowledge that in accordance with Section 326 of the USA Patriot Act, the Trustee, like all financial institutions
and in order to help fight the funding of terrorism and money laundering, is required to obtain, verify, and record information that identifies each person or legal entity that establishes a relationship or opens an account with the Trustee. The
parties to this Indenture agree that they will provide the Trustee with such information as it may request in order for the Trustee to satisfy the requirements of the USA Patriot Act. 

[Signatures on following page] 

  
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 IN WITNESS WHEREOF, the parties have caused this Indenture to be duly executed. 

 

									
	Dated November 10, 2015	 		 	Company:
		
		 	MOLINA HEALTHCARE, INC.
				
		 		 	By:	 	/s/ John C. Molina
		 		 		 	Name:	 	John C. Molina
		 		 		 	Title:	 	Chief Financial Officer
			
		 		 	Guarantors:
		
		 	MOLINA INFORMATION SYSTEMS, LLC
				
		 		 	By:	 	/s/ John C. Molina
		 		 		 	Name:	 	John C. Molina
		 		 		 	Title:	 	Chief Financial Officer
			
		 		 	MOLINA MEDICAL MANAGEMENT, INC.
				
		 		 	By:	 	/s/ Joseph W. White
		 		 		 	Name:	 	Joseph W. White
		 		 		 	Title:	 	Vice President and Chief Financial Officer/Treasurer









							
	Dated November 10, 2015	 		 	Trustee:
			
		 		 	U.S. BANK NATIONAL ASSOCIATION
				
		 		 	By:	 	 /s/ Paula Oswald

		 		 	Name:	 	Paula Oswald
		 		 	Title:	 	Vice President








 Rule 144A / Regulation S Appendix 

PROVISIONS RELATING TO INITIAL NOTES 

AND EXCHANGE NOTES 
 1.
Definitions 
 1.1 Definitions. 

For the purposes of this Appendix the following terms shall have the meanings indicated below: 

“Certificated Note” means a certificated Initial Note or Exchange Note (other than a Global Note) bearing, if required, the
restricted notes legend set forth in Section 2.2(e) of this Appendix. 
 “Distribution Compliance Period,” with respect to
any Notes, means the period of 40 consecutive days beginning on and including the later of (i) the day on which such Notes are first offered to Persons other than distributors (as defined in Regulation S under the Securities Act) in reliance on
Regulation S and (ii) the issue date with respect to such Notes. 
 “Notes Custodian” means the custodian with respect to a
Global Note (as appointed by the Depositary), or any successor Person thereto and shall initially be the Trustee. 
 “Purchase
Agreement” means (1) with respect to the Initial Notes issued on the Issue Date, the Purchase Agreement dated as of November 5, 2015, among the Company, the Guarantors and SunTrust Robinson Humphrey, Inc., as representative of the
Initial Purchasers, and (2) with respect to each issuance of Additional Notes, the purchase agreement or underwriting agreement among the Company, the Guarantors and the Persons purchasing such Additional Notes. 

“QIB” means a “qualified institutional buyer” as defined in Rule 144A. 

“Registered Exchange Offer” means the offer by the Company, pursuant to a Registration Rights Agreement, to certain Holders of
Initial Notes, to issue and deliver to such Holders, in exchange for the Initial Notes, a like aggregate principal amount of Exchange Notes registered under the Securities Act. 

“Transfer Restricted Notes” means Notes that bear or are required to bear the legend relating to restrictions on transfer relating
to the Securities Act set forth in Section 2.2(e) hereto. 
 1.2 Other Definitions. 

 

			
	 Term
	  	Defined in
Section
	 “Agent Members”
	  	2.1(b)
	 “Clearstream”
	  	2.1(a)
	 “Euroclear”
	  	2.1(a)
	 “Global Notes”
	  	2.1(a)
	 “Regulation S”
	  	2.1(a)
	 “Regulation S Global Note”
	  	2.1(a)
	 “Rule 144A”
	  	2.1(a)
	 “Rule 144A Global Note”
	  	2.1(a)


  
 Appendix-1 








 1.3 Capitalized terms used in this Appendix, but not defined, have the meanings ascribed to such
terms in the Indenture to which this Appendix is attached. 
 2. The Notes. 

2.1(a) Form and Dating. The Initial Notes shall be offered and sold by the Company pursuant to a Purchase Agreement. The Initial Notes
shall be resold initially only to (i) QIBs in reliance on Rule 144A under the Securities Act (“Rule 144A”) and (ii) Persons other than U.S. Persons (as defined in Regulation S) in reliance on Regulation S under the Securities Act
(“Regulation S”). Initial Notes may thereafter be transferred to, among others, QIBs and purchasers in reliance on Regulation S, subject to the restrictions on transfer set forth herein. Initial Notes initially resold pursuant to Rule 144A
shall be issued initially in the form of one or more permanent global Notes in definitive, fully registered form (collectively, the “Rule 144A Global Note”); and Initial Notes initially resold pursuant to Regulation S shall be issued
initially in the form of one or more global Notes in fully registered form (collectively, the “Regulation S Global Note”), in each case without interest coupons and with the global Notes legend and the restricted notes legend set forth in
Exhibit 1 hereto, which shall be deposited on behalf of the purchasers of the Initial Notes represented thereby with the Notes Custodian and registered in the name of the Depositary or a nominee of the Depositary, duly executed by the Company
and authenticated by the Trustee as provided in the Indenture. Except as set forth in the immediately succeeding paragraph, beneficial ownership interests in the Regulation S Global Note shall be held only through the Euroclear Bank S.A./N.V., as
operator of the Euroclear System (“Euroclear”) and Clearstream Banking, societe anonyme (“Clearstream”) (as indirect participants in the Depositary) and shall not be exchangeable for interests in the Rule 144A Global Note
or any other Note prior to the expiration of the Distribution Compliance Period and then, after the expiration of the Distribution Compliance Period, may be exchanged for interests in a Rule 144A Global Note only upon certification in the form
attached hereto as Exhibit 3 or otherwise in a form reasonably satisfactory to the Trustee that beneficial ownership interests in such Regulation S Global Note are owned either by non-U.S. persons or U.S. persons who purchased such interests
in a transaction that is exempt from the registration requirements under the Securities Act. 
 Prior to the expiration of the Distribution
Compliance Period, beneficial interests in Regulation S Global Notes may be exchanged for interests in Rule 144A Global Notes if (1) such exchange occurs in connection with a transfer of Notes in compliance with Rule 144A and (2) the
transferor of the beneficial interest in the Regulation S Global Note first delivers to the Trustee a written certificate (in a form substantially similar to that attached hereto as Exhibit 2) to the effect that the beneficial interest in the
Regulation S Global Note is being transferred (a) to a Person who the transferor reasonably believes to be a QIB that is purchasing for its own account or the account of a QIB in a transaction meeting the requirements of Rule 144A, and
(b) in accordance with all applicable securities laws of the States of the United States and other jurisdictions. 
 Beneficial
interests in a Rule 144A Global Note may be transferred to a Person who takes delivery in the form of an interest in a Regulation S Global Note, whether before or after the expiration of the Distribution Compliance Period, subject to Applicable
Procedures, only if the transferor first delivers to the Trustee a written certificate (in a form substantially similar to that attached hereto as Exhibit 2) to the effect that such transfer is being made in accordance with Rule 903 or 904 of
Regulation S or Rule 144 (if applicable). 

  
 Appendix-2 








 The Rule 144A Global Note and the Regulation S Global Note are collectively referred to herein as
“Global Notes.” The aggregate principal amount of the Global Notes may from time to time be increased or decreased by adjustments made on the records of the Trustee and the Depositary or its nominee as hereinafter provided. 

(b) Book-Entry Provisions. This Section 2.1(b) shall apply only to a Global Note deposited with or on behalf of the Depositary.

 The Company shall execute and the Trustee shall, in accordance with this Section 2.1(b), authenticate and deliver initially one or
more Global Notes that (a) shall be registered in the name of the Depositary or the nominee of the Depositary and (b) shall be delivered by the Trustee to the Depositary or pursuant to the Depositary’s instructions or held by the
Trustee as custodian for the Depositary. The Company has entered into a letter of representations with the Depositary in the form provided by the Depositary and the Trustee and each Agent are hereby authorized to act in accordance with such letter
and Applicable Procedures. 
 Members of, or participants in, the Depositary (“Agent Members”) shall have no rights under the
Indenture with respect to any Global Note held on their behalf by the Depositary or by the Trustee as the custodian of the Depositary or under such Global Note, and the Company, the Trustee and any agent of the Company or the Trustee shall be
entitled to treat the Depositary as the absolute owner of such Global Note for all purposes whatsoever. Notwithstanding the foregoing, nothing herein shall prevent the Company, the Trustee or any agent of the Company or the Trustee from giving
effect to any written certification, proxy or other authorization furnished by the Depositary or impair, as between the Depositary and its Agent Members, the operation of customary practices of such Depositary governing the exercise of the rights of
a holder of a beneficial interest in any Global Note. 
 (c) Certificated Notes. Except as provided in this Section 2.1,
Section 2.2 or 2.3, owners of beneficial interests in Global Notes shall not be entitled to receive physical delivery of Certificated Notes. 

2.2 Transfer and Exchange. 

(a) Transfer and Exchange of Certificated Notes. When Certificated Notes are presented to the Note Registrar with a request: 

(x) to register the transfer of such Certificated Notes; or 

(y) to exchange such Certificated Notes for an equal principal amount of Certificated Notes of other authorized denominations,
the Note Registrar shall register the transfer or make the exchange as requested if its reasonable requirements for such transaction are met; provided, however, that the Certificated Notes surrendered for transfer or exchange: 

(i) shall be duly endorsed or accompanied by a written instrument of transfer in form reasonably satisfactory to the Company
and the Note Registrar, duly executed by the Holder thereof or its attorney duly authorized in writing; and 
 (ii) if such
Certificated Notes are required to bear a restricted notes legend, they are being transferred or exchanged pursuant to an effective registration statement under the Securities 

  
 Appendix-3 








 
Act, pursuant to Section 2.2(b) or pursuant to clause (A), (B) or (C) below, and are accompanied by the following additional information and documents, as applicable: 

(A) if such Certificated Notes are being delivered to the Note Registrar by a Holder for registration in the name of such
Holder, without transfer, a certification from such Holder to that effect; or 
 (B) if such Certificated Notes are being
transferred to the Company, a certification to that effect; or 
 (C) if such Certificated Notes are being transferred
(x) pursuant to an exemption from registration in accordance with Rule 144A, Regulation S or Rule 144 under the Securities Act; or (y) in reliance upon another exemption from the requirements of the Securities Act: (i) a certification
to that effect (in the form set forth on the reverse of the Note) and (ii) if the Company so requests, an Opinion of Counsel or other evidence reasonably satisfactory to the Company as to the compliance with the restrictions set forth in the
legend set forth in Section 2.2(e)(i). 
 (b) Restrictions on Transfer of a Certificated Note for a Beneficial Interest in a Global
Note. A Certificated Note may not be exchanged for a beneficial interest in a Rule 144A Global Note or a Regulation S Global Note except upon satisfaction of the requirements set forth below. Upon receipt by the Trustee of a Certificated Note,
duly endorsed or accompanied by appropriate instruments of transfer, in form satisfactory to the Trustee, together with: 

(i) certification, in a form substantially similar to that attached hereto as Exhibit 2, that such Certificated Note is
either (A) being transferred to a QIB in accordance with Rule 144A or (B) being transferred after expiration of the Distribution Compliance Period by a Person who initially purchased such Note in reliance on Regulation S to a buyer who
elects to hold its interest in such Note in the form of a beneficial interest in the Regulation S Global Note; and 
 (ii)
written instructions directing the Trustee to make, or to direct the Notes Custodian to make, an adjustment on its books and records with respect to such Rule 144A Global Note (in the case of a transfer pursuant to clause (b)(i)(A)) or Regulation S
Global Note (in the case of a transfer pursuant to clause (b)(i)(B)) to reflect an increase in the aggregate principal amount of the Notes represented by the Rule 144A Global Note or Regulation S Global Note, as applicable, such instructions to
contain information regarding the Depositary account to be credited with such increase, then the Trustee shall cancel such Certificated Note and cause, or direct the Notes Custodian to cause, in accordance with the standing instructions and
procedures existing between the Depositary and the Notes Custodian, the aggregate principal amount of Notes represented by the Rule 144A Global Note or Regulation S Global Note, as applicable, to be increased by the aggregate principal amount of the
Certificated Note to be exchanged and shall credit or cause to be credited to the account of the Person specified in such instructions a beneficial interest in the Rule 144A Global Note or Regulation S Global Note, as applicable, equal to the
principal amount of the Certificated Note so cancelled. If no Rule 144A Global Notes or Regulation S Global Notes, as applicable, are then outstanding, the Company shall issue and the Trustee shall authenticate, upon receipt of a Company Order, a
new Rule 144A Global Note or Regulation S Global Note, as applicable, in the appropriate principal amount. 

  
 Appendix-4 








 (c) Transfer and Exchange of Global Notes. 

(i) The transfer and exchange of Global Notes or beneficial interests therein shall be effected through the Depositary, in accordance with the
Indenture (including applicable restrictions on transfer set forth herein, if any) and the procedures of the Depositary therefor. A transferor of a beneficial interest in a Global Note shall deliver to the Note Registrar a written order given in
accordance with the Depositary’s procedures containing information regarding the participant account of the Depositary to be credited with a beneficial interest in the Global Note. The Note Registrar shall, in accordance with such instructions
instruct the Depositary to credit to the account of the Person specified in such instructions a beneficial interest in the Global Note and to debit the account of the Person making the transfer the beneficial interest in the Global Note being
transferred. 
 (ii) If the proposed transfer is a transfer of a beneficial interest in one Global Note to a beneficial interest in another
Global Note, the Note Registrar shall reflect on its books and records the date and an increase in the principal amount of the Global Note to which such interest is being transferred in an amount equal to the principal amount of the interest to be
so transferred, and the Note Registrar shall reflect on its books and records the date and a corresponding decrease in the principal amount of the Global Note from which such interest is being transferred. 

(iii) Notwithstanding any other provisions of this Appendix (other than the provisions set forth in Section 2.3), a Global Note may not
be transferred as a whole except by the Depositary to a nominee of the Depositary or by a nominee of the Depositary to the Depositary or another nominee of the Depositary or by the Depositary or any such nominee to a successor Depositary or a
nominee of such successor Depositary. 
 (iv) In the event that a Global Note is exchanged for Certificated Notes pursuant to
Section 2.3 of this Appendix, prior to the consummation of a Registered Exchange Offer or the effectiveness of a Shelf Registration Statement with respect to such Notes, such Notes may be exchanged only in accordance with such procedures as are
substantially consistent with the provisions of this Section 2.2 (including the certification requirements set forth on the reverse of the Initial Notes (as set forth in Exhibit 2, hereto) intended to ensure that such transfers comply
with Rule 144A, Regulation S or another applicable exemption under the Securities Act, as the case may be) and such other procedures as may from time to time be adopted by the Company. 

(d) Restrictions on Transfer of Regulation S Global Notes. Subject to Section 2.1(a), during the Distribution Compliance Period,
beneficial ownership interests in Regulation S Global Notes may only be sold, pledged or transferred in accordance with the Applicable Procedures and only (i) to the Company, (ii) in an offshore transaction in accordance with Regulation S
(other than a transaction resulting in an exchange for an interest in another Regulation S Global Note) or (iii) pursuant to an effective registration statement under the Securities Act, in each case in accordance with any applicable securities
laws of any State of the United States. 

  
 Appendix-5 








 (e) Legend. 

(i) Except as permitted by the following paragraphs (ii), (iii) and (iv), each Note certificate evidencing the Global Notes (and all Notes
issued in exchange therefor or in substitution thereof), in the case of Notes offered otherwise than in reliance on Regulation S shall bear a legend in substantially the following form: 

THIS NOTE (OR ITS PREDECESSOR) WAS ORIGINALLY ISSUED IN A TRANSACTION EXEMPT FROM REGISTRATION UNDER THE UNITED STATES
SECURITIES ACT OF 1933 (THE “SECURITIES ACT”), AND THIS NOTE MAY NOT BE OFFERED, SOLD OR OTHERWISE TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN APPLICABLE EXEMPTION THEREFROM. EACH PURCHASER OF THIS NOTE IS HEREBY NOTIFIED THAT
THE SELLER OF THIS NOTE MAY BE RELYING ON THE EXEMPTION FROM THE PROVISIONS OF SECTION 5 OF THE SECURITIES ACT PROVIDED BY RULE 144A THEREUNDER. 

THE HOLDER OF THIS NOTE AGREES FOR THE BENEFIT OF THE COMPANY THAT (A) THIS NOTE MAY BE OFFERED, RESOLD, PLEDGED OR
OTHERWISE TRANSFERRED, ONLY (I) TO THE COMPANY, (II) IN THE UNITED STATES TO A PERSON WHOM THE SELLER REASONABLY BELIEVES IS A QUALIFIED INSTITUTIONAL BUYER (AS DEFINED IN RULE 144A UNDER THE SECURITIES ACT) IN A TRANSACTION MEETING
THE REQUIREMENTS OF RULE 144A, (III) TO AN INSTITUTIONAL “ACCREDITED INVESTOR” WITHIN THE MEANING OF RULE 501(a) (1), (2), (3), (7) AND (8) UNDER THE SECURITIES ACT THAT IS AN INSTITUTIONAL INVESTOR ACQUIRING THE
NOTE FOR ITS OWN ACCOUNT OR FOR THE ACCOUNT OF SUCH AN INSTITUTIONAL “ACCREDITED INVESTOR,” IN EACH CASE IN A MINIMUM PRINCIPAL AMOUNT OF $250,000, (IV) OUTSIDE THE UNITED STATES IN AN OFFSHORE TRANSACTION IN ACCORDANCE WITH RULE 904
UNDER THE SECURITIES ACT, (V) PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT PROVIDED BY RULE 144 THEREUNDER (IF AVAILABLE) OR (VI) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT, IN EACH OF CASES
(I) THROUGH (VI) IN ACCORDANCE WITH ANY APPLICABLE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES, AND (B) THE HOLDER WILL, AND EACH SUBSEQUENT HOLDER IS REQUIRED TO, NOTIFY ANY PURCHASER OF THIS NOTE FROM IT OF THE RESALE RESTRICTIONS
REFERRED TO IN (A) ABOVE. 
 Each certificate evidencing a Note offered in reliance on Regulation S shall, in addition to the
foregoing, bear a legend in substantially the following form: 
 THIS NOTE (OR ITS PREDECESSOR) WAS ORIGINALLY ISSUED IN A
TRANSACTION ORIGINALLY EXEMPT FROM REGISTRATION UNDER THE U.S. SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND MAY NOT BE TRANSFERRED IN THE UNITED STATES OR TO, OR FOR THE ACCOUNT OR BENEFIT OF, ANY U.S. PERSON EXCEPT
PURSUANT TO AN AVAILABLE EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND ALL APPLICABLE STATE SECURITIES LAWS. TERMS USED ABOVE HAVE THE MEANINGS GIVEN TO THEM IN REGULATION S UNDER THE SECURITIES ACT. 

Each Certificated Note shall also bear the following additional legend: 

IN CONNECTION WITH ANY TRANSFER, THE HOLDER WILL DELIVER TO THE COMPANY AND THE NOTE REGISTRAR SUCH CERTIFICATES AND OTHER INFORMATION AS THEY
MAY REASONABLY REQUIRE TO CONFIRM THAT THE TRANSFER COMPLIES WITH THE FOREGOING RESTRICTIONS. 

  
 Appendix-6 








 (ii) Upon any sale or transfer of a Transfer Restricted Note (including any Transfer Restricted
Note represented by a Global Note) pursuant to Rule 144 under the Securities Act, the Note Registrar shall permit the transferee thereof to exchange such Transfer Restricted Note for a Certificated Note that does not bear the legend set forth above
and rescind any restriction on the transfer of such Transfer Restricted Note, if the transferor thereof certifies in writing to the Note Registrar that such sale or transfer was made in reliance on Rule 144 (such certification to be in the form set
forth on the reverse of the Note). 
 (iii) After a transfer of any Initial Notes pursuant to and during the period of the effectiveness of
a Shelf Registration Statement with respect to such Initial Notes, all requirements pertaining to legends on such Initial Note shall cease to apply, the requirements requiring any such Initial Note issued to certain Holders be issued in global form
shall cease to apply, and a certificated Initial Note or an Initial Note in global form, in each case without restrictive transfer legends, shall be available to the transferee of the Holder of such Initial Notes upon exchange of such transferring
Holder’s certificated Initial Note or directions to transfer such Holder’s interest in the Global Note, as applicable. 
 (iv)
Upon the consummation of a Registered Exchange Offer with respect to the Initial Notes, all requirements pertaining to such Initial Notes that Initial Notes issued to certain Holders be issued in global form shall still apply with respect to Holders
of such Initial Notes that do not exchange their Initial Notes, and Exchange Notes in certificated or global form, in each case without the restricted notes legend set forth in Exhibit 1 hereto shall be available to Holders that exchange such
Initial Notes in such Registered Exchange Offer. 
 (f) Cancellation or Adjustment of Global Note. At such time as all beneficial
interests in a Global Note have been exchanged for Certificated Notes, redeemed, purchased or cancelled, such Global Note shall be returned to the Depositary for cancellation or retained and cancelled by the Trustee. At any time prior to such
cancellation, if any beneficial interest in a Global Note is exchanged for Certificated Notes, redeemed, purchased or cancelled, the principal amount of Notes represented by such Global Note shall be reduced and an adjustment shall be made on the
books and records of the Trustee (if it is then the Notes Custodian for such Global Note) with respect to such Global Note, by the Trustee or the Notes Custodian, to reflect such reduction. 

(g) No Obligation of the Trustee. 

(i) The Trustee shall have no responsibility or obligation to any beneficial owner of a Global Note, a member of, or a participant in the
Depositary or other Person with respect to the accuracy of the records of the Depositary or its nominee or of any participant or member thereof, with respect to any ownership interest in the Notes or with respect to the delivery to any participant,
member, beneficial owner or other Person (other than the Depositary) of any notice (including any notice of redemption) or the payment of any amount, under or with respect to such Notes. All notices and communications to be given to the Holders and
all payments to be made to Holders under the Notes shall be given or made only to or upon the order of the registered Holders (which shall be the Depositary or its nominee in the case of a Global Note). The rights of beneficial owners in any Global
Note shall be exercised only through the Depositary subject to the applicable rules and procedures of the Depositary. The Trustee may rely and shall be fully protected in relying upon information furnished by the Depositary with respect to its
members, participants and any beneficial owners. Neither the Trustee nor any Agent shall have responsibility for any actions taken or not taken by the Depositary. 

  
 Appendix-7 








 (ii) The Trustee shall have no obligation or duty to monitor, determine or inquire as to
compliance with any restrictions on transfer imposed under the Indenture or under applicable law with respect to any transfer of any interest in any Note (including any transfers between or among Depositary participants, members or beneficial owners
in any Global Note) other than to require delivery of such certificates and other documentation or evidence as are expressly required by, and to do so if and when expressly required by, the terms of the Indenture, and to examine the same to
determine substantial compliance as to form with the express requirements hereof. 
 2.3 Certificated Notes. 

(a) A Global Note deposited with the Depositary or with the Trustee as Notes Custodian for the Depositary pursuant to Section 2.1 shall be
transferred to the beneficial owners thereof in the form of Certificated Notes in an aggregate principal amount equal to the principal amount of such Global Note, in exchange for such Global Note, only if such transfer complies with Section 2.2
hereof and (i) the Depositary notifies the Company that it is unwilling or unable to continue as depository for such Global Note and the Depositary fails to appoint a successor depository or if at any time such depository ceases to be a
“clearing agency” registered under the Exchange Act, in either case, and a successor depository is not appointed by the Company within 90 days of such notice, or (ii) an Event of Default has occurred and is continuing or
(iii) the Company, in its sole discretion, notifies the Trustee in writing that it elects to cause the issuance of Certificated Notes under the Indenture (although Regulation S Global Notes at the Company’s election pursuant to this clause
may not be exchanged for Certificated Notes prior to (a) the expiration of the Distribution Compliance Period and (b) the receipt of any certificates required under the provisions of Regulation S). 

(b) Any Global Note that is transferable to the beneficial owners thereof pursuant to this Section 2.3 shall be surrendered by the
Depositary to the Trustee located at its principal corporate trust office to be so transferred, in whole or from time to time in part, without charge, and the Trustee shall authenticate and deliver, upon such transfer of each portion of such Global
Note, an equal aggregate principal amount of Certificated Notes of authorized denominations. Any portion of a Global Note transferred pursuant to this Section 2.3 shall be executed, authenticated and delivered only in denominations of $2,000
principal amount and any integral multiple of $1,000 in excess thereof and registered in such names as the Depositary shall direct. Any Certificated Note delivered in exchange for an interest in the Transfer Restricted Note shall, except as
otherwise provided by Section 2.2(e) hereof, bear the restricted notes legend and certificated notes legend set forth in Exhibit 1 hereto. 

(c) Subject to the provisions of Section 2.3(b) hereof, the registered Holder of a Global Note shall be entitled to grant proxies and
otherwise authorize any Person, including Agent Members and Persons that may hold interests through Agent Members, to take any action which a Holder is entitled to take under the Indenture or the Notes. 

(d) In the event of the occurrence of one of the events specified in Section 2.3(a) hereof, the Company shall promptly make available to
the Trustee a reasonable supply of Certificated Notes in definitive, fully registered form without interest coupons. In the event that such Certificated Notes are not issued, the Company expressly acknowledges, with respect to the right of any
Holder to pursue a remedy pursuant to the Indenture, including, without limitation, pursuant to Section 6.05, the right of any beneficial owner of Notes to pursue such remedy with respect to the portion of the Global Note that represents such
beneficial owner’s Notes as if such Certificated Notes had been issued. 

  
 Appendix-8 








 EXHIBIT 1 

to Rule 144A / Regulation S Appendix 

[FORM OF FACE OF INITIAL NOTE] 

[Global Notes Legend] 
 UNLESS
THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION (“DTC”), NEW YORK, NEW YORK, TO THE COMPANY OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY
CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO., OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED
REPRESENTATIVE OF DTC) ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. 

TRANSFERS OF THIS GLOBAL NOTE SHALL BE LIMITED TO TRANSFERS IN WHOLE, BUT NOT IN PART, TO NOMINEES OF DTC OR TO A SUCCESSOR THEREOF OR SUCH
SUCCESSOR’S NOMINEE AND TRANSFERS OF PORTIONS OF THIS GLOBAL NOTE SHALL BE LIMITED TO TRANSFERS MADE IN ACCORDANCE WITH THE RESTRICTIONS SET FORTH IN THE INDENTURE REFERRED TO ON THE REVERSE HEREOF. 

[[FOR REGULATION S GLOBAL NOTE ONLY] UNTIL 40 DAYS AFTER THE LATER OF COMMENCEMENT OR COMPLETION OF THE OFFERING, AN OFFER OR SALE OF
SECURITIES WITHIN THE UNITED STATES BY A DEALER (AS DEFINED IN THE SECURITIES ACT OF 1933 (THE “SECURITIES ACT”)) MAY VIOLATE THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT IF SUCH OFFER OR SALE IS MADE OTHERWISE THAN IN ACCORDANCE
WITH RULE 144A THEREUNDER.] 
 [Restricted Notes Legend] 

THIS NOTE (OR ITS PREDECESSOR) WAS ORIGINALLY ISSUED IN A TRANSACTION EXEMPT FROM REGISTRATION UNDER THE UNITED STATES SECURITIES ACT OF 1933
(THE “SECURITIES ACT”), AND THIS NOTE MAY NOT BE OFFERED, SOLD OR OTHERWISE TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN APPLICABLE EXEMPTION THEREFROM. EACH PURCHASER OF THIS NOTE IS HEREBY NOTIFIED THAT THE SELLER OF THIS NOTE
MAY BE RELYING ON THE EXEMPTION FROM THE PROVISIONS OF SECTION 5 OF THE SECURITIES ACT PROVIDED BY RULE 144A THEREUNDER. 
 THE HOLDER
OF THIS NOTE AGREES FOR THE BENEFIT OF THE COMPANY THAT (A) THIS NOTE MAY BE OFFERED, RESOLD, PLEDGED OR OTHERWISE TRANSFERRED, ONLY (I) TO THE COMPANY, (II) IN THE UNITED STATES TO A PERSON WHOM THE SELLER REASONABLY BELIEVES IS A
QUALIFIED INSTITUTIONAL BUYER (AS DEFINED IN RULE 144A UNDER THE SECURITIES ACT) IN A TRANSACTION MEETING THE REQUIREMENTS OF RULE 144A, (III) TO AN INSTITUTIONAL “ACCREDITED INVESTOR” WITHIN THE MEANING OF RULE 501(a)
(1), (2), (3), (7) AND (8) UNDER THE SECURITIES ACT THAT IS AN INSTITUTIONAL INVESTOR ACQUIRING THE NOTE FOR ITS OWN 

  
 Ex. 1-1 








 
ACCOUNT OR FOR THE ACCOUNT OF SUCH AN INSTITUTIONAL “ACCREDITED INVESTOR,” IN EACH CASE IN A MINIMUM PRINCIPAL AMOUNT OF $250,000, (IV) OUTSIDE THE UNITED STATES IN AN OFFSHORE
TRANSACTION IN ACCORDANCE WITH RULE 904 UNDER THE SECURITIES ACT, (V) PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT PROVIDED BY RULE 144 THEREUNDER (IF AVAILABLE) OR (VI) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT
UNDER THE SECURITIES ACT, IN EACH OF CASES (I) THROUGH (VI) IN ACCORDANCE WITH ANY APPLICABLE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES, AND (B) THE HOLDER WILL, AND EACH SUBSEQUENT HOLDER IS REQUIRED TO, NOTIFY ANY PURCHASER OF
THIS NOTE FROM IT OF THE RESALE RESTRICTIONS REFERRED TO IN (A) ABOVE. 
 [[FOR REGULATION S GLOBAL NOTE ONLY] THIS NOTE (OR ITS
PREDECESSOR) WAS ORIGINALLY ISSUED IN A TRANSACTION ORIGINALLY EXEMPT FROM REGISTRATION UNDER THE U.S. SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND MAY NOT BE TRANSFERRED IN THE UNITED STATES OR TO, OR FOR THE ACCOUNT OR
BENEFIT OF, ANY U.S. PERSON EXCEPT PURSUANT TO AN AVAILABLE EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND ALL APPLICABLE STATE SECURITIES LAWS. TERMS USED ABOVE HAVE THE MEANINGS GIVEN TO THEM IN REGULATION S UNDER THE
SECURITIES ACT.] 
 [Certificated Notes Legend] 

IN CONNECTION WITH ANY TRANSFER, THE HOLDER WILL DELIVER TO THE NOTE REGISTRAR SUCH CERTIFICATES AND OTHER INFORMATION AS THE COMPANY MAY
REASONABLY REQUIRE TO CONFIRM THAT THE TRANSFER COMPLIES WITH THE FOREGOING RESTRICTIONS. 

  
 Ex. 1-2 








 5.375% SENIOR NOTES DUE 2022 

CUSIP                     

ISIN                     

No.          

$         

MOLINA HEALTHCARE, INC. 
 promises to pay
to [CEDE & CO., INC.]* or registered assigns, the principal sum of                      Dollars
($        ) [as may be increased or decreased as set forth on the attached Schedule of Exchanges of Interests in Global Note] on November 15, 2022. 

Interest Payment Dates: May 15 and November 15, commencing May 15, 2016. 

Record Dates: May 1 and November 1. 
 Dated:
            , 20     
  

	*	Only applicable if there is a Global Note. 


  
 Ex. 1-3 








 IN WITNESS WHEREOF, the Company has caused this Note to be signed manually or by facsimile by its
duly authorized officers. 
  

			
	MOLINA HEALTHCARE, INC.
		
	By:	 	  

	Name:	 	
	Title:	 	
		
	By:	 	  

	Name:	 	
	Title:	 	



  
 Ex. 1-4 








 This Trustee Certificate of Authentication is for one of the Notes referred to in the within-mentioned Indenture.

  

			
	U.S. BANK NATIONAL ASSOCIATION, as Trustee
		
	By:	 	  

		 	Authorized Signatory
	
	Dated:              , 20    


  
 Ex. 1-5 








 [FORM OF REVERSE SIDE OF INITIAL NOTE] 

5.375% Senior Notes due 2022 

Capitalized terms used herein shall have the meanings assigned to them in the Indenture referred to below unless otherwise indicated. 

1. Interest. Molina Healthcare, Inc., a Delaware corporation (the “Company”), promises to pay
interest and Additional Interest, if any, on the principal amount of this Note at 5.375% per annum until maturity. The Company shall pay interest and Additional Interest, if any, semi-annually on May 15 and November 15 of each year,
or if any such day is not a Business Day, on the next succeeding Business Day (each an “Interest Payment Date”) and no interest shall accrue on such payment as the result of such delay. Interest and Additional Interest, if
any, shall accrue from the most recent date to which interest has been paid on the Notes (or one or more Predecessor Notes) or, if no interest has been paid, from November 10, 2015. The Company shall pay interest and Additional Interest, if
any, (including post-petition interest in any proceeding under any Bankruptcy Law) on overdue principal and premium, if any, from time to time at a rate per annum equal to the rate of interest under the Indenture and this Note; it shall pay interest
and Additional Interest, if any, (including post-petition interest in any proceeding under any Bankruptcy Law) on overdue installments of interest (without regard to any applicable grace periods), from time to time at the same rate to the extent
lawful. Interest shall be computed on the basis of a 360-day year of twelve 30-day months. The Holder of this Note is entitled to the benefits of the Registration Rights Agreement, dated November 10, 2015, among the Company, the Guarantors and
SunTrust Robinson Humphrey, Inc., as representative of the several Initial Purchasers (the “Registration Rights Agreement”), including with respect to Additional Interest 

2. Method of Payment. The Company shall pay interest and Additional Interest, if any, on the Notes (except defaulted
interest) to the Persons in whose name this Note (or one or more Predecessor Notes) is registered at the close of business on the May 1 or November 1 next preceding the Interest Payment Date, even if such Notes are cancelled after such
record date and on or before such Interest Payment Date, except as provided in Section 2.14 of the Indenture with respect to defaulted interest. The Notes shall be payable as to principal, premium, if any, and interest and Additional Interest,
if any, at the office or agency of the Company maintained for such purpose, or, at the option of the Company, payment of interest and Additional Interest, if any, may be made by check mailed to the Holders at their addresses set forth in the Note
Register; provided, however, that payment by wire transfer of immediately available funds shall be required with respect to principal of and interest and Additional Interest, if any, and premium, if any, on, all Global Notes and all
other Notes the Holders of which shall have provided wire transfer instructions to the Company or the Paying Agent. Such payment shall be in such coin or currency of the United States of America as at the time of payment is legal tender for payment
of public and private debts. 
 3. Paying Agent and Note Registrar. Initially, U.S. Bank National Association, the
Trustee under the Indenture, shall act as Paying Agent and Note Registrar. The Company may change any Paying Agent or Note Registrar without notice to any Holder. The Company or any of its Restricted Subsidiaries may act in any such capacity. 

4. Indenture. The Company issued the Notes under an Indenture dated as of November 10, 2015 (the
“Indenture”) among the Company, the Guarantors and the Trustee. The terms of the Notes include those stated in the Indenture and those made part of the Indenture by reference to the Trust Indenture Act of 1939, as amended (15
U.S. Code §§ 77aaa-77bbbb). The Notes are subject to all such terms, and Holders are referred to the Indenture and such Act for a statement of such terms. To the extent any provision of this Note conflicts with the express provisions of
the Indenture, the provisions of the Indenture shall govern and be controlling. 

  
 Ex. 1-6 








 5. Optional Redemption. 

(a) Except pursuant to clause (b) of this paragraph 5, the Notes shall not be redeemable at the option of the Company prior to
August 15, 2022 (three months prior to the maturity of the Notes). 
 (b) Prior to August 15, 2022 (three months prior to the
maturity of the Notes), the Company may on any one or more occasions redeem all or a part of the Notes, upon not less than 30 nor more than 60 days’ notice, at a Redemption Price equal to 100% of the principal amount of the Notes redeemed, plus
the Applicable Premium as of, and accrued and unpaid interest, if any, and Additional Interest, if any, to, but not including, the Redemption Date (subject to the rights of Holders of Notes on the relevant record date to receive interest and
Additional Interest, if any, due on the relevant interest payment date). 
 (c) On or after August 15, 2022 (three months prior to the
date of maturity of the Notes), the Company may on any one or more occasions redeem all or a part of the Notes, upon not less than 30 nor more than 60 days’ notice, at a Redemption Price equal to 100% of the principal amounts of the Notes
redeemed, plus accrued and unpaid interest, if any, and Additional Interest, if any, to, but not including, the Redemption Date (subject to the rights of Holders of Notes on the relevant record date to receive interest due on the relevant interest
payment date). 
 6. Mandatory Redemption. Except as set forth in Sections 4.12 and 4.16 of the Indenture, the Company
shall not be required to make mandatory redemption or sinking fund payments with respect to the Notes. 
 7. Repurchase at Option of
Holder. 
 (a) Upon the occurrence of a Change of Control, Article 3 and Section 4.16 of the Indenture
shall apply to the extent applicable. 
 (b) If the Company or any of its Restricted Subsidiaries consummates an Asset Sale, Article 3 and
Section 4.12 of the Indenture shall apply to the extent applicable. 
 8. Notice of Redemption. Notice of
redemption shall be mailed at least 30 days but not more than 60 days before the Redemption Date to each Holder whose Notes are to be redeemed at its registered address. Notes in denominations larger than $2,000 may be redeemed in part but only in
whole multiples of $1,000 in excess of $2,000, unless all of the Notes held by a Holder are to be redeemed. Unless the Company defaults in the payment of the Redemption Price, interest shall cease to accrue on the Notes or portions thereof called
for redemption on the applicable Redemption Date. 
 9. Denominations, Transfer, Exchange. The Notes are in registered
form without coupons in minimum denominations of $2,000 and integral multiples of $1,000 in excess of $2,000. The transfer of Notes may be registered and Notes may be exchanged as provided in the Indenture. The Note Registrar and the Trustee may
require a Holder, among other things, to furnish appropriate endorsements and transfer documents and the Company may require a Holder to pay any taxes and fees required by law or permitted by the Indenture. The Company need not exchange or register
the transfer of any Note or portion of a Note selected for redemption, except for the unredeemed portion of any Note being redeemed in part. Also, the Company need not exchange or register the transfer of any Notes for a period of 15 days before a
selection of Notes to be redeemed or during the period between a record date and the corresponding Interest Payment Date. 

  
 Ex. 1-7 








 10. Persons Deemed Owners. The registered Holder of a Note may be treated as
its owner for all purposes. 
 11. Amendment, Supplement and Waiver. The Indenture, Notes or Subsidiary Guarantees may
be amended or supplemented as provided in the Indenture. 
 12. Defaults and Remedies. The Events of Default relating
to the Notes are defined in Section 6.01 of the Indenture. If any Event of Default occurs and is continuing, the Trustee or the Holders of at least 25% in aggregate principal amount of the then outstanding Notes may declare the principal,
premium, if any, and accrued and unpaid interest and Additional Interest, if any, of all the outstanding Notes to be due and payable immediately. Notwithstanding the foregoing, in the case of an Event of Default arising from certain events of
bankruptcy or insolvency described in the Indenture, all outstanding Notes shall become due and payable immediately without further action or notice. Subject to certain limitations, Holders of at least a majority in aggregate principal amount of the
then outstanding Notes may direct the Trustee in its exercise of any trust or power. 
 The Holders of at least a majority in aggregate
principal amount of the Notes then outstanding by notice to the Trustee may on behalf of the Holders of all of the Notes waive any existing Default or Event of Default and its consequences under the Indenture, except a continuing Default or Event of
Default in the payment of interest on, or the principal of, the Notes, and rescind any acceleration and its consequences with respect to the Notes. 

The Company is required to deliver to the Trustee annually a statement regarding compliance with the Indenture, and the Company is required
within 30 days of becoming aware of any Default or Event of Default, to deliver to the Trustee a statement specifying such Default or Event of Default. 

13. Trustee Dealings with Company. Subject to certain limitations, the Trustee in its individual or any other capacity
may become the owner or pledgee of Notes and may otherwise deal with the Company or any Affiliate of the Company with the same rights it would have if it were not Trustee. 

14. No Recourse Against Others. No past, present or future director, officer, incorporator, employee or stockholder of
the Company or any Restricted Subsidiary, as such, shall have any liability for any Obligations of the Company or any Restricted Subsidiary under the Notes, the Subsidiary Guarantees, the Indenture or for any claim based on, in respect of, or by
reason of, such Obligations or their creation. Each Holder by accepting a Note waives and releases all such liability. 
 15.
Authentication. This Note shall not be valid until authenticated by manual signature of the Trustee or an authenticating agent. 

16. Abbreviations. Customary abbreviations may be used in the name of a Holder or an assignee, such as: TEN COM (=
tenants in common), TEN ENT (= tenants by the entireties), JT TEN (= joint tenants with right of survivorship and not as tenants in common), CUST (= Custodian), and U/G/M/A (= Uniform Gifts to Minors Act). 

17. CUSIP and ISIN Numbers. The Company has caused CUSIP and ISIN numbers to be printed on the Notes and has directed the
Trustee to use CUSIP and ISIN numbers in notices of redemption as a convenience to Holders. No representation is made as to the accuracy of such numbers either as printed on the Notes or as contained in any notice of redemption and reliance may be
placed only on the other identification numbers placed thereon. 

  
 Ex. 1-8 








 18. Holders’ Compliance with the Registration Rights Agreement. Each Holder of
a Note, by acceptance hereof, acknowledges and agrees to the provisions of the Registration Rights Agreement, including the obligation of the Holders with respect to a registration and the indemnification of the Company to the extent provided
therein. 
 19. Governing Law. THE LAWS OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS NOTE WITHOUT
GIVING EFFECT TO APPLICABLE PRINCIPALS OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 

The Company shall furnish to any Holder upon written request and without charge a copy of the Indenture and the Registration Rights Agreement.
Requests may be made to: 
 Molina Healthcare, Inc. 

200 Oceangate, Suite 100 
 Long
Beach, CA 90802 
 Attention: Joseph White, Chief Accounting Officer 

Telecopier No.: (562) 499-0612 

  
 Ex. 1-9 








 EXHIBIT 2 

to Rule 144A / Regulation S Appendix 

ASSIGNMENT/TRANSFER FORM 
 To assign and transfer
this Note, fill in the form below: 
  

			
	I or we assign and transfer this Note to	 	  

		 	(Print or type assignee’s name, address and zip code)
	
	  
 (Insert
assignee’s soc. sec. or tax I.D. No.)

	
	and irrevocably appoint                      agent to transfer this Note on the books of the Company. The agent
may substitute another to act for him.

  

							
	Date:                     	 		 	Your Signature:	 	  

		 		 		 	(Sign exactly as your name appears on the other side of this Note.)

 In connection with any transfer of this Note occurring prior to the date which is the date following the expiration of the
applicable holding period set forth in Rule 144(d) of the Securities Act of 1933, as amended (the “Securities Act”), of this Note, the undersigned confirms that it has not utilized any general solicitation or general
advertising in connection with such transfer, is making such transfer in accordance with the applicable securities laws of the States of the United States and other jurisdictions and is making such transfer pursuant to one of the following: 

CHECK ONE BOX BELOW 
  

					
	  ̈
	    	(1)	    	to the Company; or
			
	  ̈
	    	(2)	    	in the United States to a person whom the seller reasonably believes is a “qualified institutional buyer” (as defined in Rule 144A under the Securities Act) in a transaction meeting the requirements of Rule 144A;
or
			
	  ̈
	    	(3)	    	to an institutional “accredited investor” within the meaning of Rule 501(a) (1), (2), (3), (7) and (8) under the Securities Act that is an institutional investor acquiring the note for its own account or for the account of
such an institutional “accredited investor,” in each case in a minimum principal amount of $250,000; or
			
	  ̈
	    	(4)	    	outside the United States in an offshore transaction in accordance with Rule 904 under the Securities Act; or
			
	  ̈
	    	(5)	    	pursuant to an exemption from registration under the Securities Act provided by Rule 144 thereunder (if available); or
			
	  ̈
	    	(6)	    	pursuant to an effective registration statement under the Securities Act.


  
 Ex. 2-1 








 Unless one of the boxes is checked, the Trustee shall refuse to register the Note evidenced by this certificate
in the name of any person other than the registered holder thereof; provided, however, that if box (5) is checked, the Trustee shall be entitled to require, prior to registering any such transfer of this Note, such legal opinions,
certifications and other information as the Company have reasonably requested to confirm that such transfer is being made pursuant to an exemption from, or in a transaction not subject to, the registration requirements of the Securities Act, such as
the exemption provided by Rule 144 under such Act. 
  

	
	  
 Signature

	
	Signature Guarantee:

  

					
	  
 Signature must be
guaranteed
	 		 	  
 Signature


 Signatures must be guaranteed by an “eligible guarantor institution” meeting the requirements of the
Note Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or such other “signature guarantee program” as may be determined by the Note Registrar in addition
to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended. 

  
 Ex. 2-2 








 TO BE COMPLETED BY PURCHASER IF (2) ABOVE IS CHECKED. 

The undersigned represents and warrants that it is purchasing this Note for its own account or an account with respect to which it exercises
sole investment discretion and that it and any such account is a “qualified institutional buyer” within the meaning of Rule 144A under the Securities Act, and is aware that the sale to it is being made in reliance on Rule 144A and
acknowledges that it has received such information regarding the Company as the undersigned has requested pursuant to Rule 144A or has determined not to request such information and that it is aware that the transferor is relying upon the
undersigned’s foregoing representations in order to claim the exemption from registration provided by Rule 144A. 
  

							
	 Date:                     
	 		 		 	  

		 		 		 	Name:
		 		 		 	Title:
		 		 		 	Name of Entity:
		 		 		 	Notice: To be executed by an executive officer


  
 Ex. 2-3 








 [TO BE ATTACHED TO GLOBAL NOTES] 

SCHEDULE OF EXCHANGES OF INTERESTS IN GLOBAL NOTE 

The following exchanges of a part of this Global Note for an interest in another Global Note or for a Definitive Note, or exchanges of a part
of another Global Note or Definitive Note for an interest in this Global Note, have been made: 
  

									
	 Date of

Exchange
	  	Amount of decrease in
Principal Amount of
this Global Note	  	Amount of increase in
Principal Amount of
this Global Note	  	Principal Amount of
this Global Note
following such decrease
(or increase)	  	Signature of authorized
signatory of Trustee or
Note Custodian
		  		  		  		  	
		  		  		  		  	
		  		  		  		  	


  
 Ex. 2-4 








 OPTION OF HOLDER TO ELECT PURCHASE 

If you want to elect to have this Note purchased by the Company pursuant to Section 4.12 or 4.16 of the Indenture, check the applicable
box below: 
  

	 	 ̈	Section 4.12 

  

	 	 ̈	Section 4.16 

 If you want to elect to have only part of the Note purchased by the Company
pursuant to Section 4.12 or Section 4.16 of the Indenture, as applicable, state the amount you elect to have purchased: $        . 

 

							
	Date:                     	 		 	Your signature:	 	  

		 		 	(Sign exactly as your name appears on the Note)
			
		 		 	Tax Identification No.:
		 		 	  

			
		 		 	SIGNATURE GUARANTEE
			
		 		 	  
 Signatures must be
guaranteed by an “eligible guarantor institution” meeting the requirements of the Note Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or
such other “signature guarantee program” as may be determined by the Note Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended.



  
 Ex. 2-5 








 EXHIBIT 3 

to Rule 144A / Regulation S Appendix 

FORM OF NON-U.S. BENEFICIAL OWNERSHIP 

CERTIFICATION BY EUROCLEAR OR CLEARSTREAM 

[Date] 
 U.S. Bank National Association 

633 West Fifth Street, 24th Floor 

Los Angeles, CA 90071 
 Fax: (213) 615-6197 

 

	Re:	5.375% Senior Notes Due 2022 (the “Notes”) of Molina Healthcare, Inc. (the “Company”) 


Reference is hereby made to the Indenture, dated as of November 10, 2015 (as amended and supplemented from time to time, the
“Indenture”), among the Company, the Guarantors named therein and U.S. Bank National Association, as Trustee. Capitalized terms used but not defined herein shall have the meanings given them in the Indenture. 

This is to certify with respect to $         principal amount of the Notes that, except as set forth
below, we have received in writing, by tested telex or by electronic transmission, from member organizations appearing in our records as persons being entitled to a portion of such principal amount (our “Member
Organizations”) certifications with respect to such portion, that such portion is beneficially owned by (a) non-U.S. person(s) or (b) U.S. person(s) who purchased the portion beneficially owned by such U.S. person(s) in
transactions that did not require registration under the Securities Act of 1933, as amended (the “Act”). As used in this paragraph the term “U.S. person” has the meaning given to it by Regulation S under the Act.

 We further certify: 

(i) that we are not making available herewith for exchange (or, if relevant, exercise of any rights or collection of any
interest) any portion of the Regulation S Global Note excepted in such certifications; and 
 (ii) that as of the date hereof
we have not received any notification from any of our Member Organizations to the effect that the statements made by such Member Organizations with respect to any portion of the part submitted herewith for exchange (or, if relevant, exercise of any
rights or collection of any interest) are no longer true and cannot be relied upon as the date hereof. 
 We understand that this
certification is required in connection with certain securities laws of the United States. In connection therewith, if administrative or legal proceedings are commenced or threatened in connection with which this certification is or would be
relevant, we irrevocably authorize you or the Company to produce this certification to any interested party in such proceedings. 

  
 Ex. 3-1 








 Dated:             , 20     

 

			
	Yours faithfully,
	
	[Euroclear or Clearstream Luxembourg]
		
	By:	 	  




  
 Ex. 3-2 








 EXHIBIT A 

[FORM OF FACE OF EXCHANGE NOTE]1 

 
  

	1 	[If the Note is to be issued in global form add the Global Notes Legend from Exhibit 1 and the attachment from such Exhibit 1 captioned “[TO BE ATTACHED TO GLOBAL NOTES] SCHEDULE A - INCREASES OR DECREASES IN
GLOBAL NOTE.”] 


  
 Ex. A-1 








 5.375% SENIOR NOTES DUE 2022 

CUSIP                     

ISIN                     

No.          

$         

MOLINA HEALTHCARE, INC. 
 promises to pay
to [CEDE & CO., INC.]* or registered assigns, the principal sum of                      Dollars
($        ) [as may be increased or decreased as set forth on the attached Schedule of Exchanges of Interests in Global Note] on November 15, 2022. 

Interest Payment Dates: May 15 and November 15, commencing May 15, 2016. 

Record Dates: May 1 and November 1. 
 Dated:
            , 20     
  

	*	Only applicable if there is a Global Note. 


  
 Ex. A-2 








 IN WITNESS WHEREOF, the Company has caused this Note to be signed manually or by facsimile by its
duly authorized officers. 
  

			
	MOLINA HEALTHCARE, INC.
		
	By:	 	  

	Name:	 	
	Title:	 	
		
	By:	 	  

	Name:	 	
	Title:	 	



  
 Ex. A-3 








 This Trustee Certificate of Authentication is for one of the Notes referred to in the within-mentioned Indenture:

  

			
	U.S. BANK NATIONAL ASSOCIATION, as Trustee
		
	By:	 	  

		 	Authorized Signatory
	
	Dated:              , 20    


  
 Ex. A-4 








 [FORM OF REVERSE SIDE OF EXCHANGE NOTE] 

5.375% Senior Notes due 2022 

Capitalized terms used herein shall have the meanings assigned to them in the Indenture referred to below unless otherwise indicated. 

1. Interest. Molina Healthcare, Inc., a Delaware corporation (the “Company”),
promises to pay interest [and Additional Interest]2, if any, on the principal amount of this Note at 5.375% per annum until maturity. The Company shall pay interest [and Additional
Interest], if any, semi-annually on May 15 and November 15 of each year, or if any such day is not a Business Day, on the next succeeding Business Day (each an “Interest Payment Date”). Interest [and Additional
Interest], if any, shall accrue from the most recent date to which interest has been paid on the Notes (or one or more Predecessor Notes) or, if no interest has been paid, from November 10, 2015. The Company shall pay interest [and Additional
Interest], if any, (including post-petition interest in any proceeding under any Bankruptcy Law) on overdue principal and premium, if any, from time to time at a rate per annum equal to the rate of interest
under the Indenture and this Note; it shall pay interest [and Additional Interest], if any, (including post-petition interest in any proceeding under any Bankruptcy Law) on overdue installments of interest (without regard to any applicable grace
periods), from time to time at the same rate to the extent lawful. Interest shall be computed on the basis of a 360-day year of twelve 30-day months. [The Holder of this Note is entitled to the benefits of the Registration Rights Agreement, dated
November 10, 2015, among the Company, the Guarantors and SunTrust Robinson Humphrey, Inc., as representative of the several Initial Purchasers (the “Registration Rights Agreement”), including with respect to Additional Interest.]3 
 2. Method of Payment. The Company shall pay interest [and
Additional Interest], if any, on the Notes (except defaulted interest) to the Persons in whose name this Note (or one or more Predecessor Notes) is registered at the close of business on the May 1 or November 1 next preceding the Interest
Payment Date, even if such Notes are cancelled after such record date and on or before such Interest Payment Date, except as provided in Section 2.14 of the Indenture with respect to defaulted interest. The Notes shall be payable as to
principal, premium, if any, and interest [and Additional Interest], if any, at the office or agency of the Company maintained for such purpose, or, at the option of the Company, payment of interest [and Additional Interest], if any, may be made by
check mailed to the Holders at their addresses set forth in the Note Register; provided, however, that payment by wire transfer of immediately available funds shall be required with respect to principal of and interest [and Additional
Interest], if any, and premium, if any, on, all Global Notes and all other Notes the Holders of which shall have provided wire transfer instructions to the Company or the Paying Agent. Such payment shall be in such coin or currency of the United
States of America as at the time of payment is legal tender for payment of public and private debts. 
  

 

	2 	Insert all references to Additional Interest if at the date of issuance of the Exchange Note the Company and the Guarantors have failed to fulfill their obligations under Section 2 or Section 3 of the
Registration Rights Agreement with respect to the related Initial Notes during the interest period in which such date of issuance occurs. 


	3 	Insert if at the date of issuance of the Exchange Note the Company and the Guarantors have failed to fulfill their obligations under Section 2 or Section 3 of the Registration Rights Agreement with respect to
the related Initial Notes during the interest period in which such date of issuance occurs. 


  
 Ex. A-5 








 3. Paying Agent and Note Registrar. Initially, U.S. Bank National
Association, the Trustee under the Indenture, shall act as Paying Agent and Note Registrar. The Company may change any Paying Agent or Note Registrar without notice to any Holder. The Company or any of its Restricted Subsidiaries may act in any such
capacity. 
 4. Indenture. The Company issued the Notes under an Indenture dated as of November 10, 2015 (the
“Indenture”) among the Company, the Guarantors and the Trustee. The terms of the Notes include those stated in the Indenture and those made part of the Indenture by reference to the Trust Indenture Act of 1939, as amended (15
U.S. Code §§ 77aaa-77bbbb). The Notes are subject to all such terms, and Holders are referred to the Indenture and such Act for a statement of such terms. To the extent any provision of this Note conflicts with the express provisions of
the Indenture, the provisions of the Indenture shall govern and be controlling. 
 5. Optional Redemption. 

(a) Except pursuant to clause (b) of this paragraph 5, the Notes shall not be redeemable at the option of the Company prior to
August 15, 2022 (three months prior to the maturity of the Notes). 
 (b) Prior to August 15, 2022 (three months prior to the
maturity of the Notes), the Company may on any one or more occasions redeem all or a part of the Notes, upon not less than 30 nor more than 60 days’ notice, at a Redemption Price equal to 100% of the principal amount of the Notes redeemed, plus
the Applicable Premium as of, and accrued and unpaid interest, if any, [and Additional Interest, if any,] to, but not including, the Redemption Date (subject to the rights of Holders of Notes on the relevant record date to receive interest [and
Additional Interest], if any, due on the relevant interest payment date). 
 (c) On or after August 15, 2022 (three months prior to the
date of maturity of the Notes), the Company may on any one or more occasions redeem all or a part of the Notes, upon not less than 30 nor more than 60 days’ notice, at a Redemption Price equal to 100% of the principal amounts of the Notes
redeemed, plus accrued and unpaid interest, if any, [and Additional Interest, if any,] to, but not including, the Redemption Date (subject to the rights of Holders of Notes on the relevant record date to receive interest due on the relevant interest
payment date). 
 6. Mandatory Redemption. Except as set forth in Sections 4.12 and 4.16 of the Indenture, the Company
shall not be required to make mandatory redemption or sinking fund payments with respect to the Notes. 
 7. Repurchase at Option of
Holder. 
 (a) Upon the occurrence of a Change of Control, Article 3 and Section 4.16 of the Indenture shall apply to the
extent applicable. 
 (b) If the Company or any of its Restricted Subsidiaries consummates an Asset Sale, Article 3 and Section 4.12 of
the Indenture shall apply to the extent applicable. 
 8. Notice of Redemption. Notice of redemption shall be mailed at
least 30 days but not more than 60 days before the Redemption Date to each Holder whose Notes are to be redeemed at its registered address. Notes in denominations larger than $2,000 may be redeemed in part but only in whole multiples of $1,000 in
excess of $2,000, unless all of the Notes held by a Holder are to be redeemed. Unless the Company defaults in the payment of the Redemption Price, interest shall cease to accrue on the Notes or portions thereof called for redemption on the
applicable Redemption Date. 

  
 Ex. A-6 








 9. Denominations, Transfer, Exchange. The Notes are in registered form
without coupons in denominations of $2,000 and integral multiples of $1,000 in excess of $2,000. The transfer of Notes may be registered and Notes may be exchanged as provided in the Indenture. The Note Registrar and the Trustee may require a
Holder, among other things, to furnish appropriate endorsements and transfer documents and the Company may require a Holder to pay any taxes and fees required by law or permitted by the Indenture. The Company need not exchange or register the
transfer of any Note or portion of a Note selected for redemption, except for the unredeemed portion of any Note being redeemed in part. Also, the Company need not exchange or register the transfer of any Notes for a period of 15 days before a
selection of Notes to be redeemed or during the period between a record date and the corresponding Interest Payment Date. 
 10.
Persons Deemed Owners. The registered Holder of a Note may be treated as its owner for all purposes. 
 11.
Amendment, Supplement and Waiver. The Indenture, Notes or Subsidiary Guarantees may be amended or supplemented as provided in the Indenture. 

12. Defaults and Remedies. The Events of Default relating to the Notes are defined in Section 6.01 of the Indenture.
If any Event of Default occurs and is continuing, the Trustee or the Holders of at least 25% in aggregate principal amount of the then outstanding Notes may declare the principal, premium, if any, and accrued and unpaid interest [and Additional
Interest], if any, of all the outstanding Notes to be due and payable immediately. Notwithstanding the foregoing, in the case of an Event of Default arising from certain events of bankruptcy or insolvency described in the Indenture, all outstanding
Notes shall become due and payable immediately without further action or notice. Subject to certain limitations, Holders of at least a majority in aggregate principal amount of the then outstanding Notes may direct the Trustee in its exercise of any
trust or power. 
 The Holders of at least a majority in aggregate principal amount of the Notes then outstanding by notice to the Trustee
may on behalf of the Holders of all of the Notes waive any existing Default or Event of Default and its consequences under the Indenture, except a continuing Default or Event of Default in the payment of interest on, or the principal of, the Notes,
and rescind any acceleration and its consequences with respect to the Notes. 
 The Company is required to deliver to the Trustee annually a
statement regarding compliance with the Indenture, and the Company is required within 30 days of becoming aware of any Default or Event of Default, to deliver to the Trustee a statement specifying such Default or Event of Default. 

13. Trustee Dealings with Company. Subject to certain limitations, the Trustee in its individual or any other capacity
may become the owner or pledgee of Notes and may otherwise deal with the Company or any Affiliate of the Company with the same rights it would have if it were not Trustee. 

14. No Recourse Against Others. No past, present or future director, officer, incorporator, employee or stockholder of
the Company or any Restricted Subsidiary, as such, shall have any liability for any Obligations of the Company or any Restricted Subsidiary under the Notes, the Subsidiary Guarantees, the Indenture or for any claim based on, in respect of, or by
reason of, such Obligations or their creation. Each Holder by accepting a Note waives and releases all such liability. 
 15.
Authentication. This Note shall not be valid until authenticated by manual signature of the Trustee or an authenticating agent. 

  
 Ex. A-7 








 16. Abbreviations. Customary abbreviations may be used in the name of a
Holder or an assignee, such as: TEN COM (= tenants in common), TEN ENT (= tenants by the entireties), JT TEN (= joint tenants with right of survivorship and not as tenants in common), CUST (= Custodian), and U/G/M/A (= Uniform Gifts to Minors Act).

 17. CUSIP and ISIN Numbers. The Company has caused CUSIP and ISIN numbers to be printed on the Notes and has
directed the Trustee to use CUSIP and ISIN numbers in notices of redemption as a convenience to Holders. No representation is made as to the accuracy of such numbers either as printed on the Notes or as contained in any notice of redemption and
reliance may be placed only on the other identification numbers placed thereon. 
 18. Holders’ Compliance with the Registration
Rights Agreement. Each Holder of a Note, by acceptance hereof, acknowledges and agrees to the provisions of the Registration Rights Agreement, including the obligation of the Holders with respect to a registration and the indemnification of
the Company to the extent provided therein. 
 19. Governing Law. THE LAWS OF THE STATE OF NEW YORK SHALL GOVERN AND BE
USED TO CONSTRUE THIS NOTE WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPALS OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 

  
 Ex. A-8 








 Assignment Form 

To assign this Note, fill in the form below: 
 (I) or (we)
assign and transfer this Note to 
  

							
	  
 (Insert assignee’s
social security or other tax I.D. no.)
	  	
		
	  
 (Print or type
assignee’s name, address and zip code)
	  	
				
	and	  	irrevocably	  	appoint	  	
	  
	  	
	
	as agent to transfer this Note on the books of the Company. The agent may substitute another to act for him.

  

							
	Date:                     	 		 	Your signature:	 	  

		 		 	(Sign exactly as your name appears on the face of this Note)
				
		 		 	Signature Guarantee:	 	  


 Signature must be guaranteed by a participant in a recognized signature guaranty medallion program or other
signature guarantor acceptable to the Trustee. 

  
 Ex. A-9 








 OPTION OF HOLDER TO ELECT PURCHASE 

If you want to elect to have this Note purchased by the Company pursuant to Section 4.12 or 4.16 of the Indenture, check the applicable
box below: 
  

	 	 ̈	Section 4.12 

  

	 	 ̈	Section 4.16 

 If you want to elect to have only part of the Note purchased by the Company
pursuant to Section 4.12 or Section 4.16 of the Indenture, as applicable, state the amount you elect to have purchased: $        . 

 

							
	Date:                     	 		 	Your signature:	 	  

		 		 	(Sign exactly as your name appears on the Note)
			
		 		 	Tax Identification No.:
		 		 	  

			
		 		 	SIGNATURE GUARANTEE
			
		 		 	  
 Signatures must be
guaranteed by an “eligible guarantor institution” meeting the requirements of the Note Registrar, which requirements include membership or participation in the Security Transfer Agent Medallion Program (“STAMP”) or
such other “signature guarantee program” as may be determined by the Note Registrar in addition to, or in substitution for, STAMP, all in accordance with the Securities Exchange Act of 1934, as amended.



  
 Ex. A-10 








 EXHIBIT B 

FORM OF NOTATION OF GUARANTEE 
 For value
received, each Guarantor (which term includes any successor Person under the Indenture), jointly and severally, unconditionally guarantees, to the extent set forth in, and subject to the provisions of, the Indenture, dated as of November 10,
2015 (the “Indenture”), among Molina Healthcare, Inc., as issuer (the “Company”), the Guarantors listed on the signature pages thereto and U.S. Bank National Association, as trustee (the
“Trustee”), (a) the due and punctual payment of the principal of, premium, if any, and interest and Additional Interest, if any, on the Notes, whether at maturity, by acceleration, redemption or otherwise, the due and
punctual payment of interest and Additional Interest, if any, on overdue principal and premium, if any, and, to the extent permitted by law, interest and Additional Interest, if any, and the due and punctual performance of all other obligations of
the Company to the Holders or the Trustee all in accordance with the terms of the Indenture and (b) in case of any extension of time of payment or renewal of any Notes or any of such other obligations, that the same will be promptly paid in
full when due or performed in accordance with the terms of the extension or renewal, whether at stated maturity, by acceleration or otherwise. The obligations of the Guarantors to the Holders of Notes and to the Trustee pursuant to the Subsidiary
Guarantee and the Indenture are expressly set forth in Article 10 of the Indenture and reference is hereby made to the Indenture for the precise terms of the Guarantee. This Subsidiary Guarantee is subject to release as and to the extent set forth
in Sections 8.02, 8.03 and 10.05 of the Indenture. Each Holder of a Note, by accepting the same agrees to and shall be bound by such provisions. Capitalized terms used herein and not defined are used herein as so defined in the Indenture. 

  
 Ex. B-1 









			
	MOLINA INFORMATION SYSTEMS, LLC
		
	By:	 	  

	Name:	 	
	Title:	 	
	
	MOLINA MEDICAL MANAGEMENT, INC.
		
	By:	 	  

	Name:	 	
	Title:	 	



  
 Ex. B-2