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|   | BORROWER:                  |
|--------|----------------------------|
|   |                       |
|   | SYMMETRY      MEDICAL INC. |
|   |                       |
|   | By:                        |      |   |   |
|   |                       | Fred      L. Hite |
|   |                       | Chief      Financial Officer |
|   |                       |
|   | SUBSIDIARY GUARANTORS:     |
|   |                       |
|   | RILEY      MEDICAL INC.    |
|   |                       |
|   | By:                        |      |   |   |
|   |                       | Fred      L. Hite |
|   |                       | Vice      President |

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|   | SYMMETRY      MEDICAL EVEREST LLC                               |
|--------|-----------------------------------------------------------------|
|   | By:  Symmetry      Medical USA Inc., its Sole Member  |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Chief      Financial Officer |
|   |                                                            |
|   | TNCO,      INC.                                                 |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Vice      President |
|   |                                                            |
|   | SPECIALTY      SURGICAL INSTRUMENTATION, INC.                   |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Vice      President |
|   |                                                            |
|   | UCA,      LLC                                                   |
|   | By:  Symmetry      Medical USA, Inc., its Sole Member |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Senior      Vice President |
|   |                                                            |
|   | SYMMETRY      MEDICAL SSI REAL ESTATE LLC                       |
|   | By:  Symmetry      Medical USA, Inc., its Sole Member |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Senior      Vice President |
|   |                                                            |
|   | SYMMETRY      MEDICAL USA INC.                                  |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Chief      Financial Officer |
|   |                                                            |
|   | SYMMETRY      MEDICAL INTERNATIONAL INC.                        |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Chief      Financial Officer |
|   |                                                            |
|   | METTIS      GROUP INC                                           |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Chief      Financial Officer |
|   |                                                            |
|   | ULTREXX,      INC.                                              |
|   |                                                            |
|   | By:                                                             |      |   |   |
|   |                                                            | Fred      L. Hite |
|   |                                                            | Chief      Financial Officer |

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|   | JET      ENGINEERING, INC.                                                                                                                        |
|--------|---------------------------------------------------------------------------------------------------------------------------------------------------|
|   |                                                                                                                                              |
|   | By:                                                                                                                                               |      |   |   |
|   |                                                                                                                                              | Fred      L. Hite |
|   |                                                                                                                                              | Chief      Financial Officer |
|   |                                                                                                                                              |
|   | SMA      REAL ESTATE, LLC                                                                                                                         |
|   | By:  Symmetry      Medical USA Inc., its Sole Member                                                                                    |
|   |                                                                                                                                              |
|   | By:                                                                                                                                               |      |   |   |
|   |                                                                                                                                              | Fred      L. Hite |
|   |                                                                                                                                              | Chief      Financial Officer |
|   |                                                                                                                                              |
|   | SYMMETRY      MEDICAL NEW BEDFORD, LLC                                                                                                            |
|   | By:  TNCO,      Inc., Sole Member                                                                                                       |
|   |                                                                                                                                              |
|   | By:                                                                                                                                               |      |   |   |
|   |                                                                                                                                              | Fred      L. Hite |
|   |                                                                                                                                              | Vice      President |
|   |                                                                                                                                              |
|   | SYMMETRY      NEW BEDFORD REAL ESTATE, LLC                                                                                                        |
|   | By:  TNCO,      Inc., Sole Member                                                                                                       |
|   |                                                                                                                                              |   |
|   | By:                                                                                                                                               |      |   |   |
|   |                                                                                                                                              | Fred      L. Hite |
|   |                                                                                                                                              | Vice      President |
|   |                                                                                                                                              |
|   | WELLS FARGO BANK, NATIONAL      ASSOCIATION, as Administrative Agent and on behalf of the      Required Lenders pursuant to written authorization |
|   |                                                                                                                                              |
|   | By:                                                                                                                                               |      |   |
|   |                                                                                                                                              |      |   |
|   |                                                                                                                                              |      |   |

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