##### 



EXHIBIT 10.21
 Amendment No. 1 to Amended and Restated Security Agreement
 Amendment Debtor Secured Party
 Preliminary Statements
 Security Agreement
 Credit Agreement
   AMENDMENTS
  Credit Agreement
  REPRESENTATIONS




---



##### 



MISCELLANEOUS
    [SIGNATURE PAGE FOLLOWS]
 2




---



##### 



HearUSA, INC.By: /s/ Stephen J. HansbroughName: Stephen J. HansbroughTitle: President and CEOSIEMENS HEARING INSTRUMENTS, INC.By: /s/ William J. LankenauName: William J. LankenauTitle: President and CEO




---



##### 



[TO BE UPDATED]
 Notes PayableName
    
    Principal BalanceHearUSA, Inc.AHS/Charles Stone
    
    $
    57,180.74AHS/Jerri McMahon
    
    
    19,060.20Professional Hearing Care
    
    
    1,088,888.00Professional Hearing Aid Services
    
    
    182,811.00Lonsway Hearing Centers
    
    
    328,125.00Meadowbrook Hearing Aid Center
    
    
    112,500.00$5.5 million Notes
    
    
    5,060,000.00$7.5 million Notes
    
    
    7,500,000.00




---



##### 



COMMERCIAL TORT CLAIMS
 None




---



##### 



[TO BE UPDATED]
 1. Inventory & Equipment Locations :
 LOCATION
    
    PROPERTY
    
    TOWN
    
    
    
    ZIPNAME /#
    
    ADDRESS
    
    NAME
    
    STATE
    
    CODECORPORATE OFFICE
    
    1250 Northpoint Parkway
    
    West Palm Beach
    
    FL
    
    33407CALL CENTER
    
    1100 Northpoint Parkway
    
    West Palm Beach
    
    FL
    
    33407Corporate Warehouse
    
    901  Northpoint Parkway
    
    West Palm Beach
    
    FL
    
    3340719001
    
    3251 Hollywood Blvd., Ste. 424
    
    Hollywood
    
    FL
    
    3302119003
    
    911 Village Blvd.
    
    West Palm Beach
    
    FL
    
    3340919004
    
    15544 NW 77th Ct.
    
    Miami Lakes
    
    FL
    
    3301619005
    
    12385 Pembroke Road #102
    
    Pembroke Pines
    
    FL
    
    3302519007
    
    1001 East Commercial Blvd
    
    Oakland Park
    
    FL
    
    3333419008
    
    354 North Congress Avenue
    
    Boynton Beach
    
    FL
    
    3342619010
    
    7540 W. Commercial Blvd.
    
    Lauderhill
    
    FL
    
    3331919012
    
    2966 Aventura Blvd.
    
    City of Aventura
    
    FL
    
    3318019015
    
    8903 Glades Road
    
    Boca Raton
    
    FL
    
    3343419016
    
    3864 W. Hillsboro Blvd.
    
    Deerfield Beach
    
    FL
    
    3344219018
    
    7431-53/55 W. Atlantic Avenue
    
    Delray Beach
    
    FL
    
    3344619022
    
    11141 U.S. Highway 19 North, Suite 300
    
    Clearwater
    
    FL
    
    3462419024
    
    201 N. U.S. Hwy. #1
    
    Jupiter
    
    FL
    
    3347719038
    
    8947 SW 107th Avenue
    
    Miami
    
    FL
    
    3317619051
    
    3119-3121 Coral Way
    
    Miami
    
    FL
    
    3314519061
    
    2291-2293 S.E. Federal Hwy
    
    Stuart
    
    FL
    
    3499419063
    
    9070 S. Federal Highway
    
    Port St. Lucie
    
    FL
    
    3495219065
    
    7701 Lake Worth Road
    
    Lake Worth
    
    FL
    
    3346719080
    
    13178 Cortez Blvd
    
    Brooksville
    
    FL
    
    3461319082
    
    947 Tyrone Boulevard North
    
    St. Petersburg
    
    FL
    
    3371019083
    
    30220 - 222 US Highway 19 N
    
    Clearwater
    
    FL
    
    3376119084
    
    6428 Massachusetts Ave.
    
    New Port Richie
    
    FL
    
    3465319085
    
    4896 S. Tamiami Trail
    
    Sarasota
    
    FL
    
    3423119087
    
    8841 College Pkwy.
    
    Ft. Myers
    
    FL
    
    3391919088
    
    2000 Tamiami Trail #109
    
    Port Charlotte
    
    FL
    
    3394819091
    
    729 Cortaro Drive
    
    Ruskin
    
    FL
    
    3357319092
    
    3669 West Waters Avenue
    
    Tampa
    
    FL
    
    33614-278319093
    
    807 East Bloomingdale Ave.
    
    Brandon
    
    FL
    
    3351119094
    
    6936 Medical View Lane
    
    Zephyrhills
    
    FL
    
    33542-660219095
    
    5602 Cortez Road West
    
    Bradenton
    
    FL
    
    34210




---



##### 



LOCATION
    
    PROPERTY
    
    TOWN
    
    
    
    ZIPNAME /#
    
    ADDRESS
    
    NAME
    
    STATE
    
    CODE19202
    
    600 East Altamonte Dr.
    
    Altamonte Springs
    
    FL
    
    3270129000
    
    61 West Aurora Rd.
    
    Northfield
    
    OH
    
    4406729401
    
    5220 Harrison Avenue
    
    Cincinnati
    
    OH
    
    4523829402
    
    2651 Highland Avenue
    
    Cincinnati
    
    OH
    
    4521929403
    
    8040 Reading Road
    
    Cincinnati
    
    OH
    
    4523829412
    
    2865 Cranston Drive
    
    Dublin
    
    OH
    
    4301729414
    
    6415 East Livingston Avenue, Suite B
    
    Reynoldsburg
    
    OH
    
    4306829421
    
    2192 Stringtown Road
    
    Grove City
    
    OH
    
    4312329441
    
    697 Hopewell Drive
    
    Heath
    
    OH
    
    4305632301
    
    2566 Woodmeadow Drive SE
    
    Grand Rapids
    
    MI
    
    4954632670
    
    4369 Miller Road
    
    Flint
    
    MI
    
    4850732670
    
    17894 Mack Avenue #B
    
    Grosse Pointe
    
    MI
    
    4823032673
    
    3027 E. Hill Road
    
    Grand Blanc
    
    MI
    
    48439-813032674
    
    31815 Southfield Road
    
    Beverly Hills
    
    MI
    
    48025-547132675
    
    14700 Farmington Road
    
    Livonia
    
    MI
    
    4815432676
    
    2900 S State Street, Suite R6
    
    Ann Arbor
    
    MI
    
    48104-677232677
    
    1026 Professional Drive
    
    Flint
    
    MI
    
    4853232678
    
    288 W. Nepessing Street
    
    Lapeer
    
    MI
    
    4844633802
    
    6600 France Avenue South
    
    South Edina
    
    MN
    
    5534533811
    
    6465 Wayzata Boulevard.
    
    St. Louis Park
    
    MN
    
    5542635911
    
    729 Old Frontenac Square
    
    St. Louis
    
    MO
    
    6313135913
    
    12352 Olive Street
    
    Creve Coeur
    
    MO
    
    6314135914
    
    137 Flower Valley Center
    
    Florissant
    
    MO
    
    6303335915
    
    1368 S 5TH Street
    
    St Charles
    
    MO
    
    63301-244435916
    
    7225 Watson Road
    
    Shrewsbury
    
    MO
    
    6311935921
    
    1504 East Broadway
    
    Columbia
    
    MO
    
    6520135931
    
    183 Concord Plaza Shopping
    
    St. Louis
    
    MO
    
    63128-130740001
    
    6038-6040 Bergenline Avenue
    
    West New York
    
    NJ
    
    709340002
    
    66 N Route 17
    
    Paramus
    
    NJ
    
    765240003
    
    126 Main St.
    
    Princeton
    
    NJ
    
    854040004
    
    1817 Mt. Holly Road
    
    Burlington Township
    
    NJ
    
    801640005
    
    1455 Route 1
    
    Edison
    
    NJ
    
    883740006
    
    1800 Clements Bridge Road
    
    Deptford
    
    NJ
    
    809640007
    
    500 Route 38
    
    Cherry Hill
    
    NJ
    
    800240008
    
    Monmouth Mall - Space 1224
    
    Monmouth
    
    NJ
    
    772440009
    
    1500 Route 47 South
    
    Rio Grande
    
    NJ
    
    824240011
    
    709 South Broadway
    
    Pennsville
    
    NJ
    
    807040012
    
    77 Sunset Strip
    
    Succassunna
    
    NJ
    
    787640013
    
    167 Route 37 East & Hooper Ave
    
    Tom's River
    
    NJ
    
    875340014
    
    125 W. Main Street
    
    Somerville
    
    NJ
    
    887640015
    
    3 Penn Plaza
    
    Newark
    
    NJ
    
    71051080A Old Country Road42001
    
    405 Spring Street
    
    Riverhead
    
    NY
    
    11901




---



##### 



LOCATION
    
    PROPERTY
    
    TOWN
    
    
    
    ZIPNAME /#
    
    ADDRESS
    
    NAME
    
    STATE
    
    CODE42002
    
    420 Lexington Avenue
    
    New York
    
    NY
    
    1001742003
    
    456 East Fordham Road
    
    Bronx
    
    NY
    
    10458-687042004
    
    1832 Veteran's Memorial Highway
    
    Islandia
    
    NY
    
    1172242005
    
    200 East Post Road
    
    White Plains
    
    NY
    
    1045842006
    
    196 Glen Cove Road
    
    Carle Place
    
    NY
    
    11514-122242007
    
    2257 Emmons Ave.
    
    Brooklyn
    
    NY
    
    1123542008
    
    157-02 Cross Bay Boulevard
    
    Howard Beach
    
    NY
    
    1141442009
    
    500 Seaview Avenue
    
    Staten Island
    
    NY
    
    1030542011
    
    1776 Broadway, Suite 700
    
    New York
    
    NY
    
    1001942012
    
    91-31 Queens Boulevard
    
    Elmhurst
    
    NY
    
    1137342013
    
    355 Broadway
    
    Amityville
    
    NY
    
    1170142017
    
    354 E. Jericho Turnpike
    
    Mineola
    
    NY
    
    1150142201
    
    405 Spring Street
    
    Jamestown
    
    NY
    
    1470142202
    
    2646 West State Street
    
    Olean
    
    NY
    
    1476042203
    
    249 Main Street
    
    Arcade
    
    NY
    
    1400943651
    
    500 Congress Street
    
    Quincy
    
    MA
    
    216943652
    
    135 Massachusetts Avenue
    
    Arlington
    
    MA
    
    247443654
    
    11 Bedford Street, First Floor
    
    Burlington
    
    MA
    
    01803-370243655
    
    578 Main Street
    
    Malden
    
    MA
    
    214843658
    
    20 Holland Street
    
    Somerville
    
    MA
    
    214443659
    
    306 Main Street
    
    Wakefiled
    
    MA
    
    188043660
    
    7 Essex Green Drive
    
    Peabody
    
    MA
    
    196080601
    
    737 Parkdale Ave.
    
    Ottawa
    
    ON
    
    K1Y1J880602
    
    501 Smyth Road
    
    Ottawa
    
    ON
    
    K1H8L680603
    
    1224 Place D'Orleans Drive
    
    Orleans
    
    ON
    
    K1C7K380604
    
    1250 Main Street
    
    Stittsville
    
    ON
    
    K2S 1S980605
    
    595 Montreal Road, Suite 404B
    
    Vanier
    
    ON
    
    K1K4L280611
    
    501 Princess Street
    
    Kingston
    
    ON
    
    K7L1C380612
    
    147 Pinnacle Street
    
    Belleville
    
    ON
    
    K8N3A580613S
    
    64 Ontario Street
    
    Trenton
    
    ON
    
    K8V 6H980621
    
    600 Tecumseh, Suite 341
    
    Windsor
    
    ON
    
    N8X 4X980622S
    
    181 Toronto Road
    
    Port Hope
    
    ON
    
    L1A 3V580623
    
    119 Isabella Street
    
    Campbellford
    
    ON
    
    K0L 1L080625
    
    186 Talbot Street, South
    
    Essex
    
    ON
    
    N8M 1B680626
    
    11811 Tecumseh Rd. East, Suite 110
    
    Tecumseh
    
    ON
    
    N8M 4M780627
    
    194 Talbot Street West, Suite 209
    
    Leamington
    
    ON
    
    N8H 1N980628S
    
    2125 Front Rd
    
    LaSalle
    
    ON
    
    N9J 2C280631
    
    147 Hunter Street East
    
    Peterborough
    
    ON
    
    K9H 1G780632
    
    84 Russell Street West
    
    Lindsay
    
    ON
    
    K9V 6A580633
    
    Haliburton Family Medicine Center
    
    Haliburton
    
    ON
    
    K0M 1S080634
    
    1385 Bank Street, Suite 205
    
    Ottawa
    
    ON
    
    K0K 3K0




---



##### 



2.
    
    Office of Record for Accounts and Other Collateral: 1250 Northpoint Parkway, West
Palm Beach, Florida 334073.
    
    Debtor Organization:
 a.
    
    Legal Name: HearUSA, Inc.b.
    
    State of Incorporation: Delawarec.
    
    Principal Place of Business: Southeast Florida, West Coast of Florida, New York City
metropolitan area, New Jersey and Southern Californiad.
    
    Chief Executive Office: 1250 Northpoint Parkway, West Palm Beach, Florida 33407
 4.
    
    Debtors Trade Names: HEARx LTD., Helix Hearing Care of America Corp., and
National Ear Care Plan.5.
    
    Debtors TAX ID Number: 22-2748248




---



##### 



PATENTS, COPYRIGHTS AND TRADEMARKS
 [TO BE UPDATED]
 1.
    
    Registered Trademarks:
 a.
    
    HEARx design plus words, letters and/or numbers, registered January 5, 1988,
registration number 1471748.b.
    
    Your Prescription for Better Hearing typed drawing, registered September 6,
1988, registration number 15032594.
 2.
    
    Trademarks in Registration:
 a.
    
    InTouch design plus words, letters and/or numbers, published in Official
Gazette April 17, 2001, serial number 76/107038.b.
    
    International Hearing Services words, letters or numbers in typed form, filed
March 13, 2001, serial number 76/224010.c.
    
    EAR & WAVE design, registered September 20, 2000, registration number
TMA533,047d.
    
    EAR & WAVE design, registered June 6, 2000, registration number 2,354,656.e.
    
    HEARUSA and design, registered March 28, 2000, registration number 2,336,648.f.
    
    Helix, registered November 7, 2000, registration number TMA536,819.g.
    
    Helix Hearing Care Centre, registered September 10, 2001, registration number
TMA550,544.h.
    
    Helix Hearing Care Centre and design, registered September 28, 2001,
registration number TMA551,743.i.
    
    Prestige, registered June 22, 2004, registration number 78/310,914.j.
    
    Its Clear We Care, registered February 1, 2005, registration number
78/174,387.




---



##### 



3.
    
    Common Law Trademarks, Copyrights and other Intellectual Property:
 a.
    
    HELP Class Name and designb.
    
    Content of HELP Class Handbook & Classroom Materialsc.
    
    Programming and Content of Center Management System or CMSd.
    
    Programming and Content of Customer Contact Plane.
    
    Programming and Content of Telemarketing Scripts, Customer Service Screens, and
Call Management Flowchartsf.
    
    All creative content of advertisements, direct mail, brochures and public
communicationsg.
    
    Content of JCAHO-compliant operating policies and proceduresh.
    
    Content of HEARx Practice Guidelines for Clinical Servicesi.
    
    Center Operating Manual & Management Policiesj.
    
    Sales & Customer Service training programsk.
    
    New Employee Training Manuals
 2