EX-4.1



 





EXECUTION COPY




THIRD AMENDMENT




     THIRD AMENDMENT dated as of June 4, 2007 (this “Amendment”), among INTEGRA
LIFESCIENCES HOLDINGS CORPORATION, a Delaware corporation (the “Borrower”), the lenders
party to the Credit Agreement (as defined below) (collectively, the “Lenders”), BANK OF
AMERICA, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer (the “Administrative
Agent”), CITIBANK, N.A., successor by merger to Citibank, FSB, as Syndication Agent (the
“Syndication Agent”), and JPMORGAN CHASE BANK, N.A., DEUTSCHE BANK TRUST COMPANY AMERICAS
and ROYAL BANK OF CANADA, as Co-Documentation Agents (the “Co-Documentation Agents”).



     PRELIMINARY STATEMENTS:




	 	(1)	 	The Borrower, the Existing Lenders, the Administrative Agent, the
Co-Syndication Agents and the Co-Documentation Agents have entered into a Credit
Agreement, dated as of December 22, 2005 (the “Original Agreement”), as amended
by that certain First Amendment, dated as of February 15, 2006 (the “First
Amendment”) and that certain Second Amendment, dated as of February 23, 2007 (the
“Second Amendment”). The Original Agreement, as amended by the First Amendment
and the Second Amendment, is referred to in this Amendment as the “Credit
Agreement”, and the Credit Agreement, as amended by, and together with this
Amendment, and as may be further amended, supplemented or otherwise modified from time
to time, is referred to herein as the “Amended Agreement”. Capitalized terms
used but not defined in this Amendment shall have the meanings assigned to them in the
Credit Agreement.
	 
	 	(2)	 	The Borrower has requested the Lenders amend the Credit Agreement as set forth
below.





     NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements
contained herein, the parties hereto agree as follows:



     SECTION 1.01. Amendments to Section 1.01.




     (a) The definition of “Call Option” set forth in Section 1.01 of the Credit Agreement
is hereby deleted in its entirety and replaced with the following:




     “Call Option” means one or more call option transactions between
Borrower and one or more investment grade financial institution(s) giving Borrower
the right to receive upon exercise a number of its own issued and outstanding
capital stock and/or receive cash (in whole or in part) in an amount that is
intended to be substantially equivalent to the number of shares of capital stock
deliverable to holders of the related series of 2007 Convertible
Notes or value of such number of shares, as applicable, above the conversion price
pursuant to the terms of the 2007 Convertible Note Indenture.



 









 







     (b) The following proviso is hereby added to the end of the definition of “Consolidated
Funded Indebtedness” set forth in Section 1.01 of the Credit Agreement:




“provided; however, that for the purposes of Section 7.17(a)
and (b) only (i) until the maturity of the Convertible Notes, Consolidated
Funded Indebtedness shall be calculated net of up to $120 million of available,
unrestricted cash as set forth on the most recent balance sheet of the Borrower and
its Consolidated Subsidiaries delivered pursuant to Section 6.01(a) and
(b), and (ii) thereafter, Consolidated Funded Indebtedness shall be
calculated net of available, unrestricted cash as set forth on the most recent
balance sheet of the Borrower and its Consolidated Subsidiaries delivered pursuant
to Section 6.01(a) and (b) in excess of $40 million.”




     (b) The definition of “Consolidated Senior Leverage Ratio” set forth in Section 1.01 of
the Credit Agreement is hereby deleted in its entirety.




     (c) The definition of “Convertible Note Issue” set forth in Section 1.01 of the Credit
Agreement is hereby deleted in its entirety and replaced with the following:




“Convertible Note Issue” means an issuance of Indebtedness or Equity
Interests (other than the Convertible Notes) pursuant to Section 7.03(f),
(h), (k) or (l) that is convertible into Qualified Equity
Interests.




     (d) The definition of “Permitted Acquisitions” set forth in Section 1.01 of the Credit
Agreement is hereby amended by deleting clause (h)(2) in its entirety and replacing it with
the following:




     “(2) there will be Loans outstanding, the aggregate consideration (including cash and
non-cash consideration) for each Acquisition (or a series of related Acquisitions) is less
than or equal to (A) $200 million if the Borrower’s Consolidated Senior Secured Leverage
Ratio is less than 2.00 to 1.00 or (B) $100 million if the Borrower’s Consolidated Senior
Secured Leverage Ratio is greater than or equal to 2.00 to 1.00;”




     (e) The following definitions are hereby added to Section 1.01 of the Credit Agreement
in appropriate alphabetical order:




     “Consolidated Senior Secured Leverage Ratio” means, as of any date of
determination, the ratio of (a) Consolidated Funded Indebtedness less (i) the
outstanding principal amount of the Convertible Notes and all Indebtedness that is
expressly subordinated to such person’s indebtedness, obligations and liabilities to
the Lenders under the Loan Documents in form and substance reasonably acceptable to
the Administrative Agent as of such date and (ii) all senior unsecured Indebtedness
of the Borrower and its Consolidated Subsidiaries that is not subordinated to the
Obligations as of such date to (b) Consolidated EBITDA for the period of the four
consecutive fiscal quarters most recently ended.



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     “2007 3-Year Convertible Notes” means those 2007 Convertible Notes
maturing (or having their earliest optional call or put date of) approximately three
years from the date of issuance, and any securities issued in exchange therefore in
accordance with this Agreement; provided, that, in no event will the
principal amount of the 2007 3-Year Convertible Notes exceed $200 million.




     “2007 Convertible Note Indenture” means, collectively, one or more
Indentures to be entered into between the Borrower and a qualified trust company for
the issuance of the 2007 Convertible Notes.




     “2007 Convertible Notes” means those certain Convertible Senior
Unsecured Notes, which may be issued in one or more series, to be issued by the
Borrower on or before June 11, 2007 in the principal amount of up to $360 million,
pursuant to the 2007 Convertible Note Indenture, and any securities issued in
exchange therefore in accordance with this Agreement, and which are pari passu in
right of payment to the Obligations.




     “2007 3-Year Convertible Notes Maintenance Period” means the period
beginning on the date that is three months prior to the earlier of (i) the maturity
date and (ii) the first optional call or put date of the 2007 3-Year Convertible
Notes, in each case to and including the date the 2007 3-Year Convertible Notes are
repaid, redeemed or repurchased in full, as applicable.




     “Warrant Agreements” means one or more call option transactions entered
into in connection with the 2007 Convertible Notes between the Borrower and one or
more investment grade financial institutions pursuant to which Borrower is obligated
to deliver to any such financial institution upon exercise a number of shares of
Qualified Equity Interests of Borrower on a “net-share settlement” basis.



     SECTION 1.02. Amendments to Section 1.03. Section 1.03(c) of the Credit Agreement is
hereby deleted in its entirety and replaced with the following:



          “(c) Pro Forma Calculations. Notwithstanding anything herein to the contrary, any
calculation of the Consolidated Total Leverage Ratio, Consolidated Senior Secured Leverage Ratio,
Consolidated Fixed Charge Coverage Ratio and Pricing Ratio for any Reference Period during which a
Acquisition or Disposition shall have occurred shall each be made on a Pro Forma Basis for purposes
of making the following determinations:





     (i) determining the applicable pricing level under the definition of “Applicable Rate”;




     (ii) determining compliance with the Consolidated Total Leverage Ratio, Consolidated
Senior Secured Leverage Ratio and the Consolidated Fixed Charge Coverage Ratio (other than
whether the conditions precedent for a proposed transaction have been satisfied as
contemplated by subsection (iii) of this Section 1.03(c)); and




     (iii) determining whether the conditions precedent have been satisfied for a proposed
transaction which is permitted hereunder only so long as no Event of
Default will result from the consummation thereof, including, without limitation, any
Disposition or any Investment which results in an Acquisition.”



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     SECTION 1.03. Amendments to Section 7.03.




     (a) Section 7.03(h) of the Credit Agreement is hereby amended by deleting the amount
“$50 million” in the sixth line thereof and replacing it with “$25 million”.




     (b) Section 7.03 of the Credit Agreement is hereby amended by deleting the word “and”
from the end of Section 7.03(j) thereof.




     (c) Section 7.03(k) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




“(k) Indebtedness representing a refinancing, refunding, renewal or extension of
Indebtedness (x) permitted by clause (b), (f) or (j) above or clause (l) below;
provided, that (i) the amount of such Indebtedness is not increased at the
time of such refinancing, refunding, renewal or extension, (ii) the terms relating
to principal amount, amortization, maturity, collateral (if any) and subordination
(if any), and other material terms taken as a whole, of any such refinancing,
refunding, renewing or extending Indebtedness, and of any agreement entered into and
of any instrument issued in connection therewith, are no less favorable in any
material respect to the Loan Parties or the Lenders than the terms of any agreement
or instrument governing the Indebtedness being refinanced, refunded, renewed or
extended and the interest rate applicable to any such refinancing, refunding,
renewing or extending Indebtedness does not exceed the then applicable market
interest rate, (iii) with respect to the Convertible Notes, the 2007 Convertible
Notes and any subordinated debt incurred pursuant to Section 7.03(f) or
(j), the maturity date is no earlier than three (3) months after the
Maturity Date, and (iv) with respect to any Indebtedness incurred pursuant to
Section 7.03(f) above as long as the conditions to the incurrence thereof as
set forth in clause (f) remain true and correct at the time of and after giving
effect to such refinancing, renewal or extension, and (y) permitted by clause (h)
above, as long as the conditions to the incurrence thereof remain true and correct
at the time of and after giving effect to such refinancing, renewal or extension;
and”




     (d) The following new section is hereby added at the end of Section 7.03 of the Credit
Agreement:




     “(l) Indebtedness arising under and evidenced by the 2007 Convertible Notes and the
2007 Convertible Note Indenture, each containing the terms set forth on the summary term
sheet attached hereto as Exhibit L.”



     SECTION 1.04. Amendments to Section 7.04. Section 7.04(a) of the Credit Agreement is
hereby amended by (a) deleting the word “and” from the end of subsection (vii) thereof, (b)
deleting the period from the end of subsection (viii) thereof and replacing it with a semicolon and
(c) adding the following new subsections immediately following subsection (viii):



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     “(ix) any Foreign Subsidiary may merge or consolidate into any other Foreign
Subsidiary; and




     (x) any Subsidiary of the Borrower may transfer a Foreign Subsidiary to any other
Subsidiary of the Borrower.”



     SECTION 1.05. Amendments to Section 7.06.




     (a) Section 7.06(c) of the Credit Agreement is hereby amended by (i) deleting the word
“repay” in the first line thereof and replacing it with the words “repurchase, redeem or
repay” and (ii) inserting the words “redemption, repurchase or” immediately after the word
“proposed” in the eighth line thereof.




     (b) Section 7.06(d) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(d) the Borrower may at any time, and from time to time after the Closing
Date, make Restricted Payments if, after giving effect to such Restricted Payment,
(x) there will be no Loans outstanding or (y) there will be Loans outstanding (i)
Restricted Payments that do not exceed $50 million in any fiscal year if, at the
time of such Restricted Payment, the Borrower’s Consolidated Senior Secured Leverage
Ratio is greater than or equal to 2.00 to 1.00 and (ii) Restricted Payments that do
not exceed $100 million in any fiscal year if, at the time of such Restricted
Payment, the Borrower’s Consolidated Senior Secured Leverage Ratio is less than 2.00
to 1.00; provided, that, it is understood (A) that this Section
7.06(d) does not apply to payments made in respect of the Convertible Notes or
the 2007 3-Year Convertible Notes, which are governed by the terms of Section
7.06(c) above and Section 7.06(k) below, respectively and (B) that the
Borrower may make Restricted Payments in the form of (1) the repurchase, redemption
or retirement of any outstanding Equity Interest of the Borrower with the proceeds
of subordinated indebtedness, the issuance of which is permitted pursuant to
Section 7.03(f), (2) the repurchase, redemption or retirement of any
outstanding Equity Interest of the Borrower with up to $125 million of the proceeds
of the 2007 Convertible Notes, (3) the withholding, repurchase, redemption or
retirement of any restricted Qualified Equity Interests issued to employees and
consultants of the Loan Parties, pursuant to the Borrower’s equity incentive plans
approved by the Borrower’s Board of Directors and withheld by the Borrower to
satisfy tax obligations of such employees and/or consultants at the time the
forfeiture and transferability restrictions cease, and (4) a purchase of a Call
Option in connection with the issuance of Indebtedness permitted pursuant to
Section 7.03(f), (h), (k) or (l), and in the case of
each of clauses (1), (2), (3) and (4) above, without regard to, and without
decreasing the availability of, the baskets set forth in clauses (y)(i) and (y)(ii)
above;”




     (c) Section 7.06(e) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:



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     “(e) the Borrower may issue or sell (x) Qualified Equity Interests so long as
such issuance or sale does not result in a Change of Control and (y) other Equity
Interests to the extent permitted by Section 7.03(f), (h), 
(k) or (l);”




     (d) Section 7.06(g) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(g) the Borrower may repurchase or refinance (x) its outstanding Equity
Interests out of the proceeds of a substantially concurrent issue of, or an exchange
for, Qualified Equity Interests and (y) Equity Interests or Indebtedness issued
pursuant to Section 7.03(f), (k) or (l) with the proceeds of
the issuance of Qualified Equity Interests or other Indebtedness permitted by
Section 7.03 (and which complies with the terms of Section
7.03(k));”




     (e) Section 7.06(i) of the Credit Agreement is hereby amended by deleting the word
“and” from the end thereof.




     (f) Section 7.06(j) of the Credit Agreement is hereby amended by deleting the period
from the end thereof and replacing it with a semicolon.




     (g) The following new sections are hereby added at the end of Section 7.06 of the
Credit Agreement:




     “(k) the Borrower may repurchase, redeem or repay the 2007 3-Year Convertible
Notes if either (i) after giving pro forma effect to the repayment of the 2007
3-Year Convertible Notes on a Pro Forma Basis, the Consolidated Total Leverage Ratio
is less than 3.50 to 1.00, or (ii) (A) in the event the 2007 3-Year Convertible
Notes remain outstanding on the first day of the 2007 3-Year Convertible Notes
Maintenance Period, then the Borrower maintains Liquidity of at least $40 million
plus the aggregate principal amount of the 2007 3-Year Convertible Notes issued by
the Borrower at all times during the 2007 3-Year Convertible Notes Maintenance
Period and (B) after giving effect to any proposed repurchase, redemption or
repayment of the 2007 3-Year Convertible Notes, irrespective of when paid, the
Borrower has Liquidity of at least $40 million; and




     (l) the Borrower may make cash payments in lieu of issuing fractional shares in
connection with a conversion of a Convertible Note Issue.”



     SECTION 1.06. Amendments to Section 7.07.




     (a) Section 7.07(a) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(a) After the issuance thereof, amend or modify (or permit the amendment or
modification of (including any waivers of)), the terms of the 2007 Convertible Notes
or any subordinated Indebtedness (including the Convertible Notes and any
Indebtedness issued pursuant to the terms of Section 7.03(f)) in a manner
adverse to the interests of the Lenders (including, without
limitation, specifically shortening any maturity or average life to maturity or requiring
any payment sooner than previously scheduled or increasing the interest rate or fees
applicable thereto or granting collateral as security therefor); provided,
however, the Convertible Notes may be amended to permit the Convertible Note
Exchange.”



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     (b) Section 7.07(e) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(e) Make any prepayment, redemption, defeasance or acquisition for
value (including, without limitation, by way of depositing money or
securities with the trustee with respect thereto before due for the purpose
of paying when due), or refund, refinance or exchange of any Indebtedness
permitted under Sections 7.03(b), 7.03(f), 7.03(j)
and 7.03(l) (including any Indebtedness incurred in connection with
a refinancing thereof pursuant to Section 7.03(k)) other than
regularly scheduled payments of principal and interest on such Indebtedness,
refinancings thereof permitted pursuant to Section 7.03(k) and
prepayments of such Indebtedness with the proceeds of a substantially
concurrent issuance of Qualified Equity Interests; provided,
that, the Borrower may (x) repay the Convertible Notes on the terms
set forth in Section 7.06(c) and may exchange the Convertible Notes
in the Convertible Note Exchange, (y) repay the 2007 3-Year Convertible
Notes on the terms set forth in Section 7.06(k) and (z) make
Restricted Payments permitted by Section 7.06.”



     SECTION 1.07. Amendments to Section 7.17.




     (a) Section 7.17(b) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(b) Maximum Consolidated Senior Secured Leverage Ratio. Permit the
Consolidated Senior Secured Leverage Ratio of the Borrower and its Consolidated
Subsidiaries at any time during any period of four consecutive fiscal quarters to be
greater than 2.50 to 1.0.”




     (b) Section 7.17(d) of the Credit Agreement is hereby deleted in its entirety and
replaced with the following:




     “(d) Liquidity. (i) During the RLL Maintenance Period and
until such time as the Convertible Notes have been repaid or refinanced as
permitted in this Agreement, permit the Liquidity of the Borrower and its
Consolidated Subsidiaries to be less than $160 million and (ii) during the
2007 3-Year Convertible Notes Maintenance Period and until such time as the
2007 3-Year Convertible Notes have been repaid or refinanced as permitted in
this Agreement, permit the Liquidity of the Borrower and its Consolidated
Subsidiaries to be less than $40 million plus the aggregate principal amount of the 2007 3-Year Convertible Notes issued by the
Borrower.”



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     SECTION 1.08. Amendment to Section 10.06. Section 10.06(b)(iv) of the Credit
Agreement is hereby amended by deleting the words “, if any, required as set forth on Schedule
10.06,” and replacing it with “of $3,500; provided, however, that the
Administrative Agent may, in its sole discretion, elect to waive such processing and recordation
fee in the case of any assignment,”.



     SECTION 1.09. Amendment to Article X. A new Section 10.18 is hereby added immediately
following Section 10.17 as follows:



“Section 10.18.
No Advisory or Fiduciary Responsibility. In connection with all aspects
of each transaction contemplated hereby (including in connection with any amendment, waiver or
other modification hereof or of any other Loan Document), the Borrower acknowledges and agrees,
and acknowledges its Affiliates’ understanding, that: (i) (A) the arranging and other services
regarding this Agreement provided by the Administrative Agent and the Arranger, are arm’s-length
commercial transactions between the Borrower and its Affiliates, on the one hand, and the
Administrative Agent and the Arranger, on the other hand, (B) the Borrower has consulted its own
legal, accounting, regulatory and tax advisors to the extent it has deemed appropriate, and (C) the
Borrower is capable of evaluating, and understands and accepts, the terms, risks and conditions of
the transactions contemplated hereby and by the other Loan Documents; (ii) (A) the Administrative
Agent and the Arranger each is and has been acting solely as a principal and, except as expressly
agreed in writing by the relevant parties, has not been, is not, and will not be acting as an
advisor, agent or fiduciary for the Borrower or any of its Affiliates, or any other Person and (B)
neither the Administrative Agent nor the Arranger has any obligation to the Borrower or any of its
Affiliates with respect to the transactions contemplated hereby except those obligations expressly
set forth herein and in the other Loan Documents; and (iii) the Administrative Agent and the
Arranger and their respective Affiliates may be engaged in a broad range of transactions that
involve interests that differ from those of the Borrower and its Affiliates, and neither the
Administrative Agent nor the Arranger has any obligation to disclose any of such interests to the
Borrower or its Affiliates. To the fullest extent permitted by law, the Borrower hereby waives and
releases any claims that it may have against the Administrative Agent and the Arranger with
respect to any breach or alleged breach of agency or fiduciary duty in connection with any aspect
of any transaction contemplated hereby.”




     SECTION 1.10. Amendments to Schedules and Exhibits. (a) Schedule 10.06 to the Credit
Agreement is hereby deleted in its entirety.




     (b) Exhibit L attached hereto is hereby added to the Credit Agreement as Exhibit L.



     SECTION 1.11. 2007 Convertible Note Transaction.




     (a) Notwithstanding anything in the Amended Agreement or the other Loan Documents to
the contrary, the transactions contemplated by the Call Options, the Warrants and the 2007
Convertible Notes, each as entered into on a substantially concurrent basis, and the performance by the Borrower of its obligations under any such
Call Options, Warrants or 2007 Convertible Notes (including, without limitation, any
obligation of Borrower pursuant to any conversion, exercise, or termination of, or any
payment or delivery pursuant to the terms of such Call Options, Warrants or 2007 Convertible
Notes) shall be permitted; provided, however, that any payments in cash
(other than interest, customary liquidated damages and customary additional amounts payable
under the 2007 Convertible Note Indenture or any registration rights agreement relating to
the 2007 Convertible Notes that do not constitute principal, net share settlement payments
or other similar amounts) by Borrower shall be permitted only to the extent that (i) no
Event of Default has occurred and is continuing or would result therefrom and (ii) either
(x) after giving pro forma effect to any such cash payment, the Consolidated Total Leverage
Ratio is less than 3.50 to 1.00 or (y) after giving effect to such cash payment, the
Borrower has Liquidity of at least $40 million; and provided, further, that
any payment or delivery obligations of the Borrower to the applicable financial institution
pursuant to the terms of any Warrant(s) may be netted against the substantially concurrent
payment or delivery obligations deliverable to the Borrower from such financial institution
pursuant to the terms of any Call Option(s); provided, further,
that, any cash payment of a net share settlement to any holder of the 2007
Convertible Notes in excess of the face amount of the applicable note is only permitted to
the extent that a Restricted Payment would be permitted pursuant to Section 7.06(d)(x) or
(y) of the Amended Agreement.



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     (b) In furtherance and not in limitation of the foregoing, and notwithstanding any
provisions of the Amended Agreement and the Collateral Documents to the contrary, for the
purpose of permitting the Borrower to execute and deliver, and exercise its rights and
perform its obligations under, the Call Options and the Warrants without any lien or
encumbrance of the Lenders, under the Security Agreement or otherwise, attaching to the
rights of the Borrower under the Call Options or the Warrants, the Required Lenders hereby
(i) release any and all such liens and encumbrances that may arise in respect of the
Borrower’s rights under such documents pursuant to the Loan Documents, (ii) waive (1) the
requirements under Section 6.12 of the Amended Agreement and comparable provisions of the
other Loan Documents for the Borrower otherwise to pledge its rights under the Call Options
and the Warrants and (2) the limitations on restricted actions contained in Section 7.10 of
the Amended Agreement and (iii) agree that the entry into and performance by the Borrower of
the Call Option and Warrant transactions in accordance with their terms and the terms of
this Amendment will not conflict with the terms or violate the provisions of the Loan
Documents.



     SECTION 1.12. Representations and Warranties. The Borrower hereby represents and
warrants to the Administrative Agent and the Lenders, as follows:




     (a) The representations and warranties set forth in Article V of the Credit Agreement
and in each other Loan Document are true and correct in all material respects on and as of
the date hereof and on and as of the Third Amendment Effective Date (as defined below) with
the same effect as though made on and as of the date hereof or the Third Amendment Effective
Date, as the case may be, except to the extent such representations and warranties expressly
relate to an earlier date (in which case such representations and warranties shall be true and correct in all material respects on
and as of such earlier date), except that for purposes of this Amendment, the
representations and warranties contained in subsections (a) and (b) of Section 5.05 of the
Credit Agreement shall be deemed to refer to the most recent statements furnished pursuant
to subsections (a) and (b), respectively, of Section 6.01 of the Credit Agreement, including
the statements in connection with which this Amendment is delivered.




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     (b) On the date hereof and on the Third Amendment Effective Date, no Default or Event
of Default has occurred and is continuing.




     (c) The execution, delivery and performance of this Amendment by the Borrower have been
duly authorized by all requisite corporate or other organizational action.




     (d) This Amendment constitutes the legal, valid and binding obligation of the Borrower
enforceable against the Borrower in accordance with its terms.




     (e) The execution, delivery and performance of this Amendment by the Borrower do not
and will not (i) contravene the terms of any of the Borrower’s Organization Documents; (ii)
conflict with or result in any breach or contravention of, or (except for the Liens created
under the Loan Documents) the creation of any Lien under, or require any payment to be made
under (A) any Contractual Obligation to which the Borrower or the Borrower’s Affiliate is a
party or affecting the Borrower or the properties of the Borrower or any of its subsidiaries
or (B) any order, injunction, writ or decree of any Governmental Authority or any arbitral
award to which the Borrower or its property is subject; or (iii) violate any Law.



     SECTION 1.13. Effectiveness. This Amendment shall become effective only upon
satisfaction of the following conditions precedent (the first date upon which each such condition
has been satisfied being herein called the “Third Amendment Effective Date”):




     (a) The Administrative Agent shall have received duly executed counterparts of (i) this
Amendment which, when taken together, bear the authorized signatures of the Borrower and the
Required Lenders and (ii) the Reaffirmation of Guaranty which, when taken together, bear the
authorized signatures of each Subsidiary Guarantor and the Administrative Agent.




     (b) The representations and warranties set forth in Section 1.12 hereof shall
be true and correct on and as of the Third Amendment Effective Date.




     (c) The Administrative Agent shall have received all fees and expenses required to be
paid by the Borrower pursuant to Section 1.15 of this Amendment.




     (d) The Lenders shall have received such other documents, legal opinions, instruments
and certificates as they shall reasonably request and such other documents, legal opinions,
instruments and certificates shall be satisfactory in form and substance to the Lenders and
their counsel. All corporate and other proceedings taken or to be taken in connection with
this Amendment and all documents incidental thereto, whether or not referred to herein, shall be satisfactory in form and substance to the Lenders and
their counsel.




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     SECTION 1.14. APPLICABLE LAW. THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK WITHOUT REFERENCE TO THE CONFLICTS OF LAWS
PRINCIPLES THEREOF.



     SECTION 1.15. Fees and Expenses. The Borrower shall pay all reasonable out-of-pocket
expenses incurred by the Administrative Agent in connection with the preparation, negotiation,
execution, delivery and enforcement of this Amendment, including, but not limited to, the
reasonable fees and disbursements of counsel.



     SECTION 1.16. Counterparts. This Amendment may be executed in any number of
counterparts, each of which shall constitute an original but all of which when taken together shall
constitute but one agreement. Delivery by facsimile by any of the parities hereto of an executed
counterpart of this Amendment shall be as effective as an original executed counterpart hereof and
shall be deemed a representation that an original executed counterpart hereof will be delivered,
but the failure to deliver a manually executed counterpart shall not affect the validity,
enforceability or binding effect of this Amendment.



     SECTION 1.17. Credit Agreement. Except as expressly set forth herein, the amendments
provided herein shall not by implication or otherwise limit, constitute a waiver of, or otherwise
affect the rights and remedies of the Lenders or the Administrative Agent under the Credit
Agreement or any other Loan Document, nor shall they constitute a waiver of any Default or Event of
Default, nor shall they alter, modify, amend or in any way affect any of the terms, conditions,
obligations, covenants or agreements contained in the Credit Agreement or any other Loan Document.
Each of the amendments provided herein shall apply and be effective only with respect to the
provisions of the Credit Agreement specifically referred to by such amendment. Except as expressly
amended herein, the Credit Agreement shall continue in full force and effect in accordance with the
provisions thereof. As used in the Credit Agreement, the terms “Agreement”, “herein”,
“hereinafter”, “hereunder”, “hereto” and words of similar import shall include, from and after the
Third Amendment Effective Date, the Amended Agreement.



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



	 	 	 	 	 
	 	Borrower:





INTEGRA LIFESCIENCES HOLDINGS

CORPORATION, a Delaware corporation

 	 
	 	By:  	/s/ Maureen Bellantoni
 	 
	 	 	Name:  	Maureen B. Bellantoni 	 
	 	 	Title:  	Executive Vice President and

Chief Financial Officer 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	BANK OF AMERICA, N.A., as Administrative

Agent

 	 
	 	By:  	/s/ Amie L. Edwards
 	 
	 	 	Name:  	Amie L. Edwards 	 
	 	 	Title:  	Vice President 	 
	 



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

Issuer and as a Lender

 	 
	 	By:  	/s/ Amie L. Edwards
 	 
	 	 	Name:  	Amie L. Edwards 	 
	 	 	Title:  	Vice President 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	CITIBANK, N.A., successor by merger to

Citibank, FSB, as Syndication Agent and as a

Lender

 	 
	 	By:  	/s/ Christopher D. Pannacciulli
 	 
	 	 	Name:  	Christopher D. Pannacciulli 	 
	 	 	Title:  	Vice President 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	ROYAL BANK OF CANADA, as Co-

Documentation Agent and as a Lender

 	 
	 	By:  	/s/ Gordon C. MacArthur
 	 
	 	 	Name:  	Gordon C. MacArthur 	 
	 	 	Title:  	Authorized Signatory 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	JP MORGAN CHASE BANK, N.A., as Co-

Documentation Agent and as a Lender

 	 
	 	By:  	/s/ Dawn B. Scocco
 	 
	 	 	Name:  	Dawn B. Scocco 	 
	 	 	Title:  	Associate 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	DEUTSCHE BANK TRUST COMPANY

AMERICAS., as Co-Documentation Agent and as a Lender

 	 
	 	By:  	/s/ Carin Keegan
 	 
	 	 	Name:  	Carin Keegan 	 
	 	 	Title:  	Vice President 	 
	 



	 	 	 	 	 
	 	 	 
	 	By:  	                                              /s/ Scottye Lindsey
 	 
	 	 	Name:  	Scottye Lindsey 	 
	 	 	Title:  	Director 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	WACHOVIA BANK, NATIONAL

ASSOCIATION, as a Lender

 	 
	 	By:  	/s/ Kirk Tesch
 	 
	 	 	Name:  	Kirk Tesch 	 
	 	 	Title:  	Vice President 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	CITIZENS BANK PA, as a Lender

 	 
	 	By:  	/s/ Mark W. Torie
 	 
	 	 	Name:  	Mark W. Torie 	 
	 	 	Title:  	Senior Vice President 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	HSBC BANK USA, NATIONAL

ASSOCIATION, as a Lender

 	 
	 	By:  	/s/ Jeffrey Wieser
 	 
	 	 	Name:  	Jeffrey Wieser 	 
	 	 	Title:  	Managing Director 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	COMMERCE BANK, N.A., as a Lender

 	 
	 	By:  	/s/ Daniel R. Vereb
 	 
	 	 	Name:  	Daniel R. Vereb 	 
	 	 	Title:  	Vice President 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	BROWN BROTHERS HARRIMAN & CO, as a Lender

 	 
	 	By:  	/s/ J. Edward Hall
 	 
	 	 	Name:  	J. Edward Hall 	 
	 	 	Title:  	Managing Director 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	CIBC INC., as a Lender

 	 
	 	By:  	/s/ Caroline Adams
 	 
	 	 	Name:  	Caroline Adams 	 
	 	 	Title:  	Authorized Signatory 	 



 









 






	 	 	 	 	 



	 	 	 	 	 
	 	GOLDMAN SACHS CREDIT PARTNERS L.P., as a Lender

 	 
	 	By:  	/s/ James V. Balcom
 	 
	 	 	Name:  	James B. Balcom 	 
	 	 	Title:  	Authorized Signatory 	 



 









 






	 	 	 	 	 



EXHIBIT L




Convertible Notes Preliminary Term Sheet




	 	 	 
	Issuer:

	 	Integra LifeSciences Holdings (the “Company”)
	 
	 	 
	Issuance type:

	 	Senior Unsecured Convertible Notes






	 	 	 	 	 
	 	 	Tranche A	 	Tranche B
	Size:

	 	$125MM plus $25 MM greenshoe
	 	$125MM plus $25 MM greenshoe
	Maturity:

	 	3 years
	 	5 years
	Indicative Coupon:

	 	2.75% — 3.25%
	 	2.125% — 2.625%
	Indicative Premium:

	 	27.5% — 32.5%
	 	22.5% — 27.5%
	Call Feature:

	 	NC-Life
	 	NC-Life
	Put Feature:

	 	See Fundamental Change below
	 	See Fundamental Change below






	 	 	 
	Guarantee:

	 	Integra LifeSciences Corporation will guarantee
the obligations of the Company under the Notes
	 
	 	 
	Use of proceeds:

	 	Repurchase shares of common stock concurrent
with offering, enter into bond hedge and
warrant transactions, refinance outstanding
indebtedness, general corporate purposes
	 
	 	 
	Payment period:

	 	Semi-annually on [June 1] and [December 1],
beginning on [December 1]
	 
	 	 
	Rank:

	 	Senior Unsecured
	 
	 	 
	Anti-Dilution:

	 	Conversion rate adjustment upon, among other
things, certain distributions and dividends to
common stockholders
	 
	 	 
	Fundamental Change:

	 	Par put option upon certain change of control
events, including a majority ownership position
by an individual or group, lack of continuing
directors on the board, certain sales of all or
substantially all assets, and a termination of
trading
	 
	 	 
	Events of Default:

	 	Failure to pay principal, interest or
conversion value of the notes; failure to
provide notice of fundamental change; failure
to observe certain other indenture covenants or
warranties for 60 days after notice by trustee
or holders; failure to make payment on other
indebtedness; and certain events of bankruptcy,






 









 






	 	 	 
	 

	 	insolvency or reorganization
	 
	 	 
	Conversion Rights:

	 	Holders have the ability to convert the bonds
if the stock price reaches a specified premium
to the conversion price, if the bonds trade at
a discount to the value of the underlying
shares, at anytime [3 months] prior to maturity
and upon certain corporate transactions
	 
	 	 
	Conversion Settlement:

	 	Upon conversion, the Company may deliver cash
and shares or shares; per NASDAQ limitations,
in no circumstance will the Company deliver
shares in excess of 20% of shares outstanding
without prior shareholder approval





Terms above are subject to change based on final pricing terms. This summary highlights
selected information and does not contain all of the information you need to consider, which will
be included in the indenture and corresponding description of notes.