Document:

Domestic Service Agreement

 Exhibit 10.2 
 DOMESTIC SERVICES AGREEMENT 
 This DOMESTIC SERVICES
AGREEMENT (“Agreement”) is entered into as of January 29, 2006, by and among Toys “R” Us – Delaware, Inc., a Delaware corporation (the “Company”), (i) each entity listed on Schedule
1 hereto (as such Schedule 1 may be amended from time to time to reflect the addition or deletion of Clients (as hereinafter defined) and (ii) each entity who shall, after the date hereof and from time to time, join in and become a party to
this Agreement by executing and delivering to the Company a joinder (each such letter, a “Joinder”) in the form of Exhibit A attached hereto (each such person in (i) and (ii), a “Client,” and
collectively, the “Clients”). 
 W I T N E S S E T H : 
 WHEREAS, each of the Clients is an affiliate of the Company; 
 WHEREAS, the Clients need to obtain services in the areas of finance and accounting matters and legal matters; 
 WHEREAS, the Clients and the Company desire for the Company to provide such services to the Clients as further detailed herein; 
 NOW, THEREFORE, in consideration of the premises and of the mutual covenants of the parties hereto, it is hereby agreed as follows:

 1.        Services to be Provided by the Company.  During the Term
(as defined below), the Company hereby agrees to make available to each Client, as required from time to time by such Client in the conduct of its business the Services (as defined below). The Company shall determine the Company personnel who shall
perform the Services. The Company may, at its option, from time to time delegate any or all of its obligations under this Agreement to any one or more of its affiliates. In addition, the Company may, as it deems necessary or desirable, engage the
services of third-party professionals and consultants in connection with the performance of the Services, provided, that the Company shall remain responsible to the Clients for such other third-party providers of the Services. The Services
shall mean the following: 
 (a)      Finance and Accounting services, including without
limitation managing and preparing accounting records and financial statements, managing and preparing income, franchise, sales, payroll and property tax returns, conducting tax audits, preparing tax accounting entries and rendering tax advice,
managing investments, managing external and intercompany loans, preparing and or reviewing loan agreements, managing bank accounts, and managing cash management systems, creation of the budgets, preparation of financial analysis, and such other
similar related finance and cash management related services; 
 (b)      Legal services,
including managing, preparing and or reviewing contracts and agreements, preparing and maintaining legal books and records, preparing minutes of board meetings, and conducting and or managing litigation; and 
 (c)      Such other services as agreed to by the Company and each Client from time to time. 

 2.        Payment of Fees. 
 (a)      During the Term, for each Fiscal Year, in exchange for the Services, each Client
shall pay to the Company an annual fee (the “Fee”) equal to (x) such Client’s Allocated Percent (as hereinafter defined) times (y) the portion of the Company’s annual budget that is approved by the Company’s
board of directors for such Fiscal Year (as hereinafter defined) related to the Services (each, a “Department Budget”) (each such Department Budget shall be annexed hereto as Schedule II no later than 90 days following the
approval of the annual budget). The Fee shall be recalculated at the beginning of the Company’s Fiscal Year (with the first such recalculation being done on or about February 3, 2007); provided, however, that the Fee payable
by a Client for the fiscal year in which Services are first provided to such Client shall be set forth in such Client’s Joinder. As used in this Agreement, “Fiscal Year” means the 52 or 53 week period ending with the last
Saturday nearest January 31st. 
 (b)      Each Client’s “Allocated Percent” shall be equal to the sum of (x) such
Client’s Budgeted Net Revenue Percent (as hereinafter defined) times 50% plus (y) such Client’s Asset Percent (as hereinafter defined) times 50%. 
 (c)      Each Client’s “Budgeted Net Revenues Percent” shall be equal to the quotient obtained by dividing (x) the amount of the budgeted net
revenues of such Client for the Fiscal Year as set forth on such Client’s approved annual budget divided by (y) the sum of (1) the aggregate amount of the budgeted net revenues of all Clients as set forth on all Client’s approved
annual budget plus (2) the sum of all budgeted net revenues for the Company as set forth on the Company’s approved annual budget. For purposes of determining the budgeted net revenues of a Client, expense amounts directly passed through to
another Client for reimbursement shall be excluded from the calculation of net revenues. 
 (d)      Each Client’s “Asset Percent” shall be equal to the quotient obtained by dividing (x) such Client’s assets (determined on a net book value basis) as set forth on such
Client’s approved annual budget divided by (y) the sum of (1) the aggregate assets (determined on a net book value basis) of all Clients as set forth on all Client’s approved annual budget plus (2) the assets (determined on
a net book value basis) of the Company as set forth on the Company’s approved annual budget. The asset value with respect to non-capitalized leased properties shall be equal to eight (8) times the annual rent under each such lease. For
purposes of determining a Client’s assets, the amount of investments in a Client’s subsidiaries that are also Clients herein shall be excluded from the calculation of such Client’s assets. 
 (e)      The amount of each Client’s assets and net revenues shall be calculated, in each case, without
duplication. 
 (f)      The Company’s and each Client’s budgeted amount of net revenues
and assets (determined on a net book value basis), measured in each case as of the beginning of the applicable Fiscal Year shall be set forth on Schedule III, opposite such Client’s name, as adjusted annually. 
 The following example is for illustration purposes only: The aggregate amount of the Department Budgets is $100. The budgeted net revenues
for the Company and each of Client A,

  

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B and C is $40, $30, $20 and $10, respectively. The asset values of the Company and each of Client A, B and C is $50, $20, $25 and $5, respectively. 
 Therefore, each Client’s Fee is equal to as follows: 
 Company’s Fee equals $50, or $100 x (((50/100) x 50%) plus ((50/100) x 50%)) 
 Client A’s Fee equals $25, or $100 x (((30/100) x 50%) + ((20/100) x 50%)) 
 Client B’s Fee equals $22.50, or
$100 x (((20/100) x 50%) + ((25/100) x 50%)) 
 Client’s C’s Fee equals $7.50, or $100 x (((10/100) x 50%) + ((5 /100 x
50%)) 
 (g)      The Fee for each Client for the fiscal year ended February 3, 2007 is set
forth on Schedule IV annexed hereto. The Company shall update Schedule IV for each Fiscal Year, and shall provide a copy of Schedule IV to each Client. 
 (h)      Each Client shall promptly deliver its approved budget to the Company following such budget’s
approval. The Company shall attach its approved budget and each Client’s approved budget hereto as Schedule III. 
 (i)      In addition to the foregoing, each Client shall reimburse the Company (or pay directly any third parties providing services to or for the benefit of such Client) for all reasonable out-of-pocket and
direct expenses (collectively, the “Expenses”) actually incurred by the Company in the performance of the Services for such Client and not otherwise included in a Department Budget. 
 (j)      If the Fee is subject to sales tax, value added tax or similar taxes, such amounts must be paid by
the Clients. However, all parties hereto will use their reasonable best efforts to have any such amounts recovered. 
 3.        Billing and Payment. 
 (a)      After the end of each fiscal month of each Fiscal Year, the Company will invoice each Client for an amount equal to (i) one-twelfth (1/12) of the Fee plus (ii) the Expenses incurred by the Company in respect of the Services it has provided for such
Client during such fiscal month; provided, however, that the monthly portion of the Fee due and payable by a Client during the Fiscal Year in which Services are first provided to such Client shall be in an amount equal to the Fee
divided by the number of fiscal months remaining in such fiscal year as of the date, and inclusive of the fiscal month in which, the Client becomes a party to this Agreement. 
 (b)      Unless otherwise mutually agreed in writing, all amounts payable under this Agreement shall be paid
by intercompany transfers. 
 4.        Term and Termination. 
 (a)      This Agreement shall become effective on the date hereof (the “Effective Date”) and
shall terminate on the last day of the Company’s Fiscal Year, provided that, on such date and each Fiscal Year thereafter, this Agreement shall be automatically renewed for consecutive one-year terms (from the beginning of such Fiscal Year
until the end of such Fiscal

  

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Year, unless terminated sooner in accordance with Section 4(b) hereof. The period from the Effective Date until this Agreement is terminated is referred to as the “Term.”

 (b)      This Agreement may be terminated at any time (i) by mutual written consent given
by all the parties hereto, which mutual consent shall have immediate effect; (ii) by the Company, with respect to the Services provided to any one or more Clients, or, by any Client, with respect to the Services provided to such Client, upon
one (1) year’s prior written notice to, in the case of the Company, the relevant Client or Clients, as the case may be, and, in the case of a Client, the Company. 
 5.        Disputes.  The parties hereto must attempt to resolve any dispute,
controversy or claim arising out of this Agreement, or the breach, termination or validity hereof (each, a “Dispute”) first, by negotiating a resolution among the appropriate senior executives of each party involved in the Dispute
who shall have the authority to resolve the matter. In the event a Dispute is identified, the identifying party shall initiate negotiations by providing a written request for dispute resolution to the other party specifically identifying the Dispute
and the remedy or remedies sought. Within fourteen (14) calendar days of such notice being provided, the senior executives must make every attempt possible to negotiate a settlement and shall have an ongoing responsibility to continue to
negotiate in order to achieve a resolution during the succeeding thirty (30) day period. 
 6.        Limitation of Liability; Indemnification. 
 (a)      Except as provided in this Agreement, in the absence of gross negligence or willful misconduct by the Company in the performance of its obligations under this Agreement, the Company and its affiliates
and its and their respective officers, directors, employees, agents, representatives and attorneys-in-fact shall not be liable for any losses, liabilities, obligations, claims, contingencies, damages, costs and expenses, including all judgments,
amounts paid in settlements, court costs and reasonable attorneys’ fees and costs of investigation (collectively, “Losses”), arising out of any actual or alleged injury, loss or damage of any nature whatsoever in providing or
failing to provide the Services for which it is responsible hereunder to the Clients; provided, however, that in no event shall the Company be liable to any Client for any consequential damages, including lost profits, and
provided, further, that the amount of damages payable by the Company to any Client under this Agreement, including pursuant to Section 6(b) hereof, for Losses incurred by such Client during a given fiscal year shall not exceed the
amount of the Fee payable by the Client to the Company for the fiscal year during which such Loss was incurred by the Client. 
 (b)      The Company shall indemnify and hold the Clients and their respective officers, directors, employees, agents, representatives and attorneys-in-fact harmless from and against any and all Losses which
the Clients may at any time suffer or incur, or become subject to, as a result of or in connection with the performance or nonperformance of the Services, but only to the extent such Losses arise out of the gross negligence or willful misconduct of
the Company in connection with the performance of its obligations under this Agreement. 
 7.        Notice.  Any and all notices or other communications or deliveries required or permitted to be provided hereunder shall be in writing and shall be deemed given and

  

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effective on the earliest of (i) the date of transmission, if such notice or communication is delivered via facsimile at the facsimile telephone number specified in this Section 7 prior
to 5:00 p.m. (New York time) on a business day, (ii) the business day after the date of transmission, if such notice or communication is delivered via facsimile at the facsimile telephone number specified in this Section 7 later than 5:00
p.m. (New York time) on any date and earlier than 11:59 p.m. (New York time) on such date, (iii) when received, if sent by nationally recognized overnight courier service, or (iv) upon actual receipt by the party to whom such notice is
required to be given. The address and facsimile number for such notices and communications shall be as follows 
 If to the
Company: 
 Toys “R” Us – Delaware, Inc. 
 One Geoffrey Way 
 Wayne, NJ 07470 
 Facsimile: (973) 617-4006 
 Attn: Chief Financial Officer 
 With a copy to: 
 Toys “R” Us – Delaware, Inc. 
 One Geoffrey Way 
 Wayne, NJ 07470 
 Facsimile: (973) 617-4043 
 Attn: General Counsel 
 If to a Client: 
 To either the address set forth opposite such Client’s name on Schedule 1 hereto or to
the address designated in such Client’s Joinder, 
 or such other address as the person to whom notice is to be given has furnished in
writing to (i), in the case of the Company, each of the Clients, and (ii), in the case of a Client, the Company. A notice of change in address shall not be deemed to have been given until received by the addressee. 
 8.        Relationship of the Parties.  Nothing in this Agreement shall be deemed
or construed by the parties or any third party as creating the relationship of principal and agent, partnership or joint venture between the parties, it being understood and agreed that no provision contained herein, and no act of the parties, shall
be deemed to create any relationship between the parties other than the relationship of buyer and seller of services nor be deemed to vest any rights, interests or claims in any third parties. The parties do not intend to waive any privileges or
rights to which they may be entitled. 
 9.        Entire
Agreement.  This Agreement, including all schedules and exhibits hereto, constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes all prior agreements and undertakings, both
written and oral, between the parties hereto with respect to the subject matter hereof. 
  

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 10.        Assignment; Successors and
Assigns.  This Agreement may not be assigned by any party or by operation of law or otherwise without the prior written consent of each of the other parties hereto (which consent may be granted or withheld in the sole discretion of any
such other party or parties). Any assignment in contravention of this Section 10 shall be void. Subject to the foregoing, this Agreement and all of the provisions hereof shall be binding upon and inure to the benefit of the parties and their
respective successors and permitted assigns. 
 11.        Amendment and
Waiver.  This Agreement may be modified, amended or supplemented only in a writing executed by each of the parties hereto effected by such amendment. No waiver on any one occasion shall extend to or effect or be construed as a
waiver of any right or remedy on any future occasion. The failure or delay of any party to require strict performance by any other party of any right or remedy in this Agreement will not waive or diminish that party’s right to demand strict
performance thereafter of that or any other provision hereof. 
 12.        Severability.  If any term or other provision of this Agreement is invalid, illegal or incapable of being enforced by any law or public policy, all other terms and
provisions of this Agreement shall nevertheless remain in full force and effect so long as the economic or legal substance of the transactions contemplated hereby is not affected in any manner materially adverse to any party. Upon such determination
that any term or other provision is invalid, illegal or incapable of being enforced, the parties hereto shall negotiate in good faith to modify this Agreement so as to effect the original intent of the parties as closely as possible in an acceptable
manner in order that the transactions contemplated hereby are consummated as originally contemplated to the greatest extent possible. 
 13.        Interpretation.  When reference is made in this Agreement to a Section, such reference shall be to a Section of this Agreement unless otherwise indicated. The titles and
headings contained in this Agreement are for convenience of reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement. Whenever the words “include”, “includes” or
“including” are used in this Agreement, they shall be deemed to be followed by the words “without limitation”. This Agreement shall be construed without regard to any presumption or rule requiring construction or interpretation
against the party drafting or causing any instrument to be drafted. The meanings given to terms defined herein shall be equally applicable to both the singular and plural forms of such terms. 
 14.        No Third-Party Beneficiaries.  This Agreement is solely for the benefit
of the parties hereto and their respective subsidiaries and, with respect to Section 6 above, the other persons specified therein, and should not be deemed to confer upon any other third parties any remedy, claim, liability, reimbursement,
claim of action or other right in excess of those existing without reference to this Agreement. 
 15.        Further Assurances.  From time to time, each party hereto shall agree to execute and deliver such additional documents, and will provide such additional information, as the
other parties hereto may reasonably require to carry out the terms of this Agreement. 
 16.        Governing Law.  This Agreement shall be governed by the laws of the State of New York. 
  

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 17.        Counterparts.  This
Agreement may be executed in one or more counterparts, each of which when executed shall be deemed to be an original, but all of which taken together shall constitute one and the same agreement. 
  

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 IN WITNESS WHEREOF, the parties hereto have executed and delivered this Agreement as of the
date first written above. 
  

			
	Toys “R” Us – Delaware, Inc.
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Toys “R” Us, Inc.
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Toys “R” Us International, LLC
		
	By:	 	Toys “R” Us, Inc., its Managing Member
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Geoffrey, Inc.
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   President
	
	TRU (Vermont), Inc.
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   President

			
	TRU – SVC, LLC
		
	By:	 	 Toys “R” Us – Delaware, Inc., its Managing Member

		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Toysrus.com, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Babiesrus.com, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Giraffe Properties, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	TRU 2005 RE Holding Co. I, LLC
		
	By:	 	 Wayne Real Estate Holding Company, LLC, its Managing Member

		
	By:	 	 Toys “R” Us, Inc., its Managing Member

		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	MAP Real Estate, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer

			
	MPO Properties, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	Wayne Real Estate Company, LLC
		
	By:	 	 TRU 2005 RE Holding Co. I, LLC,
     its Managing Member

		
	By:	 	 Wayne Real Estate Holding Company, LLC,
     its Managing Member

		
	By:	 	 Toys “R” Us, Inc., its Managing Member

		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	TRU 2005 RE I, LLC
		
	By:	 	 TRU 2005 RE Holding Co. I, LLC,
     its Managing Member

		
	By:	 	 Wayne Real Estate Holding Company, LLC, its Managing Member

		
	By:	 	 Toys “R” Us, Inc., its Managing Member

		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer

			
	TRU 2005 RE II Trust
		
	By:	 	 TRU 2005 RE Holding Co. I, LLC,
     its Managing Trustee

		
	By:	 	 Wayne Real Estate Holding Company, LLC,
     its Managing Member

		
	By:	 	 Toys “R” Us, Inc.,
     its Managing Member

		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	TRU of Puerto Rico, Inc.
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	MAP 2005 Real Estate, LLC
		
	By:	 	/s/ F. Clay Creasey
		 	Name: F. Clay Creasey
		 	Title:   Chief Financial Officer
	
	TRU (HK) Limited
		
	By:	 	/s/ Robert S. Zarra
		 	Name: Robert S. Zarra
		 	Title:   Director

 SCHEDULE 1 
 CLIENTS 
  

	
	 Client
 (Name and Address)

	
	 Toys “R” Us International, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Toys “R” Us, Inc.
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Geoffrey, Inc.
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU (Vermont), Inc.
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU – SVC, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Toysrus.com, LLC/ Babiesrus.com, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Giraffe Properties, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU 2005 RE Holding Co. I, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 MAP Real Estate, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 MPO Properties, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Wayne Real Estate Company, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU 2005 RE I, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU 2005 RE II Trust
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU of Puerto Rico, Inc.
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 MAP 2005 Real Estate, LLC
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 TRU (HK) Limited
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

	
	 Toys “R” Us – Delaware, Inc.
 One Geoffrey Way, Wayne, NJ 07470
 Attn: Corporate Controller

 SCHEDULE II 
 DEPARTMENT BUDGET 
 See attached (which shall be kept in the
possession of the Corporate Controller) 

 SCHEDULE III 
 COMPANY AND CLIENT APPROVED BUDGET 
 See attached (which shall be
kept in the possession of the Corporate Controller) 

 SCHEDULE IV 
 CALCULATION OF THE FEE 

 EXHIBIT A 
 FORM OF ACCESSION LETTER 
 (On Letterhead of the new Client) 
 [DATE] 
 Toys “R” Us
– Delaware, Inc. 
 One Geoffrey Way 
 Wayne, NJ 07470-2035 
 Fax: (973) 617-4006 
 Attn: Chief Financial Officer 
 Dear Sirs: 
  

	 	Re:	Domestic Services 

 Reference is made to the Domestic Services Agreement, dated as of January 29, 2006 (the “Agreement”), entered into in respect of certain services as specified therein. Terms defined in the Agreement shall have the same
meaning in this letter. For the purposes of the Agreement, our details for the service of notices are as follows: (insert name, address, attention and facsimile number). 
 In consideration of Toys “R” Us – Delaware, Inc.’s (the “Company”) agreeing to provide certain services
to us, our becoming a Client for all purposes of the Agreement, we hereby undertake, for the benefit of the Company, that we will perform and comply with all the duties and obligations expressed to be assumed by a Client under the Agreement as if
originally named as a Client therein. By signing below, the Company, with effect from the date hereof, agrees that Client shall become a party to the Agreement, vested with all the authority, rights, powers, duties and obligations of a Client as if
originally named as a Client under the Agreement. This letter and the rights and obligations of the undersigned Client arising hereunder shall in all respects be governed by and construed in accordance with the laws of the State of New York (without
regard to the principles of conflicts of laws thereof). 
 The parties hereby agree that the Fee for the remaining portion of
the Fiscal Year ended                      shall be:
$                    . 
  

			
	 Yours faithfully,
  
 [Name of new Client]

		
	By:	 	 
	 Name:
 Title:

 Accepted and Agreed: 
  

			
	TOYS “R” US – DELAWARE, INC.
		
	By:	 	 
	 Name:
 Title:Sixth Supplemental Indenture

 Exhibit 4.1 
 SIXTH SUPPLEMENTAL INDENTURE 
 This Sixth Supplemental
Indenture (the “Sixth Supplemental Indenture”) is dated as of December 23, 2009, between Team Health Holdings, Inc. (“Holdings”), the parent company of Team Finance LLC, a Delaware limited liability company
(“Team Finance”), and The Bank of New York Mellon Trust Company, N.A. (formerly, The Bank of New York Trust Company, N.A.), as trustee (the “Trustee”). 
 W I T N E S S E T H 
 WHEREAS, each of
Team Finance, Health Finance Corporation (“Health Finance” and, together with Team Finance, the “Issuers”) and the Guarantors (as defined in the Indenture referred to below) has heretofore executed and delivered to
the Trustee an indenture, dated as of November 23, 2005, as amended by the First Supplemental Indenture, dated as of June 1, 2006, the Second Supplemental Indenture, dated as of June 30, 2007, the Third Supplemental Indenture, dated
as of April 30, 2008, the Fourth Supplemental Indenture, dated as of April 30, 2009, and the Fifth Supplemental Indenture, dated as of August 13, 2009 (as amended, the “Indenture”), providing for the issuance of an
unlimited aggregate principal amount of 11 1/4%
Senior Subordinated Notes due 2013 (the “Notes”); 
 WHEREAS, Section 4.03(b) of the Indenture
permits certain reporting obligations to be made by a direct or indirect parent company of the Issuers if that parent entity becomes a guarantor of the Notes; 
 WHEREAS, Holdings desires to become a guarantor of the Notes and to execute and deliver to the Trustee a supplemental indenture pursuant to which Holdings shall unconditionally guarantee all of the
Issuers’ Obligations under the Notes and the Indenture on the terms and conditions set forth herein and under the Indenture (the “Parent Guarantee”); and 
 WHEREAS, pursuant to Sections 9.01(5) and 9.01(10) of the Indenture, the Trustee is authorized to execute and deliver this Sixth
Supplemental Indenture without consent of Holders of Notes. 
 NOW THEREFORE, in consideration of the foregoing and for other
good and valuable consideration, the receipt of which is hereby acknowledged, the parties mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows: 
 (1) Capitalized Terms. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

 (2) Agreement to Guarantee. Holdings hereby agrees as follows: 
 (a) Along with all Guarantors named in the Indenture, to jointly and severally unconditionally guarantee to each Holder of a
Note authenticated and delivered by the Trustee and to the Trustee and its successors and assigns, irrespective of the validity and enforceability of the Indenture, the Notes or the obligations of the Issuers hereunder or thereunder, that:

 (i) the principal of and interest, premium and Additional Interest, if any, on the Notes will be promptly paid
in full when due, whether at maturity, by acceleration, redemption or otherwise, and interest on the overdue principal of and interest on the Notes, if any, if lawful, and all other obligations of the Issuers to the Holders or the Trustee hereunder
or thereunder will be promptly paid in full or performed, all in accordance with the terms hereof and thereof; and 

 (ii) in case of any extension of time of payment or renewal of any Notes or
any of such other obligations, that 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. Failing payment when due of any amount
so guaranteed or any performance so guaranteed for whatever reason, the Guarantors and Holdings shall be jointly and severally obligated to pay the same immediately. This is a guarantee of payment and not a guarantee of collection. 
 (b) The obligations hereunder shall be unconditional, irrespective of the validity, regularity or enforceability of the Notes
or the Indenture, the absence of any action to enforce the same, any waiver or consent by any Holder of the Notes with respect to any provisions hereof or thereof, the recovery of any judgment against the Issuers, any action to enforce the same or
any other circumstance which might otherwise constitute a legal or equitable discharge or defense of a guarantor. 
 (c) The following is hereby waived: diligence, presentment, demand of payment, filing of claims with a court in the event of insolvency or bankruptcy of either of the Issuers, any right to require a proceeding first against the Issuers,
protest, notice and all demands whatsoever. 
 (d) This guarantee shall not be discharged except by complete
performance of the obligations contained in the Notes, the Indenture and this Sixth Supplemental Indenture, and Holdings accepts all such obligations as a guarantor under the Indenture. 
 (e) If any Holder or the Trustee is required by any court or otherwise to return to the Issuers, the Guarantors (and
Holdings), or any custodian, trustee, liquidator or other similar official acting in relation to either the Issuers or the Guarantors or Holdings, any amount paid either to the Trustee or such Holder, this guarantee, to the extent theretofore
discharged, shall be reinstated in full force and effect. 
 (f) Holdings 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. 
 (g) As between Holdings, 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 Article 6 of
the Indenture for the purposes of this 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 Article 6 of the Indenture, such obligations (whether or not due and payable) shall forthwith become due and payable by Holdings for the purpose of this guarantee. 
 (h) Holdings 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 this guarantee. 
 (i) Pursuant to Section 11.02 of the
Indenture, after giving effect to all other contingent and fixed liabilities that are relevant under any applicable Bankruptcy or fraudulent conveyance laws, and after giving effect to any collections from, rights to receive contribution from or
payments made by or on behalf of any other Guarantor in respect of the obligations of such other Guarantor under Article 11 of the Indenture, this new guarantee shall be limited to the maximum amount permissible such that the obligations of
Holdings under this guarantee will not constitute a fraudulent transfer or conveyance. 
  

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 (j) This guarantee shall remain in full force and effect and continue to be
effective should any petition be filed by or against either of the Issuers for liquidation, reorganization, should either of the Issuers become insolvent or make an assignment for the benefit of creditors or should a receiver or trustee be appointed
for all or any significant part of either of the Issuers’ assets, and shall, to the fullest extent permitted by law, continue to be effective or be reinstated, as the case may be, if at any time payment and performance of the Notes are,
pursuant to applicable law, rescinded or reduced in amount, or must otherwise be restored or returned by any obligee on the Notes and guarantee, whether as a “voidable preference,” “fraudulent transfer” or otherwise, all as
though such payment or performance had not been made. In the event that any payment or any part thereof, is rescinded, reduced, restored or returned, the Note shall, to the fullest extent permitted by law, be reinstated and deemed reduced only by
such amount paid and not so rescinded, reduced, restored or returned. 
 (k) In case any provision of this
guarantee 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. 
 (l) This guarantee shall be a general unsecured senior subordinated obligation of Holdings, ranking pari passu with
any other future senior subordinated obligations of Holdings, if any. 
 (m) Each payment to be made by Holdings
in respect of this guarantee shall be made without set-off, counterclaim, reduction or diminution of any kind or nature. 
 (3)
Execution and Delivery. Holdings agrees that the guarantee shall remain in full force and effect notwithstanding the absence of the endorsement of any notation of such guarantee on the Notes. 
 (4) No Recourse Against Others. No director, representative, officer, employee, incorporator or stockholder of Holdings shall have
any liability for any obligations of the Issuers or the Guarantors (and Holdings) under the Notes, any Guarantees, the Indenture or this Sixth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or
their creation. Each Holder by accepting Notes waives and releases all such liability. The waiver and release are part of the consideration for issuance of the Notes. 
 (5) Governing Law. THIS SIXTH SUPPLEMENTAL INDENTURE WILL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 
 (6) Counterparts. The parties may sign any number of copies of this Sixth Supplemental Indenture. Each signed copy shall be an
original, but all of them together represent the same agreement. 
 (7) Effect of Headings. The Section headings herein
are for convenience only and shall not affect the construction hereof. 
 (8) The Trustee. The Trustee shall not be
responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Sixth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by Holdings. 
 (9) Subrogation. Holdings shall be subrogated to all rights of Holders of Notes against the Issuers in respect of any amounts paid by
Holdings pursuant to the provisions of Section 2

  

 3 

 
hereof and Section 11.01 of the Indenture; provided that, if an Event of Default has occurred and is continuing, Holdings shall not be entitled to enforce or receive any payments
arising out of, or based upon, such right of subrogation until all amounts then due and payable by the Issuer under the Indenture or the Notes shall have been paid in full. 
 (10) Benefits Acknowledged. Holdings’ guarantee is subject to the terms and conditions set forth in the Indenture. Holdings
acknowledges that it will receive direct and indirect benefits from the financing arrangements contemplated by the Indenture and this Sixth Supplemental Indenture and that the guarantee and waivers made by it pursuant to this guarantee are knowingly
made in contemplation of such benefits. 
 (12) Successors. All agreements of Holdings in this Sixth Supplemental
Indenture shall bind its Successors, except as otherwise provided in Section 2(k) hereof or elsewhere in this Sixth Supplemental Indenture. All agreements of the Trustee in this Sixth Supplemental Indenture shall bind its successors.

  

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 IN WITNESS WHEREOF, the parties hereto have caused this Sixth Supplemental Indenture to be
duly executed, all as of the date first above written. 
  

			
	 TEAM HEALTH HOLDINGS, INC.

		
	 By:
	 	 /s/ David P. Jones

		 	Name: David P. Jones
		 	Title:   Chief Financial Officer

  

			
	THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A., as Trustee
		
	 By:
	 	 /s/ Karen Z. Kelly

		 	Name: Karen Z. Kelly
		 	Title:   Vice President

  

 5

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