Document:

SERVICE AGREEMENT

 EXHIBIT 10.5 
 SERVICE AGREEMENT 
 THIS SERVICE AGREEMENT
(“Agreement”) is made and entered into as of the
8th day
 of June, 2011 (the “Effective Date”), by and between CNL Capital Markets Corp. (“CCM”), and CNL Properties Trust, Inc. (the “Issuer”). 

WHEREAS, the Issuer has prepared and filed with the U.S. Securities and Exchange Commission (the “SEC”)
a registration statement on Form S-11 and intends to raise capital through this and other follow on offerings of securities to the public, each under Rule 415 (collectively, the “Offering”), pursuant to the Securities Act of 1933, as
amended, and the rules and regulations of the SEC promulgated thereunder; and 
 WHEREAS, the Issuer
desires to retain CCM to act as an agent on its behalf and to provide certain services in connection with the Offering, as set forth herein, and CCM is willing and desires to accept such retention, all upon the terms and conditions set forth in this
Agreement. 
 NOW, THEREFORE, in consideration of the terms and conditions hereinafter set forth and for
other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, it is agreed between CCM and Issuer (collectively, the “Parties”), as follows: 

 

	1.	 Appointment and Third Party Agreements 

A.        Transfer Agent Services. Subject to and in accordance with the
terms and conditions herein set forth, the Issuer hereby retains and appoints CCM to act as an agent duly authorized to act on its behalf for purposes of negotiating and executing on behalf of the Issuer a Transfer Agency and Service Agreement with
a duly registered transfer agent, Boston Financial Data Services, Inc., a Massachusetts corporation, or their successor in CCM’s sole discretion, for the purposes of obtaining transfer agent, registrar, paying agent and redemption agent
services for the term of the Offering (“the TASA Agreement”). 

B.        Electronic Account Services. Subject to and in accordance with
the terms and conditions herein set forth, the Issuer hereby retains and appoints CCM to act as an agent duly authorized to act on its behalf for purposes of negotiating and executing on behalf of the Issuer an agreement with an investor and
financial advisor online account and data access and service provider, DST Systems, Inc., a Delaware corporation, or their successor in CCM’s sole discretion, for the term of the Offering, (the “DST Agreement”). 

C.        Additional Agency. The Issuer hereby retains and appoints CCM to
act as an agent duly authorized to act on its behalf for purposes of negotiation and execution on behalf of the Issuer of any and all agreements ancillary to or required for completion of the services set forth in Exhibit A attached hereto, as
amended from time to time (collectively, the “Services”) in addition to the TASA Agreement and the DST Agreement (the TASA Agreement, the DST Agreement and these ancillary agreements, if any, collectively referred to as the “Service

 
Agreements”). CCM’s signature on any Service Agreement shall be fully binding upon the Issuer. Each act or omission of CCM under or pursuant to the Service Agreements is hereby adopted
by the Issuer as authorized and shall be binding on the Issuer as if it had acted or omitted to act. 

D.        Acceptance. CCM hereby accepts the appointment as agent and
agrees to perform the Services in accordance with the terms and conditions hereinafter set forth. In connection with the TASA Agreement and the DST Agreement and all services provided thereunder, CCM shall be considered as the Issuer’s agent,
and shall not be deemed to provide such services. The Issuer also acknowledges and accepts the terms and fees associated with the Service Agreements. 
  

	2.	 Services and Terms 

 A.        CCM shall perform the Services, pursuant to Issuer’s reasonable policies and procedures applicable to such Services as timely provided in writing to
CCM. 
 B.        CCM shall enter into the Service Agreements as set
forth above. 
 C.        CCM shall determine the levels and priorities
applicable to the Services and related actions taken in connection therewith, but shall in all cases performing Services within a commercially reasonable time as applicable. 

D.        In the event an investor, broker-dealer or financial advisor contacts
CCM regarding any of the issues set forth in Exhibit B attached hereto, CCM shall refer such investor, broker-dealer or financial advisor to another party per the written instructions of the Issuer. 

E.        Issuer hereby agrees that CCM shall have full discretion to engage
subcontractors and third-party service providers to perform, and assist CCM with the performance of, any and all of its obligations under this Agreement. 
 F.        It is intended that CCM be deemed an independent service provider and that no employment relationship shall be created between Issuer on the one hand and
CCM or CCM’s employees, agents or subcontractors on the other hand. 

G.        Nothing in this Agreement shall in any way be deemed to restrict the
right of CCM to perform services for any other person or entity, and the performance of such services for others shall not be deemed to violate or give rise to any duty or obligation to Issuer or any investor not specifically undertaken by CCM
hereunder. 
 H.        Issuer agrees to use reasonable efforts to
provide CCM (1) advance written notice in the event that there are any administrative changes to Issuer’s governing documents or business practices which changes would have an impact on the Services provided pursuant to this Agreement,
including, but not limited to, changes to Issuer’s dividend reinvestment plan, redemption plan, commissions and fees (including discounts) paid on sales of shares, share price, investor suitability standards, the states where shares are
offered, distribution rates or declaration and payable dates, introduction of new securities offerings, and changes in business practices pertaining to certification of shares, book entry, electronic delivery of information to stockholders; and
(2) prompt notice of Issuer’s filing of a Registration Statement or any other 

 
form with the Securities and Exchange Commission, and any amendments thereto, that affect the Services provided by CCM pursuant to this Agreement. 

I.        Within the sixty (60) day period after the effective date of this
Agreement, the parties hereto shall confer, diligently and in good faith, to agree upon (1) the operational service level standards that shall be measured under this Agreement, if any, and (2) the ongoing reports to the Issuer to be
provided under this Agreement, if any, and/or as they arise. 
  

	3.	 Compensation and Payments 

 As consideration for the provision of the Services under this Agreement, Issuer shall pay: (1) An annual fee calculated and payable as noted below and in Exhibit C attached hereto, (the “Annual
Service Fee”); (2) fees and payments paid directly to third parties for services provided to the Issuer in connection with a Service Agreement (“Service Agreement Fees”); and (3) fees and payments in connection with
Communications Services, defined and payable as noted in Exhibit C. In addition, Issuer may, at its sole discretion, request and pay for Additional Services, as defined herein. Issuer agrees to timely pay any and all fees due under this Agreement
and all Services Agreements. 
 A.        The Annual Service Fee

 The Annual Service Fee is paid as consideration for the covered Services described in Exhibit A attached
hereto. The Annual Service fee is calculated based upon CCM and the Issuer’s mutually agreed upon best efforts approximation of the average number of investor accounts that will be open over the entire course of the Agreement’s current
term. This average account approximation and the table in Exhibit C, may then be used to determine the Annual Service Fee. 
 The Annual Service Fee shall be paid in twelve (12) equal monthly installments, each payable in advance of the performance of the Services. By way of example, if the determined Annual Service Fee is
$120,000, CCM would invoice the Issuer for $10,000 on January 1, and then for an additional $10,000 on the first of each month thereafter through December 1. 

The number of monthly installment payments for the Annual Fee during the initial term of this Agreement shall equal the
number of months in the year from the Service Start Date, as defined below, through December, exclusive of the month in which the Service Start Date occurs. By way of example, if the Service Start Date occurs in April, the entire Annual Fee would be
payable in eight (8) equal monthly installments beginning May 1. The Service Start Date is defined as the first day upon which an investor account is opened for the Issuer. 

B.        Service Agreement Fees 

Service Agreement Fees are pass through fees billed directly to the Issuer by the party providing a Service under a
Service Agreement. The Issuer is exclusively responsible for their timely payment, and for any fees or costs associated with any late payments. In the event of a disputed payment, CCM will cooperate with Issuer to resolve the matter in accordance
with the terms of the applicable Service Agreement. Changes in pricing that result from changes in fees or new features or activities under a Service Agreement will be the sole responsibility of the Issuer.

 
Certain Service Agreements, including but not limited to the TASA Agreement, will contain fee and pricing features that are determined (1) based on actual specific performance of Services
for the Issuer; and (2) based upon aggregate numbers of investor accounts served by all CCM issuer clients that are beneficiaries of a given Service Agreement, including but not limited to the Issuer (the “Platform Size Benefits”).
Issuer acknowledges that CCM cannot control fluctuations in the aggregate number of issuer accounts that determine the calculation of Platform Size Benefits. 
 C.        Communication Services Fees 
 The Communications Services Fees are paid as consideration for the covered Communication Services described in Exhibit A attached hereto. Communication Services Fees are invoiced from CCM to Issuer based
on actual time spent providing the Communication Services at the hourly billing rate specified in Exhibit C. Out-of pocket expenses of CCM, including reasonable travel, lodging or other actual expenses incurred in connection with approved
Communications Services will also be invoiced to Issuer. CCM will provide Issuer with reasonably detailed invoices regarding all hourly fees and expenses. 
 Communication Services Fees may also include pass through fees billed directly to the Issuer by a third party providing a Communication Service, either under a Service Agreement or at the request of CCM
in connection with its completion of the Communication Services. The issuer is exclusively responsible for their timely payment, and for any fees or costs associated with any late payments. In the event of a disputed payment, CCM will cooperate with
Issuer to resolve the matter. 
 D.        Subsequent Pricing

 At least sixty (60) days before the expiration of the initial term of this Agreement or a Renewal Term
as defined in Section 8 hereof, CCM and the Issuer will agree upon a new Exhibit C fee schedule for the upcoming Renewal Term. Changes to the fee schedule in Exhibit C shall be effective upon written approval and an amendment to Exhibit C,
setting forth the new fee schedule, shall be attached as Amended Exhibit C to this Agreement. 
 In the event
the parties fail to agree upon a new fee schedule as of such date and neither party exercises its right to terminate by such date, an automatic pricing update to the Annual Fee shall take effect based on the following calculation: The Annual Fee
shall be adjusted at a minimum to an amount equal to the current Annual Fee paid by Issuer for the Services increased by the percentage increase for the twelve-month period of the previous calendar year of the CPI-W (defined below), or, in the event
that publication of such index is terminated, any successor or substitute index, appropriately adjusted, reasonably acceptable to the Parties. As used herein, “CPI-W” shall mean the Consumer Price Index for Urban Wage Earners and Clerical
Workers for Boston-Brockton-Nashua, MA-NH-ME-CT, (Base Period: 1982-84 = 100), as published by the United States Department of Labor, Bureau of Labor Statistics. 

E.        Payment Schedule 

All amounts due and payable under this Agreement, including all Exhibits thereto, shall be due and payable to CCM by
Issuer within thirty (30) calendar days of request for payment or reimbursement by CCM, except for any fees or expenses that are subject to good faith dispute. In the event of such a dispute, only that portion of the fee or expense subject to
the good faith 

 
dispute may be withheld. Issuer shall notify CCM in writing within thirty (30) calendar days following the receipt of each invoice if an Issuer is disputing any amounts in good faith
together with a statement specifying the portion of fees or expenses being withheld and a reasonably detailed explanation of the reasons for withholding such fees or expenses. If Issuer does not provide such notice of dispute within the required
time, the invoice will be deemed accepted. Whenever Issuer withholds payment of a disputed portion of any invoice, the parties hereto will negotiate expeditiously and in good faith to resolve any such disputes within thirty (30) calendar days
of the original notice of dispute. Issuer shall settle such disputed amounts within ten (10) calendar days of the day on which the parties hereto agree on the amount to be paid by payment of the agreed amount. If no agreement is reached, such
disputed amounts shall be settled as may be required by law or legal process. 

F.        Late Payments 

If any undisputed amount in an invoice (for fees or reimbursable expenses hereunder) is not paid when due, CCM may, after
prior written notice to the Issuer, charge such undisputed amount against any monies held under this Agreement on behalf of the applicable Issuer. Without limiting the foregoing, if any undisputed amount in an invoice of CCM (for fees or
reimbursable expenses) is not paid when due, or if any disputed amount in an invoice of CCM (for fees or reimbursable expenses) is not paid when due and is subsequently determined to have been due, Issuer shall pay CCM interest thereon (from due
date to the date of payment) at a per annum rate equal to one percent (1.0%) plus the Prime Rate (that is, the base rate on corporate loans posted by large domestic banks) published by the The Wall Street Journal (or, in the event such
rate is not so published, a reasonable equivalent published rate selected by CCM) on the first day of the publication during the month when such amount was due. Notwithstanding any other provision hereof, such interest rate shall be no greater than
permitted under applicable provisions of law. 
 G.        Additional
Services 
 From time to time Issuer may request that CCM provide services to it beyond those Services
contemplated in this Agreement (“Additional Services”). If CCM, in its sole discretion, determines that contemplated Additional Services may require employees of CCM to spend in excess of 20 work hours dedicated to such Additional
Services, CCM and Issuer shall negotiate a separate statement of work and fee schedule regarding such Additional Services. 
  

	4.	 Confidentiality of Records 

 A.        As used herein, “Issuer Data” means all information and facts owned by the Issuer or collected on behalf of the Issuer, including, without
limitation, any technical, business or investor information, of any kind, or in any form, format or medium (including, without limitation, all interrelated, unique data items or records in one or more computer files). CCM shall keep confidential any
Issuer Data it receives, maintains, processes or otherwise accesses while providing the Services contemplated herein and will use such Issuer Data solely for performing its obligations under this Agreement. CCM will not release Issuer Data except as
otherwise provided for in Section 4 or with the consent of Issuer. Notwithstanding the above, CCM may release Issuer Data to its nominees, subcontractors or third-party service providers, including providers under the Service Agreements
(“the Third Parties”), provided that each such 

 
Third Party shall be required by CCM to agree to comply with the terms of confidentiality in this Agreement or other substantially similar terms. 

B.        Issuer will provide CCM with such information as CCM may reasonably
require in order to comply with its duties under this Agreement. CCM will maintain such reports and records as Issuer may reasonably require and for such length of time as required by applicable laws, rules and regulations, and as set forth by
Issuer’s record retention policies, but at least as long as required by the record retention policy of CCM. 
 C.        All records, data files, material, reports and other data received pursuant to this Agreement are the property of Issuer, are confidential and will be
delivered to Issuer upon Issuer’s demand at Issuer’s expense. 

D.        Both CCM and the Issuer shall have in place reasonable privacy and
confidentiality policies and/or procedures in order to comply with all applicable privacy laws, rules and regulations and to safeguard all Issuer Data. Such policies and/or procedures shall be available for review by either CCM or the Issuer upon
request to the other party. 
 E.        Notwithstanding anything to the
contrary in this Agreement, CCM may disclose this Agreement and any amendments, terminations and renewals thereof to: (i) third party due diligence firms and their broker-dealer clients, upon such due diligence firm’s request, to
facilitate the review of Issuer’s offerings in connection with the sale thereof; or (ii) upon the advice of counsel; or (iii) as may be required by applicable laws, rules and regulations. 

F.        CCM is authorized to disclose information concerning Issuer Data to its
affiliates and to Third Parties as may be necessary solely in connection with the administration of or performance of this Agreement as set forth herein, to CCM’s internal and external auditors, accountants and counsel, and to any other person
or entity when so advised by counsel where CCM may incur liability for failing to do, including as may be required under applicable laws, rules and regulations or based upon requests by regulators or other government agencies. 

G.        Except for the agreement to exert reasonable efforts to attempt to
correct failures of any third party to operate in material compliance with the operational and confidentiality requirements provided herein and in their respective service agreements, CCM makes no warranty that errors or failures will not occur or
that they may be resolved. Except as expressly stated herein or for an incident arising from CCM’s gross negligence or willful misconduct, CCM expressly disclaims responsibility for breaches of confidentiality or for loss of confidential data
and Issuer Data by third parties. 
  

	5.	 Limitation of Liability; Indemnification 

  

	 	A.	 Limitation of Liability 

 1.          CCM shall not be liable for any Losses (as defined in Section 5.B.1.) or action taken or omitted or for any loss or injury resulting from
CCM’s (including, but not limited to, its agents, nominees and/or subcontractors) or third party service providers’ performance or failure to perform their respective duties hereunder in the absence of gross negligence or willful
misconduct on their respective parts. Except to the extent of CCM’s gross negligence or willful 

 
misconduct, in no event shall CCM be liable to Issuer, any investor, or any third party (i) for acting in accordance with Issuer’s instructions or instructions from any entity or
individual reasonably believed by CCM to be an agent of Issuer; (ii) for special, consequential or punitive damages; (iii) for the acts or omissions of its correspondents, designees, agents, subagents; (iv) any Losses (as defined in
Section 5.B.1.) due to forces beyond the reasonable control of CCM, including without limitation, strikes, work stoppages, acts of war or terrorism, insurrection, revolution, nuclear or natural catastrophes or acts of God, and interruptions,
loss or malfunctions of utilities, communications or computer (software or hardware) services; or (v) for any violation or alleged violation of any federal securities law or any “blue sky” or state securities law. With respect to any
Losses (as defined in Section 5.B.1.) incurred as a result of the acts or the failure to act by any correspondents, designees, agents, subagents, sub-agents, contractors or sub-contractors, CCM shall take appropriate action, as determined by
CCM in its sole discretion, to recover such Losses from such correspondents, designees, agents, sub-agents, contractors or sub-contractors, and CCM’s sole responsibility and liability to Issuer and investors shall be limited to such amounts, if
any, recovered from same less any costs and expenses incurred by CCM in any such recovery efforts. Except with respect to Losses resulting from CCM’s gross negligence or willful misconduct, with respect to any and all Losses howsoever arising
from or in connection with this Agreement or the performance of CCM’s (or its nominees’, subcontractors’ or third-party service providers’) duties hereunder, the enforcement of this Agreement and disputes between the Parties
hereto or otherwise related to CCM’s performance hereunder, CCM’s sole responsibility and aggregate liability to Issuer shall not exceed the amount of fees paid by Issuer to CCM (exclusive of costs and expenses incurred by CCM) pursuant to
Section 3 of this Agreement. 
 2.        Notwithstanding any
provisions of this Agreement to the contrary, CCM shall be under no duty or obligation to inquire into, and shall not be liable for: 
  

	 	i.	 The legality of the issue, purchase, sale, redemption or transfer of any securities, the sufficiency of the amount to be paid or received in
connection therewith, or the authority of Issuer to request such issuance, purchase, sale, redemption or transfer; 

  

	 	ii.	 The legality of the declaration of any dividend by Issuer, or the legality of the issue of any securities in payment of any stock dividend;

  

	 	iii.	 The legality of any recapitalization or readjustment of the securities; or 

 

	 	iv.	 The legality or accuracy of any tax reporting, withholding or cost basis reporting. 

3.        Third Party Information 

CCM shall have no responsibility for the accuracy of any information that has been provided by or obtained from third
parties. 
 4.        Trustee or Fiduciary 

 Nothing contained herein shall cause CCM to be deemed a trustee or
fiduciary for or on behalf of Issuer, any investor, or any other person. The Services provided by CCM hereunder are in addition to the services provided by CCM under any other agreements, if applicable, between the Parties. 

 

	 	B.	 Indemnification 

 1.          The Issuer agrees, to the extent permitted by applicable federal and state law (including, but not limited to, federal and state securities
law) to indemnify, defend and hold harmless CCM, and when appropriate, its agents, nominees and subcontractors, and their respective officers, directors, partners, employees, associated persons, agents and control persons against any and all losses,
claims, damages, liabilities and expenses, including reasonable legal (including attorneys’ fees), and other expenses (collectively referred to herein as “Losses”) incurred in investigating or defending such claims or liabilities,
joint or several, whether or not resulting in any liability to such persons, to which they or any of them may become subject, insofar as such Losses (or actions in respect thereof) arise out of or are based upon this Agreement or the performance of
their duties hereunder, the enforcement of this Agreement and disputes between the Parties hereto or otherwise related to CCM’s performance hereunder. Provided, however, that nothing contained herein shall require that CCM (or its agents,
nominees and subcontractors) be indemnified for direct money damages to the extent they are caused by its gross negligence or willful misconduct. Nothing contained herein shall limit or in any way impair the right of CCM to indemnification under any
other provision of this Agreement. For purposes of this Section B, “control persons” with respect to an entity, means those persons who possess, directly or indirectly, the power to direct or cause the direction of the management or
policies of such entity, whether through the ownership of voting securities, by contract, or otherwise. 

2.          CCM agrees, to the extent permitted by applicable federal
and state law (including, but not limited to, federal and state securities law) to indemnify, defend and hold harmless the Issuer, and its officers, directors, partners, employees, associated persons, agents and control persons, from and against any
and all Losses incurred in investigating or defending such claims or liabilities, joint or several, whether or not resulting in any liability to such persons, to which they or any of them may become subject, insofar as such Losses (or actions in
respect thereof) arise out of or are based upon this Agreement or the performance of their duties hereunder, the enforcement of this Agreement and disputes between the Parties hereto or otherwise related to Issuer’s performance hereunder.
Provided, however, that nothing contained herein shall require that Issuer (or its agents, nominees and subcontractors) be indemnified for direct money damages to the extent they are caused by its gross negligence or willful misconduct. Nothing
contained herein shall limit or in any way impair the right of Issuer to indemnification under any other provision of this Agreement. 
 3.          The parties hereto agree that CCM may assign to Issuer, at Issuer’s request, any and all rights of subrogation CCM may have against any
third party vendors, correspondents, agents, sub-agents, contractors, sub-contractors or consultants as and in full satisfaction of any obligation of indemnity CCM may have to Issuer under this Agreement. 

4.          Any indemnified party entitled to contribution or
indemnification will, promptly after receipt of such notice of commencement of any action, suit, proceeding or claim against him 

 
or it in respect of which a claim for contribution or indemnification may be made against another indemnifying party or indemnifying parties, notify such other indemnifying party or indemnifying
parties. Failure to so notify such other indemnifying party or indemnifying parties shall not relieve such other indemnifying party or indemnifying parties from any other obligation it or they may have hereunder or otherwise, unless the indemnifying
party has been materially prejudiced in its ability to defend the action as a result of such delay. If such other indemnifying party or indemnifying parties are so notified, such other indemnifying party or indemnifying parties shall be entitled to
participate in the defense of such action, suit, proceeding or claim at its or their own expense or in accordance with arrangements satisfactory to all parties who may be required to contribute. After notice from such other indemnifying party or
indemnifying parties to the indemnified party entitled to contribution or indemnification of its or their acknowledgement of its or their obligations hereunder and its or their election to assume its or their own defense, the indemnifying party or
indemnifying parties so electing shall not be liable for any legal or other expenses of litigation subsequently incurred by the indemnified party entitled to indemnification or contribution in connection with the defense thereof, other than the
reasonable costs of investigation. No party shall be required to contribute or provide indemnification with respect to the settlement amount of any action or claim settled without its consent, which shall not be unreasonably withheld. 

 

	6.	 Representations, Warrants and Covenants of CCM 

A.        CCM hereby represents, warrants and covenants during the full term of
this Agreement, that: 
 1.        It is duly organized and validly
existing under the laws of Florida with full power and authority to conduct its business. 

2.        It has the power and authority to enter into and perform this
Agreement; and the execution and delivery of this Agreement by CCM has been duly and validly authorized by all necessary action. This Agreement constitutes the valid and binding agreement of CCM, enforceable against it in accordance with its terms,
except as enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar state or federal debtor relief laws from time to time in effect which affect the enforcement of creditors’ rights generally and
by general equitable principles. CCM is not in violation of its articles of incorporation or bylaws or in default under any agreement or instrument the effect of which violation or default would be material to CCM. None of: (i) the execution
and delivery by CCM of this Agreement; (ii) the consummation by CCM of any of the transactions herein or therein contemplated; and (iii) the compliance by CCM with the provisions hereof or thereof, does or will conflict with or result in a
breach of any term or provision of the articles of incorporation or bylaws of CCM or conflict with, result in a breach, violation or acceleration of, or constitute a default under, the terms of any agreement or instrument to which CCM is a party or
by which it is bound or, to the knowledge of CCM, any statute, order or regulation applicable to CCM of any court, regulatory body, administrative agency or governmental body having jurisdiction over CCM. CCM is not a party to, bound by or in breach
or violation of any agreement or instrument or, to the knowledge of CCM, subject to or in violation of any statute, order or regulation of any court, regulatory body, administrative agency or governmental body having jurisdiction over it that
materially and adversely affects, or may in the future materially and adversely affect: (i) the ability of CCM to 

 
perform its obligations under this Agreement; or (ii) the business, operations, financial conditions, properties or assets of CCM. 

3.        There are no actions or proceedings against, or investigations of, CCM
pending or, to the knowledge of CCM, threatened, before any court, arbitrator, administrative agency or other tribunal: (i) asserting the invalidity of this Agreement; (ii) seeking to prevent the consummation of any of the transactions
contemplated by this Agreement; or (iii) that might materially and adversely affect the performance by CCM of its obligations under, or the validity or enforceability of, this Agreement. 

4.        CCM will, during the full term of this Agreement, abide by all
applicable provisions of its governing instruments, as the same may be amended. 
  

	7.	 Representations, Warrants and Covenants of Issuer 

A.        Issuer hereby represents, warrants and covenants during the full term
of this Agreement, that: 
 1.        It is duly organized and validly
existing under the laws of Maryland with full power and authority to conduct its business. 

2.        It has the power and authority to enter into and perform this
Agreement; and the execution and delivery of this Agreement by Issuer has been duly and validly authorized by all necessary action. This Agreement constitutes the valid and binding agreement of Issuer, enforceable against it in accordance with its
terms, except as enforceability may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar state or federal debtor relief laws from time to time in effect which affect the enforcement of creditors’ rights
generally and by general equitable principles. Issuer is not in violation of its articles of incorporation or bylaws or in default under any agreement or instrument the effect of which violation or default would be material to Issuer. None of:
(i) the execution and delivery by Issuer of this Agreement; (ii) the consummation by Issuer of any of the transactions herein or therein contemplated; and (iii) the compliance by Issuer with the provisions hereof or thereof, does or
will conflict with or result in a breach of any term or provision of the articles of incorporation or bylaws of Issuer or conflict with, result in a breach, violation or acceleration of, or constitute a default under, the terms of any agreement or
instrument to which Issuer is a party or by which it is bound or, to the knowledge of Issuer, any statute, order or regulation applicable to Issuer of any court, regulatory body, administrative agency or governmental body having jurisdiction over
Issuer. Issuer is not a party to, bound by or in breach or violation of any agreement or instrument or, to the knowledge of Issuer, subject to or in violation of any statute, order or regulation of any court, regulatory body, administrative agency
or governmental body having jurisdiction over it that materially and adversely affects, or may in the future materially and adversely affect: (i) the ability of Issuer to perform its obligations under this Agreement; or (ii) the business,
operations, financial conditions, properties or assets of Issuer. 

3.        There are no actions or proceedings against, or investigations of,
Issuer pending or, to the knowledge of Issuer, threatened, before any court, arbitrator, administrative agency or other tribunal: (i) asserting the invalidity of this Agreement; (ii) seeking to prevent the consummation of any of the
transactions contemplated by this Agreement; or (iii) that might 

 
materially and adversely affect the performance by Issuer of its obligations under, or the validity or enforceability of, this Agreement. 

4.        The Issuer acknowledges that CCM (1) is not a registered transfer
agent under Section 17A(c) of the Securities Exchange Act of 1934 and is not acting as a fiduciary or in the capacity of a transfer agent; and (2) is not a member of the Financial Industry Regulatory Authority (FINRA) and is not acting as
a broker or dealer in connection with performing Services for the Issuer. 

5.        Issuer will, during the full term of this Agreement, abide by all
applicable provisions of its governing instruments, as the same may be amended. 
  

	8.	 Term and Termination 

 A.          The initial term of this Agreement shall commence on the Effective Date as noted above and shall expire on December 31, 2011. Upon
the expiration of such initial term or any renewal thereof, this Agreement shall then automatically be renewed for an additional one (1) year period (each such renewal, a “Renewal Term”). Renewal Terms exactly align with a given
calendar year. Notwithstanding the above, the Agreement may otherwise be terminated earlier as follows: 

1.        By either CCM or Issuer, after having given the other party at least
one-hundred twenty (120) calendar days advance written notice of its intent to terminate. 

2.        In the event that CCM shall fail to perform material services hereunder
and such failure may result in a material adverse effect on Issuer’s business, Issuer may terminate this Agreement immediately on written notice to CCM. 
 B.          In the event that this Agreement is terminated, regardless of the reason for such termination, CCM agrees to cooperate with Issuer to provide
for an orderly transfer of functions to the successor service provider. 
  

	9.	 Survival of Terms 

 The provisions of Section 4 (Confidentiality of Records) and Section 5 (Limitation of Liability; Indemnification) shall survive any termination of this Agreement. 

 

	10.	 Notices 

 Unless otherwise provided herein, all notices or other communications under this Agreement must be in writing and signed by an authorized officer (or such other persons as either party shall specify in
written notice to the other). 
 All such notices shall be deemed given and received when delivered by hand or
facsimile transmission in conjunction with a transmission confirmation, or after three (3) days following placement in the U.S. mail addressed to the other party, first class certified mail, or via overnight courier service, at the applicable
address set forth in this Section. 

 If sent to CCM: 
  

			
		 	 CNL CAPITAL MARKETS CORP.
 CNL Center at City Commons
 450 South Orange Avenue

Orlando, Florida 32801
 Attention: Nathan P. Headrick, Corporate Counsel

 If sent to the Issuer:

  

			
		 	 CNL Properties Trust, Inc.
 CNL Center at City Commons
 450 South Orange Avenue

Orlando, Florida 32801
 Attention: Holly Greer, Senior Vice President

  

	11.	 Nonwaiver 

 The failure of any party to insist upon or enforce strict performance by any other party of any provision of this Agreement or to exercise any right under this Agreement shall not be construed as a waiver
or relinquishment to any extent of such party’s right to assert or rely upon any such provision or right in that or any other instance; rather, such provision or right shall be and remain in full force and effect. 

 

	12.	 Assignment 

 Except for the assignment by CCM (i) to a successor corporation upon the merger or consolidation of CCM, (ii) to an affiliate of CCM, or (iii) upon the sale of all or substantially all of
CCM’s business of providing services similar to the Services, this Agreement shall not be assigned by any party hereto without the prior written consent of the other party hereto. 

 

	13.	 Governing Law and Venue 

 This Agreement shall be construed in accordance with the applicable laws of the State of Florida, excluding the choice of law provisions thereof. Any aggrieved party may proceed to enforce its rights in
the appropriate action at law or in equity. Venue for all suits arising out of this Agreement shall lie exclusively in the courts of Orange County, Florida. By execution of this Agreement, each party hereby submits itself to the in personam
jurisdiction of all courts of Orange County, Florida, and waives any right they may have to seek any change of jurisdiction or venue. 
  

	14.	 Severability 

 In the event any provision of this Agreement shall for any reason be held to be invalid, illegal or unenforceable, the remaining provisions of this Agreement shall be unimpaired and the invalid, illegal
or unenforceable provision shall be replaced by a mutually acceptable provision, which, being valid, legal and enforceable, comes closest to the intention of the Parties. 

	15.	 Use of CCM’s Name 

 Issuer shall obtain the prior written consent of CCM for any reference to CCM or to services to be furnished by CCM in any communication or document, except as required to be disclosed in any document
filed with the SEC; provided that CCM shall have no responsibility or liability for the content of any such communication or document. 
  

	16.	 Headings 

 The section and paragraph headings contained herein are for convenience and reference only and are not intended to define or limit the scope of any provision of this Agreement. 

 

	17.	 Counterparts 

 This Agreement may be executed in counterpart copies, each of which shall be deemed an original but all of which together shall constitute one and the same instrument comprising this Agreement.

  

	18.	 Attorneys’ Fees 

 Unless otherwise contemplated in this Agreement, the parties hereto agree to pay their own attorneys’ fees and costs as may be incurred in negotiating, preparing and drafting this Agreement, whether
the same is finally entered into and executed or not. 
  

	19.	 Amendment; Entire Agreement 

 No modification, amendment, supplement to or waiver of this Agreement or any of its provisions shall be binding upon CCM or Issuer unless made in writing and duly signed by authorized officers of each of
CCM and Issuer. This Agreement constitutes the entire understanding between the parties hereto, and all prior or contemporaneous correspondence, conversations or memoranda are merged in, replaced by and without effect on this Agreement. 

(signature page follows) 

 IN WITNESS WHEREOF, the Parties have duly executed this Service Agreement as of the date
first written above. 
  

	
	CNL CAPITAL MARKETS CORP. (“CCM”)
	
	 By: /s/ Timothy J. Seneff 

	
	 Name: Timothy J. Seneff

	
	 Title: President

	
	CNL PROPERTIES TRUST, INC. (“ISSUER”)
	
	 By: /s/ R. Byron Carlock, Jr. 

	
	 Name: R. Byron Carlock, Jr.

	
	 Title: Chief Executive Officer and President

 EXHIBIT A 
 Services 
 Services Covered by the Annual Service Fee 

 

	—	 	 Answer and resolve all incoming administrative calls from broker/dealers and financial advisors 

	—	 	 Negotiate and set up interactive voice response strategy & call flows 

	—	 	 Respond to incoming phone calls, e-mails, faxes, web, and mail correspondence relating to administrative services 

	—	 	 Develop, maintain and/or seek approvals for or consultative services on administrative forms (hard copy or electronic) required for daily operations
(including the subscription agreement; investor, financial advisor or custodian administrative form changes; Transfer on death forms; Distribution Reinvestment Plan forms; Redemption forms 

	—	 	 Ensuring updated forms are posted to www.cnlsecurities.com or other web venues as they become applicable (e.g. Vision) and facilitating the
accurate dissemination of these documents to the issuer websites 

	—	 	 Oversee and administer e-delivery program for investor communications including tax forms, quarterly statements, proxies and annual reports

	—	 	 Facilitate, oversee and act as a liaison to the transfer agent on behalf of the Issuer for the following non-exclusive list of services:

	 	¡
 	 	 Facilitate contracting, pricing and service level agreement negotiation 

	 	¡
 	 	 Oversight of transfer agents, technology vendors, telephone vendors, printers, statement companies, DTCC, and qualified plan custodians.

	 	¡
 	 	 Facilitate new product / new offering procedures as they pertain to systems and technologies. 

	 	¡
 	 	 Oversight of investor-qualified plan custodian calls 

	 	¡
 	 	 Oversight of distributions processing and communications 

	 	¡
 	 	 Oversight of commissions processing and communications 

	 	¡
 	 	 Oversight of rescissions processing and communications 

	 	¡
 	 	 Processing of redemptions and tracking and communication of the same 

	 	¡
 	 	 Oversight of deposit processing 

	 	¡
 	 	 Oversight of ownership transfer, resales and secondary market oversight, if applicable, such as tracking trends, unusual activity.

	 	¡
 	 	 Oversight of tax form generation and, where applicable; organizing the printing, mailing, re-printing, and electronic availability of the same.

	 	—	 	 Implementation of mandatory cost basis regulation 

	 	¡
 	 	 Oversight and development of Vision, FAN Web (Financial Advisor and Investor transactional websites) and FAN Mail. 

	 	¡
 	 	 Facilitation and servicing of investments by foreign investors, if allowable. 

	 	¡
 	 	 Oversight of various statement coordination, including account, distribution and confirmation statements 

	 	¡
 	 	 Ensure invoice reconciliation from various vendors (by providing confirmation that vendors are adhering to the contracted pricing & terms)

	—	 	 Provide analysis and consultative services, as needed, regarding transfer agent, custodial fund clearing services and related strategies

	—	 	 Provide Issuer support, as needed, for business or regulatory purposes (including position reports and investor counts)

	—	 	 Facilitate, but not undertake, customer and advisor oversight of: 

	 	¡
 	 	 Transfer agent compliance and regulatory issues (SEC, FINRA, OFAC, Privacy Acts, and the Electronic Transactions Act) 

	 	¡
 	 	 Blue sky matters (including communication and reporting to prevent blue sky violations) 

	—	 	 Internal & external client services training on processes and procedures 

	—	 	 Perform outbound research and problem resolution calls (as it pertains to not-in-good-order “NIGO” issues) 

	—	 	 Responding to all escalated issues including but not limited to: 

	 	¡
 	 	 Investor and financial advisor phone calls 

	 	¡
 	 	 New business and maintenance issues and cures 

	 	¡
 	 	 Lost shareholder / escheatment 

	 	¡
 	 	 TIN certifications / IRS B & C notices 

	—	 	 Maintenance and supervision of Vision and CNL Securities Corp. website log-in’s 

	—	 	 Act as liaison to clearing firms, custodians and broker-dealers, including set up, problem-resolution, running reports, and reconciliations

	—	 	 Executive Management & Ad-hoc reports 

	—	 	 Generation of investor & financial advisor communications and provide consultation regarding the same 

	—	 	 Facilitation of systems enhancement / development and provide consultation regarding the same 

	—	 	 Development and maintenance of a data bridge for sales and tax reporting 

	—	 	 Assist in negotiation and continued oversight of custodial accounts and /or escrow arrangements 

	—	 	 Oversee and maintain the Marketing Distribution Center 

 Exhibit A 
 Services Covered by the Communications Services Fee 
  

	—	 	 Development of investor and financial advisor statements 

	—	 	 Development of fund investor stationery 

	—	 	 Development of operational forms and instructions 

	—	 	 Development and implementation of branding 

	—	 	 Creation of budget & planning for the next year 

	—	 	 Development of issuer biographies 

	—	 	 Provide investor relations/communications services 

	 	¡
 	 	 General communication traffic coordination 

	 	¡
 	 	 Corporate restructuring 

	 	¡
 	 	 Coordinate and administer proxy firm and related services, including solicitation 

	—	 	 Coordinate approvals, print & distribute/mail (as needed): 

	 	¡
 	 	 Valuation letters 

	 	¡
 	 	 Tender offers 

	 	¡
 	 	 Notice of deemed distribution approach 

	 	¡
 	 	 Distribution declaration 

	—	 	 Draft, coordinate approvals, print & distribute: 

	 	¡
 	 	 Annual and quarterly reports 

	 	¡
 	 	 Cover letter & envelopes for prospectus 

	 	¡
 	 	 Error letters 

	 	¡
 	 	 Statement updates (i.e. statement messages, tax messages) 

	 	¡
 	 	 Crisis and other communications as needed 

	 	¡
 	 	 Q&A’s 

	—	 	 Manage and/or communicate through corporate events: 

	 	¡
 	 	 Name changes 

	 	¡
 	 	 Liquidation events 

	 	¡
 	 	 Lawsuits 

	 	¡
 	 	 Tax issues 

	 	¡
 	 	 FA e-mails (announcements, press releases, etc.) 

	 	¡
 	 	 Other matters as they arise 

	—	 	 Manage platform communications: 

	 	¡
 	 	 Monthly e-newsletter 

	 	¡
 	 	 Arrange conference calls to BD/FA community 

	—	 	 Coordinate and maintain investor section of issuer website 

	 	¡
 	 	 Post forms & filings 

	 	¡
 	 	 Arrange and test FanWeb and other links 

	 	¡
 	 	 Maintain/communicate other content as needed 

 EXHIBIT B 
 Issuer Service Escalations to Issuer and Its Designee 
  

	•	 	 Legal requests 

  

	•	 	 Requests for shareholder lists 

  

	•	 	 Redemption requests when forms are received after the deadline 

 

	•	 	 Rescission requests 

  

	•	 	 Foreign investor approvals 

  

	•	 	 Questionable resales 

  

	•	 	 Some transfers requiring legal back up 

 EXHIBIT C 
 Annual Fee Schedule 
 The following table is to be used in calculating the Annual
Fee: 
  

					
	 Projected Average
	  	 	Annual Fee	  
	 Number of Investors
	  			
	 0-1,000
	  	$	25,000	  
	 1,000-2,000
	  	$	75,000	  
	 2,000-5,000
	  	$	125,000	  
	 5,000-10,000
	  	$	250,000	  
	 10,000-20,000
	  	$	400,000	  
	 20,000-30,000
	  	$	500,000	  
	 30,000-40,000
	  	$	700,000	  
	 40,000-60,000
	  	$	1,000,000	  
	 60,000-80,000
	  	$	1,400,000	  
	 80,000-100,000 or more
	  	$	1,775,000	  

 For the term of this Agreement, the
Annual Fee is $xxxxxxxx. 
 Communications Services Fees 
 For the term of this Agreement, Communications Services shall be billed to Issuer at a rate of $xxx per hour.Indemnification Agreement

 EXHIBIT 10.6 
 INDEMNIFICATION AGREEMENT 
 THIS INDEMNIFICATION AGREEMENT
(the “Agreement”) is executed the 28th day of February, 2011, by and among CNL Properties Trust, Inc., a Maryland corporation (the “Company”) and James M. Seneff, Jr., a director and/or officer of the Company (the
“Indemnitee”). 
 WITNESSETH: 

WHEREAS, damages sought against directors and officers in shareholder or similar litigation by class action plaintiffs
may be substantial, and the costs of defending such actions and of judgments in favor of plaintiffs or of settlement therewith may be prohibitive for individual directors and officers, without regard to the merits of a particular action and without
regard to the culpability of, or the receipt of improper personal benefit by, any named director or officer to the detriment of the corporation; and 
 WHEREAS, the issues in controversy in such litigation usually relate to the knowledge, motives and intent of the director or officer, who may be the only person with firsthand knowledge of essential facts
or exculpating circumstances who is qualified to testify in his defense regarding matters of such a subjective nature, and the long period of time which may elapse before final disposition of such litigation may impose undue hardship and burden on a
director or officer or his estate in launching and maintaining a proper and adequate defense of himself or his estate against claims for damages; and 
 WHEREAS, the Company is organized under the Maryland General Corporation Law (the “MGCL”) and Section 2-418 of the MGCL empowers corporations to indemnify and advance expenses of litigation
to a person serving as a director, officer, employee or agent of a corporation and to persons serving at the request of the corporation, while a director of a corporation, as a director, officer, partner, trustee, employee or agent of another
foreign or domestic corporation, partnership, joint venture, trust, other enterprise or employee benefit plan, and further provides that the indemnification and advancement of expenses set forth in the MGCL are not “exclusive of any other
rights, by indemnification or otherwise, to which a director may be entitled under the charter, the bylaws, a resolution of stockholders or directors, an agreement or otherwise, both as to action in an official capacity and as to action in another
capacity while holding such office”; and 
 WHEREAS, the Articles of Incorporation of the Company, as they
may be amended or amended and restated from time to time (the “Articles of Incorporation”), provide that the Company may indemnify and hold harmless directors, advisors, or affiliates, as such terms are defined in the Articles of
Incorporation; and 

 WHEREAS, the Board of Directors of the Company (the “Board”) has
concluded that it is advisable and in the best interests of the Company to enter into an agreement to indemnify in a reasonable and adequate manner the Indemnitee and to assume for itself liability for expenses and damages in connection with claims
lodged against the Indemnitee for the Indemnitee’s decisions and actions as a director and/or officer of the Company or any of its Subsidiaries, or as an officer of CNL Properties Corp., a Florida corporation and advisor to the Company (the
“Advisor”, and collectively with such Subsidiaries, the “Affiliates”); and 
 WHEREAS, the
Company and Indemnitee entered into an Indemnification Agreement (the “Original Agreement”) as of June 8, 2010 (the “Effective Date”), and subsequently the name of the Company and its Advisor were changed; and 

WHEREAS, this Agreement is being executed by the Company and Indemnitee to reflect the name changes of the Company and
the Advisor, and, except for such name changes, the provisions of the Original Agreement are reproduced herein and remain in full force and effect as of the Effective Date. 

NOW, THEREFORE, in consideration of the foregoing, and of other good and valuable consideration, the receipt and
sufficiency of which is acknowledged by each of the parties hereto, the parties agree as follows: 
 I.
  DEFINITIONS 
 For purposes of this Agreement, the following terms shall have the meanings set
forth below: 
 A.        “Board” shall
mean the Board of Directors of the Company. 

B.        “Change in Control” shall mean a
change in the possession, directly or indirectly, of the power to direct or cause the direction of the management and policies of the Company, or any successor in interest thereto, whether through the ownership of Voting Securities, by contract or
otherwise, including but not limited to a change which would be required to be reported under Item 6(e) of Schedule 14A of Regulation 14A promulgated under the Securities Exchange Act of 1934 as in effect on the date hereof (the
“Exchange Act”) or as may otherwise be determined pursuant to a resolution of the Board. 
 C.        “Corporate Status” shall mean: (i) the status of a person who is or was a director or officer of the Company or any of the
Affiliates, or a member of any committee of the Board; and (ii) the status of a person who, while a director or officer of the Company, is or was serving at the request of the Company as a director, officer, partner (including service as a
general partner of any limited partnership), trustee, employee, or agent of another foreign or domestic corporation, partnership, joint venture, trust, other incorporated or unincorporated entity or enterprise or employee benefit plan. 

D.        “Disinterested Director” shall mean a
director of the Company who neither is nor was a party to the Proceeding with respect to which indemnification is being sought by the Indemnitee. 

E.        “Expenses” shall mean expenses of
Proceedings including, without limitation, all attorneys’ fees, retainers, court costs, transcript costs, fees of experts, investigation fees and expenses, accounting and witness fees, travel expenses, duplicating costs, printing and binding
costs, telephone charges, postage, delivery service fees and all other disbursements or expenses of the types customarily incurred in connection with prosecuting, defending, preparing to prosecute or defend, being or preparing to be a witness in or
investigating a Proceeding. 

  
 - 2 -

F.        “Good Faith Act or Omission” shall mean
an act or omission of the Indemnitee reasonably believed by the Indemnitee to be in or not opposed to the best interests of the Company or the Affiliates and not: (i) one involving negligence or misconduct, or, if the Indemnitee is an
independent director, one involving gross negligence or willful misconduct; (ii) one that was material to the loss or liability and that was committed in bad faith or that was the result of active or deliberate dishonesty; (iii) one from
which the Indemnitee actually received an improper personal benefit in money, property or services; or (iv) in the case of a criminal Proceeding, one as to which the Indemnitee had cause to believe his or her conduct was unlawful. 

G.        “Liabilities” shall mean liabilities
of any type whatsoever, including, without limitation, any judgments, fines, excise taxes and penalties under the Employee Retirement Income Security Act of 1974, as amended, penalties and amounts paid in settlement (including all interest,
assessments and other charges paid or payable in connection with or with respect to such judgments, fines, penalties or amounts paid in settlement) in connection with the investigation, defense, settlement or appeal of any Proceeding or any claim,
issue or matter therein. 

H.        “MGCL” shall mean the Maryland General
Corporation Law. 

I.        “Proceeding” shall mean any
threatened, pending or completed action, suit, arbitration, alternate dispute resolution mechanism, investigation, administrative hearing or any other actual, threatened or completed proceeding whether civil, criminal, administrative or
investigative, or any appeal therefrom. 

J.        “Trust” shall have the meaning
ascribed to it in Article IX herein. 

K.        “Trustee” shall have the meaning
ascribed to it in Article IX herein. 

L.        “Subsidiary” shall mean
any corporation, limited liability company, partnership, business trust or other entity of which the Company, directly or indirectly, owns or controls at least fifty percent (50%) of the voting securities or economic interests. 

M.        “Undertakings” shall have the meaning
ascribed to it in Article V herein. 

N.        “Voting Securities” shall mean any
securities of the Company that are entitled to vote generally in the election of directors. 
 II.  TERMINATION OF
AGREEMENT 
     This Agreement shall continue until, and terminate upon the later to
occur of: (i) the seventh anniversary of the Indemnitee ceasing to be a director and/or officer of the Company; or (ii) the final termination of all Proceedings (including possible Proceedings) with respect to which the Indemnitee is
granted rights of indemnification or advancement of Expenses hereunder and of any proceeding commenced by the Indemnitee regarding the interpretation or enforcement of this Agreement. 

  
 - 3 -

 III.  SERVICE BY INDEMNITEE, NOTICE OF 

PROCEEDINGS, DEFENSE OF CLAIMS 
 A.        Notice of Proceedings.    The Indemnitee agrees to notify the Company promptly in writing upon being served with any summons,
citation, subpoena, complaint, indictment, information or other document relating to any Proceeding or matter which may be subject to indemnification or advancement of Expenses covered hereunder. However, the Indemnitee’s failure to so notify
the Company shall not relieve the Company from any liability it may have to the Indemnitee under this Agreement, except to the extent that the Indemnitee’s failure to so notify the Company materially prejudices the Company with respect to said
Proceeding or matter. 
 B.        Defense of
Claims.    The Company will be entitled to participate, at its own expense, in any Proceeding of which it has notice. The Company jointly with any other indemnifying party similarly notified of any Proceeding will be entitled
to assume the defense of the Indemnitee therein, with counsel reasonably satisfactory to the Indemnitee; provided, however, that the Company shall not be entitled to assume the defense of the Indemnitee in any Proceeding if there has been a Change
in Control or if the Indemnitee has reasonably concluded that there may be a conflict of interest between the Company and the Indemnitee with respect to such Proceeding. The Company will not be liable to the Indemnitee under this Agreement for any
Expenses incurred by the Indemnitee in connection with the defense of any Proceeding, other than reasonable costs of investigation or as otherwise provided below, after notice from the Company to the Indemnitee of its election to assume the defense
of the Indemnitee therein. The Indemnitee shall have the right to employ his own counsel in any such Proceeding, but the fees and expenses of such counsel incurred after notice from the Company of its assumption of the defense thereof shall be at
the expense of the Indemnitee unless (i) the employment of counsel by the Indemnitee has been authorized by the Company; (ii) the Indemnitee shall have reasonably concluded that counsel employed by the Company may not adequately represent
the Indemnitee and shall have so informed the Company; or (iii) the Company shall not in fact have employed counsel to assume the defense of the Indemnitee in such Proceeding, such counsel shall not in fact have assumed such defense or such
counsel shall not be acting, in connection therewith, with reasonable diligence. In each such case the fees and expenses of the Indemnitee’s counsel shall be advanced by the Company in accordance with this Agreement. 

C.        Settlement of Claims.    The Company shall
not settle any Proceeding in any manner which would impose any liability, penalty or limitation on the Indemnitee without the written consent of the Indemnitee, which consent shall not be unreasonably withheld or delayed. The Company shall not be
liable to indemnify the Indemnitee under this Agreement or otherwise for any amounts paid in settlement of any Proceeding effected by the Indemnitee without the Company’s written consent, which consent shall not be unreasonably withheld or
delayed. 

  
 - 4 -

 IV.  INDEMNIFICATION 

A.        In General.    Upon the terms and subject
to the conditions set forth in this Agreement, the Company shall hold harmless and indemnify the Indemnitee against any and all Liabilities actually incurred by or for him or her in connection with any Proceeding (whether the Indemnitee is or
becomes a party, a witness or is otherwise a participant in any role) to the fullest extent required or permitted by the Articles of Incorporation. For all matters for which the Indemnitee is entitled to indemnification under this Article IV, the
Indemnitee shall be entitled to advancement of Expenses in accordance with Article V hereof. 

B.        Proceeding Other Than a Proceeding by or in the Right of the
Company.    If the Indemnitee, by reason of his or her Corporate Status or alleged action or inaction in such capacity, was or is a party or is threatened to be made a party to any Proceeding (whether the Indemnitee is or
becomes a party, a witness or is otherwise a participant in any role) (other than a Proceeding by or in the right of the Company or any Affiliate), the Company shall, subject to the limitations set forth in Section IV.F below, hold harmless and
indemnify the Indemnitee against any and all Expenses and Liabilities actually and reasonably incurred by or for the Indemnitee in connection with the Proceeding, if the act(s) or omission(s) of the Indemnitee giving rise thereto were Good Faith
Act(s) or Omission(s). 
 C.        Proceedings by or in the Right
of the Company.    If the Indemnitee, by reason of his or her Corporate Status or alleged action or inaction in such capacity, was or is a party or is threatened to be made a party to any Proceeding (whether the Indemnitee is
or becomes a party, a witness or otherwise is a participant in any role) by or in the right of the Company or any Affiliate to procure a judgment in its favor, the Company shall, subject to the limitations set forth in Section IV.F below, hold
harmless and indemnify the Indemnitee against any and all Expenses actually incurred by or for the Indemnitee in connection with the investigation, defense, settlement or appeal of such Proceeding, if the act(s) or omission(s) of the Indemnitee
giving rise to the Proceeding were Good Faith Act(s) or Omission(s). However, no indemnification under this Section IV.C shall be made with respect to any claim, issue or matter as to which the Indemnitee shall have been finally adjudged to be
liable to the Company or any Affiliate, unless a court of appropriate jurisdiction (including, but not limited to, the court in which such Proceeding was brought) determines upon application that, despite the adjudication of liability but in view of
all the circumstances of the case, regardless of whether the Indemnitee’s act(s) or omission(s) were found to be a Good Faith Act(s) or Omission(s), the Indemnitee is fairly and reasonably entitled to indemnification for such Expenses, which
such court shall deem proper. 
 D.        Indemnification of a
Party Who is Wholly or Partly Successful.    Notwithstanding any other provision of this Agreement, to the extent that the Indemnitee is, by reason of the Indemnitee’s Corporate Status, a party to and is successful in,
on the merits or otherwise, any Proceeding, the Indemnitee shall be indemnified by the Company to the maximum extent consistent with the Articles of Incorporation against all Expenses and Liabilities actually incurred by or for him or her in
connection therewith. If the Indemnitee is not wholly successful in such Proceeding but is successful, on the merits or otherwise, as to one or more but less than all claims, issues or matters in such Proceeding, the Company shall hold harmless and
indemnify the Indemnitee to the maximum extent consistent with the 

  
 - 5 -

 
Articles of Incorporation against all Expenses and Liabilities actually and reasonably incurred by or for the Indemnitee in connection with each successfully resolved claim, issue or matter in
such Proceeding. Resolution of a claim, issue or matter by dismissal, with or without prejudice, but except as provided in Section IV.F hereof, shall be deemed a successful result as to such claim, issue or matter so long as there has been no
finding (either adjudicated or pursuant to Article VI hereof) that the act(s) or omission(s) of the Indemnitee giving rise thereto were not a Good Faith Act(s) or Omission(s). 

E.        Indemnification for Expenses as
Witness.    Notwithstanding any other provision of this Agreement, to the extent that the Indemnitee, by reason of the Indemnitee’s Corporate Status, has prepared to serve or has served as a witness in any Proceeding, or
has participated in discovery proceedings or other trial preparation, the Indemnitee shall be held harmless and indemnified against all Expenses actually and reasonably incurred by or for him or her in connection therewith. 

F.        Specific Limitations on
Indemnification.    In addition to the other limitations set forth in Article IV and notwithstanding anything in this Agreement to the contrary, the Company shall not be obligated under this Agreement to make any payment to
the Indemnitee for indemnification with respect to any Proceeding: 

    1.        To the extent that payment is
actually made to the Indemnitee under any insurance policy or is made on behalf of the Indemnitee by or on behalf of the Company otherwise than pursuant to this Agreement. 

    2.        If a court in such Proceeding
has entered a judgment or other adjudication which is final and has become nonappealable and establishes that a claim of the Indemnitee for such indemnification arose from: (i) a breach by the Indemnitee of the Indemnitee’s duty of loyalty
to the Company or its shareholders; (ii) acts or omissions of the Indemnitee that are not Good Faith Acts or Omissions or which are the result of active and deliberate dishonesty,; (iii) acts or omissions of the Indemnitee which the
Indemnitee had reasonable cause to believe were unlawful; or (iv) a transaction in which the Indemnitee actually received an improper personal benefit in money, property or services. 

    3.        If there has been no Change in
Control, for Liabilities in connection with Proceedings settled without the consent of the Company, which consent shall not have been unreasonably withheld. 

    4.        For any loss or liability
arising from an alleged violation of federal or state securities laws unless one or more of the following conditions are met: (i) there has been a successful adjudication in favor of the Indemnitee on the merits of each count involving alleged
securities law violations as to the Indemnitee; (ii) such claims have been dismissed with prejudice on the merits by a court of competent jurisdiction as to the 

  
 - 6 -

 
Indemnitee; or (iii) a court of competent jurisdiction approves a settlement of the claims against the Indemnitee, finds that indemnification of the settlement and the related costs should
be made, and has been advised of the position on indemnification for violations of securities laws of (A) the Securities and Exchange Commission and (B) any state securities regulatory authority in which securities of the Company were
offered or sold. 
     5.        If
such Indemnitee is a party to such Proceeding by reason of his or her status as an officer of director of the Advisor and such Proceeding is brought by a member of the Advisor against such Indemnitee arising from claims solely related to the
relationship of the members as members of the Advisor. 
 V.  ADVANCEMENT OF EXPENSES 

Notwithstanding any provision to the contrary in Article VI hereof, the Company shall advance to the Indemnitee all
Expenses which, by reason of the Indemnitee’s Corporate Status, were incurred by or for the Indemnitee in connection with any Proceeding for which the Indemnitee is entitled to indemnification pursuant to Article IV hereof, in advance of the
final disposition of such Proceeding, provided that all of the following are satisfied: (i) the Indemnitee was made a party to the proceeding by reason of Indemnitee’s Corporate Status; (ii) the Indemnitee provides the Company with
written affirmation of the Indemnitee’s good faith belief that the Indemnitee has met the standard of conduct necessary for indemnification by the Company pursuant to Article IV hereof and (iii) the Indemnitee provides the Company with a
written agreement (the “Undertaking”) to repay the amount paid or reimbursed by the Company, together with the applicable legal rate of interest thereon, if it is ultimately determined that the Indemnitee did not comply with the requisite
standard of conduct. The Indemnitee shall be required to execute and submit the Undertaking to repay Expenses Advanced in the form of Exhibit A attached hereto or in such form as may be required under applicable law as in effect at the time of
execution thereof. The Undertaking shall reasonably evidence the Expenses incurred by or for the Indemnitee and shall contain the written affirmation by the Indemnitee, described above, of the Indemnitee’s good faith belief that the standard of
conduct necessary for indemnification has been met. The Company shall advance such expenses within five (5) business days after its receipt of the Undertaking. The Indemnitee hereby agrees to repay any Expenses advanced hereunder if it is
ultimately determined that the Indemnitee is not entitled to be indemnified against such Expenses. Any advances and the undertaking to repay pursuant to this Article V shall be unsecured. 

VI.  PROCEDURE FOR PAYMENT OF LIABILITIES; 
 DETERMINATION OF RIGHT TO INDEMNIFICATION 

A.        Procedure for Payment.    To
obtain indemnification for Liabilities under this Agreement, the Indemnitee shall submit to the Company a written request for payment, including with such request such documentation as is reasonably available to the Indemnitee and reasonably
necessary to determine whether and to what extent the Indemnitee is entitled to indemnification and payment hereunder. The Secretary of the Company, or such other person as shall be designated by the Board, shall promptly advise the Board in writing
of such request for indemnification. Any indemnification payment due hereunder shall be paid by the Company no later than five (5) business days following the determination, pursuant to this Article VI, that such indemnification payment is
proper hereunder. 

  
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 B.        No
Determination Necessary when the Indemnitee was Successful.    To the extent the Indemnitee has been successful, on the merits or otherwise, in defense of any Proceeding referred to in Sections IV.B or IV.C above or in the
defense of any claim, issue or matter described therein, the Company shall indemnify the Indemnitee against Expenses actually and reasonably incurred by or for the Indemnitee in connection with the investigation, defense or appeal of such
Proceeding. 
 C.        Determination of Good Faith
Act or Omission.    In the event that Section VI.B above is inapplicable, the Company shall also hold harmless and indemnify the Indemnitee unless the Company proves by clear and convincing evidence to a forum listed in
Section VI.D below that the act(s) or omission(s) of the Indemnitee giving rise to the Proceeding were not Good Faith Act(s) or Omission(s). 
 D.        Forum for Determination.    The Indemnitee shall be entitled to select from among the following the forums in which the
validity of the Company’s claim under Section VI.C above that the Indemnitee is not entitled to indemnification will be heard: 
     1.        A majority of the Disinterested Directors, or, if there are fewer than three (but at least one) Disinterested Directors, all of
the Disinterested Directors; 

    2.        The shareholders of the
Company; 
     3.        Legal
counsel selected by the Indemnitee, subject to the approval of the Board, which approval shall not be unreasonably delayed or denied and which counsel shall make such determination in a written opinion; or 

    4.        A panel of three arbitrators,
one of whom is selected by the Company, another of whom is selected by the Indemnitee and the last of whom is selected jointly by the first two arbitrators so selected. 

As soon as practicable, and in no event later than thirty (30) days after written notice of the Indemnitee’s
choice of forum pursuant to this Section VI.D, the Company shall, at its own expense, submit to the selected forum its claim that the Indemnitee is not entitled to indemnification, and the Company shall act in the utmost good faith to give the
Indemnitee a complete opportunity to defend against such claim. The fees and expenses of the forum selected in connection with making the determination contemplated hereunder shall be paid by the Company. If the Company fails to submit the matter to
the selected forum within thirty (30) days of the Indemnitee’s written notice or if the selected forum fails to make the requested determination within thirty (30) days of the matter being submitted to it by the Company, the
determination that the Indemnitee has the right to indemnification will be made. 

E.        Right to
Appeal.    Notwithstanding a determination by any forum listed in Section VI.D above that the Indemnitee is not entitled to indemnification with respect to a specific Proceeding, the Indemnitee shall have the right to apply
to the court in which that Proceeding is or 

  
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was pending, or to any other court of competent jurisdiction, for the purpose of enforcing the Indemnitee’s right to indemnification pursuant to this Agreement. Such enforcement action shall
consider the Indemnitee’s entitlement to indemnification de novo, and the Indemnitee shall not be prejudiced by reason of a prior determination that the Indemnitee is not entitled to indemnification. The Company shall be precluded from
asserting that the procedures and presumptions of this Agreement are not valid, binding and enforceable. The Company further agrees to stipulate in any such judicial proceeding that the Company is bound by all the provisions of this Agreement and is
precluded from making any assertion to the contrary. 

F.        Right to Seek Judicial
Determination.    Notwithstanding any other provision of this Agreement to the contrary, at any time sixty (60) days after a request for indemnification has been made to the Company (or upon earlier receipt of written
notice that a request for indemnification has been rejected) and before the third (3rd) anniversary of the making of such indemnification request, the Indemnitee may petition a court of competent jurisdiction, regarding whether the court has
jurisdiction over or is the forum in which the Proceeding is pending, to determine whether the Indemnitee is entitled to indemnification hereunder, and such court shall have the exclusive authority to make such determination, unless and until the
Indemnitee’s action is dismissed or otherwise terminated before such determination is made. The court, as petitioned, shall make an independent determination of whether the Indemnitee is entitled to indemnification hereunder, without regard to
any prior determination in any other forum. 

G.        Expenses under this
Agreement.    Notwithstanding any other provision in this Agreement to the contrary, the Company shall indemnify the Indemnitee against all Expenses incurred by the Indemnitee in connection with any hearing or proceeding
under this Article VI involving the Indemnitee and against all Expenses incurred by the Indemnitee in connection with any other action between the Company and the Indemnitee involving the interpretation or enforcement of the rights of the Indemnitee
under this Agreement, even if it is finally determined that the Indemnitee is not entitled to indemnification in whole or in part hereunder. 
 VII.  PRESUMPTIONS AND EFFECT 
 OF CERTAIN PROCEEDINGS

 A.        Burden of
Proof.    In making a determination with respect to entitlement to indemnification hereunder, the person, persons, entity or entities making such determination shall presume that the Indemnitee is entitled to indemnification
under this Agreement and the Company shall have the burden of proof of overcoming that presumption. 
 B.        Effect of Other Proceedings.    The termination of any Proceeding or any claim, issue or matter therein by judgment, order or
settlement shall not create a presumption that the act(s) or omission(s) giving rise to the Proceeding were not Good Faith Act(s) or Omission(s). The termination of any Proceeding by conviction, upon a plea of nolo contendere, or its equivalent, or
an entry of an order of probation prior to judgment, shall create a rebuttable presumption that the act(s) or omission(s) of the Indemnitee giving rise to the Proceeding were not Good Faith Act(s) or Omission(s). 

  
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C.        Reliance as Safe
Harbor.    For the purposes of any determination of whether any act or omission of the Indemnitee was a Good Faith Act or Omission, each act of the Indemnitee shall be deemed to be a Good Faith Act or Omission if the
Indemnitee’s action is based on the records or books of accounts of the Company, including financial statements, on information supplied to the Indemnitee by the officers of the Company in the course of their duties, on the advice of legal
counsel for the Company or the independent directors or any committee thereof, or on information or records given or reports made to the Company by an independent certified public accountant or by an appraiser or other expert selected with
reasonable care by the Company. The provisions of this Section VII.C shall not be exclusive or deemed to limit in any way the other circumstances in which the Indemnitee may be deemed to have met the applicable standard of conduct set forth in this
Agreement or under applicable law. 

D.        Actions of Others.    The
knowledge and/or actions or failure to act of any director, officer, agent or employee of the Company shall not be imputed to the Indemnitee for the purposes of determining the right to indemnification under this Agreement. 

VIII.  INSURANCE 
 In the event that the Company maintains officers’ and directors’ or similar liability insurance to protect itself and any director or officer of the Company against any expense, liability or
loss, such insurance shall cover the Indemnitee to at least the same degree as each other director and/or officer of the Company. 
 IX.  OBLIGATIONS OF THE COMPANY 
 UPON A CHANGE IN CONTROL

 In the event of a Change in Control and upon written request of the Indemnitee, the Company shall
establish a trust for the benefit of the Indemnitee hereunder (a “Trust”), and from time to time and upon written request from the Indemnitee, shall fund the Trust in an amount sufficient to satisfy all amounts actually paid hereunder as
indemnification for Liabilities or Expenses (including those paid in advance) or which the Indemnitee reasonably determines and demonstrates, from time to time, may be payable by the Company hereunder. The amount or amounts to be deposited in the
Trust shall be determined by legal counsel selected by the Indemnitee and approved by the Company, which approval shall not be unreasonably withheld. The terms of the Trust shall provide that: (i) the Trust shall not be dissolved or the
principal thereof invaded without the written consent of the Indemnitee; (ii) the trustee of the Trust (the “Trustee”) shall be selected by the Indemnitee; (iii) the Trustee shall make advances to the Indemnitee for Expenses
within ten (10) business days following receipt of a written request therefor (and the Indemnitee hereby agrees to reimburse the Trust under the circumstances under which the Indemnitee would be required to reimburse the Company under Article V
hereof); (iv) the Company shall continue to fund the Trust from time to time in accordance with its funding obligations hereunder; (v) the Trustee shall promptly pay to the Indemnitee all amounts as to which indemnification is due under
this Agreement; (vi) unless the Indemnitee agrees otherwise in writing, the Trust for the Indemnitee shall be kept separate from any other trust established for any other person to whom indemnification might be owed by the Company; and
(vii) all unexpended funds in the Trust shall revert to the Company upon final, nonappealable determination by a court of competent jurisdiction that the Indemnitee has been indemnified to the full extent required under this Agreement.

  
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 X.  NON-EXCLUSIVITY, 

SUBROGATION AND MISCELLANEOUS 

A.        Non-Exclusivity.    The
rights of the Indemnitee hereunder shall not be deemed exclusive of any other rights to which the Indemnitee may at any time be entitled under any provision of law, the Articles of Incorporation, the Bylaws of the Company, as the same may be in
effect from time to time, any agreement, a vote of shareholders of the Company or a resolution of directors of the Company or otherwise. To the extent that, during the term of this Agreement, the rights of the then-existing directors and officers of
the Company are more favorable to such directors or officers than the rights currently provided to the Indemnitee under this Agreement, the Indemnitee shall be entitled to the full benefits of those more favorable rights. 

No amendment, alteration, rescission or replacement of this Agreement or any provision hereof that would limit in any way
the benefits and protections afforded to an Indemnitee by this Agreement shall be effective as to an Indemnitee with regards to any action or inaction undertaken by such Indemnitee in the Indemnitee’s Corporate Status prior to such amendment,
alteration, rescission or replacement. 

B.        Subrogation.    In the event
of any payment under this Agreement, the Company shall be subrogated to the extent of such payment to all of the rights of recovery of the Indemnitee, who shall execute all required documents and take all action necessary to secure such rights,
including execution of documents necessary to enable the Company to bring suit to enforce such rights. 
 C.        Notices.    All notices, requests, demands and other communications hereunder shall be in writing and shall be deemed to have
been duly given: (i) if delivered by hand, by courier or by telegram and receipted for by the party to whom such notice or other communication was directed at the time indicated on such receipt; (ii) if by facsimile at the time shown on
the confirmation of such facsimile transmission; or (iii) if by U.S. certified or registered mail, with postage prepaid, on the third business day after the date on which it is so mailed: 

If to the Indemnitee, as shown with the Indemnitee’s signature below. 

If to the Company to: 
 CNL Properties Trust, Inc. 
 450 South Orange Avenue 

Orlando, FL 32801 
 Attention: R. Byron Carlock, Jr., President 
 Facsimile No.
407-540-2649 

  
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 With copies to: 

CNL Properties Corp. 
 c/o CNL Financial Group, LLC 
 450 South Orange Avenue 

Orlando, FL 32801 
 Attention: Robert A. Bourne, Vice President 
 Facsimile No.
(407) 540-2699 
 or to such other address as may have been furnished to the Indemnitee by the Company or to the Company by
the Indemnitee, as the case may be. 

D.        Governing Law.    The
parties agree that this Agreement shall be governed by, construed and enforced in accordance with the internal laws of the State of Maryland, without application of the conflict of laws principles thereof. 

E.        Binding Effect.    Except as
otherwise provided in this Agreement, this Agreement shall be binding upon and inure to the benefit of the parties hereto and their heirs, executors, administrators, successors, legal representatives and permitted assigns. The Company shall require
any successor or assignee (whether direct or indirect, by purchase, merger, consolidation or otherwise) to all or substantially all of its respective assets or business and by written agreement in form and substance reasonably satisfactory to the
Indemnitee, to expressly assume and agree to be bound by and perform this Agreement in the same manner and to the same extent as the Company would be required to perform absent such succession or assignment. 

F.        Waiver.    No termination,
cancellation, modification, amendment, deletion, addition or other change in this Agreement or any provision hereof, or waiver of any right or remedy herein, shall be effective for any purpose unless specifically set forth in a writing signed by the
party or parties to be bound thereby. The waiver of any right or remedy with respect to any occurrence on one occasion shall not be deemed a waiver of such right or remedy with respect to such occurrence on any other occasion. 

G.        Entire Agreement.    This
Agreement constitutes the entire agreement and understanding among the parties hereto in reference to the subject matter hereof; provided, however, that the parties acknowledge and agree that the Amended and Restated Articles of Incorporation of the
Company contain provisions on the subject matter hereof and that this Agreement is not intended to, and does not, limit the rights or obligations of the parties hereto pursuant to such instruments. 

H.        Titles.    The titles to the
articles and sections of this Agreement are inserted for convenience only and should not be deemed a part hereof or affect the construction or interpretation of any provisions hereof. 

  
 - 12 -

I.        Invalidity of
Provisions.    Every provision of this Agreement is severable, and the invalidity or unenforceability of any term or provision shall not affect the validity or enforceability of the remainder of this Agreement. 

J.        Pronouns and
Plurals.    Where applicable, any pronoun used in this Agreement shall include the corresponding masculine, feminine or neuter forms, and the singular form of nouns, pronouns and verbs shall include the plural and vice versa.

K.        Counterparts.    This
Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together constitute one agreement binding on all the parties hereto. 

[Signature Page Follows] 

  
 - 13 -

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

			
	CNL PROPERTIES TRUST, INC., a Maryland corporation
		
	 By: 
	 	 /s/ R. Byron Carlock, Jr.

	 Name:
	 	 R. Byron Carlock, Jr.

	 Title:
	 	 President

					
		
	 /s/ James M. Seneff, Jr.,
	 	 as INDEMNITEE

		
	 Name:
	 	James M. Seneff, Jr.
	 Address:  
	 	450 South Orange Avenue,
		 	14th Floor
		 	Orlando, Florida 32801

 EXHIBIT A 
 FORM OF UNDERTAKING TO REPAY EXPENSES ADVANCED 
 The Board of Directors of
CNL Properties Trust, Inc. 
  

	Re:	 Undertaking to Repay Expenses Advanced  

 Ladies and Gentlemen: 
 The undertaking is being provided pursuant
to that certain Indemnification Agreement dated the      day of                     ,
200    , by and between CNL Properties Trust, Inc. and the undersigned Indemnitee (the “Indemnification Agreement”), pursuant to which I am entitled to advancement of expenses in connection with [Description of
Proceeding] (the “Proceeding”). Terms used herein and not otherwise defined shall have the meanings specified in the Indemnification Agreement. 
 I am subject to the Proceeding by reason of my Corporate Status or by reason of alleged actions or omissions by me in such capacity. During the period of time to which the Proceeding relates I was —
[name of office(s) held] of CNL Properties Trust, Inc. Pursuant to Article IV of the Indemnification Agreement, the Company is obligated to reimburse me for Expenses that are actually and reasonably incurred by or for me in connection with the
Proceeding, provided that I execute and submit to the Company an Undertaking in which I: (i) undertake to repay any Expenses paid by the Company on my behalf, together with the applicable legal rate of interest thereon, if it shall be
ultimately determined that I am not entitled to be indemnified thereby against such Expenses; (ii) affirm my good faith belief that I have met the standard of conduct necessary for indemnification; and (iii) reasonably evidence the
Expenses incurred by or for me. 
 [Description of expenses incurred by or for Indemnitee] 

The letter shall constitute my undertaking to repay to the Company any Expenses paid by it on my behalf, together with
the applicable legal rate of interest thereon, in connection with the Proceeding if it is ultimately determined that I am not entitled to be indemnified with respect to such Expenses as set forth above. I hereby affirm my good faith belief that I
have met the standard of conduct necessary for indemnification and that I am entitled to such indemnification. 

 
			
	  
	 	
	 Signature
	 	
	  
	 	
	 Name
	 	
	  
	 	
	 Date
	 	

  
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