Document:

Exhibit 10.3

Exhibit 10.3

AGREEMENT AND PLAN OF REORGANIZATION

            This Agreement and Plan of Reorganization is dated March 30, 2005, between Riverbend Telecom, Inc., a Nevada corporation (“Parent”), and
Riverbend Holdings, Inc., a Colorado corporation (“Subsidiary”).

            WHEREAS, Parent is a telecommunications company engaged primarily in the marketing of telecommunication services for resellers and carriers of local and long
distance telephone and prepaid calling card, data and internet services.  A current listing of its contracts and a description of the assets related to such business is attached hereto as Exhibit A; and

            WHEREAS, Parent desires to separate its telecommunications operations from the remaining assets of the Parent by transferring that portion of its business and
assets to the Subsidiary in accordance with the terms of this Agreement;

            WHEREAS, Parent holds 100 shares of Common Stock in Subsidiary, and is the sole shareholder of Subsidiary;

            WHEREAS, following the transfer of assets to Subsidiary, it is anticipated that Parent will distribute its stock in Subsidiary to Parent's shareholders, and
immediately following such distribution, Parent will, pursuant to a Contribution Agreement dated July 14, 2004 (the "Contribution Agreement"), acquire control of United Check Services, L.L.C. ("United");

            WHEREAS, the Parent, in order to induce the members of United to enter into the Contribution Agreement has agreed to cause Subsidiary to assume all liabilities
and obligations of Parent and any and all tax liabilities arising from the transfer of assets to Subsidiary and the subsequent distribution of the stock in Subsidiary pursuant to this Agreement and Plan of Reorganization.  Subsidiary, in consideration of the
transfer of the assets described herein has agreed to assume such liabilities and indemnify Parent therefrom;

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

            1.         Transfer of Assets.  On the date of this Agreement and Plan of Reorganization, the Parent will
convey, assign and transfer to the Subsidiary any and all assets of Parent including all assets from Parent's telecommunications operations, accounts receivables, trade names, rights, claims and interests (the "Assets").  Without limitation, said assets shall
include those assets described in Exhibit A.  Notwithstanding the foregoing, Parent shall not transfer to Subsidiary those assets described on Exhibit B (the "Excluded Assets").

            2.         Consideration.  In consideration of the transfer of the Assets, the Subsidiary hereby agrees (i)
to assume, pay and perform any and all debts, liabilities, leases, licenses, contracts and obligations of  Parent  which have been incurred on or before the closing of the Contribution Agreement (the "Contribution Closing"), including, without limitation
those described on Exhibit C attached hereto (the "Assumed Liabilities and Obligations"; (ii) to assume and agree to pay any and all tax liabilities as described in Section 7, and to issue 2,046,567 shares of Common Stock of Subsidiary to
Parent.

            3.         Distribution of Subsidiary Stock. Upon completion of the transfer of Assets and assumption of the
Assumed Liabilities and Obligations as described in Paragraphs 1 and 2 above, Parent will distribute all of its stock in the Subsidiary to the then holders of Parent’s Common Stock with the shareholders of the Parent to receive one share of Common Stock of the
Subsidiary for each share of Common Stock of the Parent it holds (the "Spin-Off"); provided, that the shares of Common Stock of the Subsidiary shall be subject to federal and state securities law restrictions. Accordingly, all shares will be “restricted”
shares and may only be sold pursuant to Rule 144 of the Securities Act of 1933 or other available exemption from registration or pursuant to an effective registration statement. The Subsidiary consents to such distribution and transfer of stock to Parent's
shareholders and upon surrender of the certificate representing such stock together with stock assignments assigning such stock to the shareholders of Parent, the Subsidiary will issue "restricted" shares to the shareholders of Parent for the number of shares
transferred to such respective shareholders.

            4.         Closing. The Spin-Off Closing will be at 10:00 A.M. on March 30, 2005 at the offices of
Berenbaum Weinshienk, & Eason, P.C. or such other time and place mutually agreed to by the parties hereto. At the Closing, the following deliveries shall take place:

	
                    

	
(a)     

	
the Parent will deliver to the Subsidiary a Bill of Sale and Assignment assigning the Assets to the Subsidiary;

	
 

		
		
(b)     

	
the Parent will execute and deliver to the Subsidiary specific assignments of certain Assets for which a separate assignment is required or desirable;

	
 

		
		
(c)     

	
the Parent will deliver to the Subsidiary the amount of the cash being transferred to the Subsidiary as a part of the Assets;

	
 

		
	
 

	
(d)     

	
the Parent will deliver to the Subsidiary physical possession of the tangible Assets;

	
 

		
	
 

	
(e)     

	
the Subsidiary will deliver to the Parent a stock certificate for 2,046,567 shares of Common Stock of the Subsidiary;

	
 

		
	
 

	
(f)     

	
the Subsidiary will execute and deliver to the Parent an Assumption Agreement whereby the Subsidiary assumes and agrees to pay and perform all Assumed Liabilities and Obligations;

	
 

		
	
 

	
(g)     

	
the Parent will distribute the stock in the Subsidiary to the Parent's shareholders, on a share for share basis.

            5.         Representations and Warranties of Parent. The Parent hereby represents and warrants to the Subsidiary
as set forth below:

	
                    

	
(a)     

	
Corporate Status. The Parent is duly incorporated under the laws of the State of Nevada and is in good standing under the laws of such State. Parent has taken all requisite corporation action to
authorize the transactions provided for herein.

	
 

		
		
(b)     

	
Enforceability.  This Agreement and all other agreements entered into pursuant hereto shall be fully enforceable against Parent subject to the availability of equitable remedies.

	
 

		
		
(c)     

	
Encumbrances. Upon the consummation of such transactions, title to the Assets shall be transferred to the Subsidiary, subject to any and all liens, claims and defects of title.

	
 

		
	
 

	
(d)     

	
Accounts Receivable. All accounts receivable of Parent are being assigned to Subsidiary without recourse.  Parent makes no representation as to the collectability of any account
receivable.

	
                    

	
(e)     

	
Inventory.  All inventory of Parent shown on Exhibit A shall be assigned to Subsidiary, "As Is."  Parent makes no representation as to the condition or value of such
inventory.

	
 

		
		
(f)     

	
Equipment. All equipment of Parent shown on Exhibit A shall be conveyed to Subsidiary, "As Is."  Parent makes no representation as to the condition or value of such
equipment.

	
 

		
		
(g)     

	
Real Property.  To the extent that the Assets include real property and improvements thereon or leasehold interests, Parent shall convey such real property and improvements by quit claim deed
or assignment without warranties.  Parent shall convey such property "As Is" and makes no representation or warranty as to the condition or value of such real property, improvements, or interests.

	
 

		
	
 

	
(h)     

	
Title to Assets. Parent shall assign and convey title to the Assets "As Is” and Parent makes no representation or warranty as to the status of Parent's title to the Assets or the amount of or
existence of any liens encumbering such Assets.

            6.         Representations and Warranties of Subsidiary. The Subsidiary represents and warrants to the Parent as
follows:

	
                    

	
(a)     

	
Entity Status. The Subsidiary is a corporation duly formed and existing in good standing under the laws of the State of Colorado.

	
 

		
		
(b)     

	
Enforceability.  All transactions provided for herein and all obligations of the Subsidiary have been duly authorized by all requisite legal action, and all agreements entered into, including
the execution and consummation of this Agreement, will be valid and enforceable against the Subsidiary in accordance with their terms subject to the availability of equitable remedies.

	
 

		
		
(c)     

	
Assumed Liabilities and Obligations. The Subsidiary will assume, pay and perform all the Assumed Liabilities and Obligations as and when due, including completing all contracts and work in progress
which exist at the Spin-Off Closing.

	
 

		

	
                    

	
(d)     

	
Capitalization of Subsidiary. The Subsidiary will be capitalized with the authorized capitalization of 50,000,000 shares of Common Stock and 25,000,000 shares of Preferred Stock, of which 2,046,667
shares of Common Stock will be outstanding after consummation of the Spin-Off Closing.

	
 

		
	
 

	
(e)     

	
Subsidiary's Balance Sheet.  The Subsidiary's assets and liabilities immediately after Closing shall be as set forth in Exhibit D.

            7.         Taxes.  The Subsidiary shall be responsible for any taxes attributable to  the transactions
described herein  (including, without limitation, taxes attributable to the contribution of assets to Subsidiary by Parent, the assumption of liabilities of Parent by Subsidiary and the distribution of Subsidiary's Common Stock to Parent) To the extent permitted
under Section 381(a) of the Internal Revenue Code of 1986, as amended, Subsidiary shall succeed to and take into account certain tax attributes of Parent including, without limitation, Parent’s net operating loss carryovers from prior taxable years.

            8.         Post-Closing Covenants. Following Closing:

	
                    

	
(a)     

	
Parent and Subsidiary shall cooperate with respect to the corporate records relating to the telecommunications business, including billing records, tax records, accounting records and other materials which may be necessary for
future tax audits, other audits or other legal compliance matters. Each party will preserve and maintain such records as may be customary in the industry or consistent with government record retention policies. Each party will allow the other access to such records
and will cooperate in providing information and otherwise assist in responding to any legitimate business needs of the other; and

	
 

		
		
(b)     

	
Subsidiary shall:

	
 

		
			
(i)     

	
Cause final state and federal income tax returns to be prepared and filed for the Parent reflecting the income and loss of Parent for Parent’s short taxable year commencing prior to the Spin-Off Closing and ending on the
date of the Contribution Closing;

	
 

			
			
(ii)     

	
Cause a person who was an officer of Parent prior to the Contribution to sign such final income tax returns and other returns on behalf of Parent.

	
                    

	
     

		
				

	
                    

	
         

	
(iii)   

	
Determine the amount of any distributions for federal income tax purposes made to the shareholders of Parent during such short taxable year (including any distribution deemed to be made by Parent to its shareholders of the
value of its corporate charter).

	
 

			
			
(iv)     

	
Prepare and distribute to the shareholders of Parent forms 1099 and other required information returns reflecting the distributions and deemed distributions made to such shareholders for such short taxable year.

	
 

			
			
(v)     

	
Prepare and cause form 966 to be filed with the Internal Revenue Service in connection with any deemed dissolution of Parent resulting from the Contribution.

            9.         Miscellaneous.

	
                    

	
(a)     

	
Complete Agreement. This Agreement sets forth the entire Agreement of the parties hereto with respect to the subject matter hereof and all prior agreements and understandings are specifically
superseded.

	
 

		
		
(b)     

	
Survival of Agreement. This Agreement and all terms, warranties and provisions hereof will survive the Closing.

	
 

		
		
(c)     

	
Successors and Assigns. This Agreement will be binding upon the parties hereto and their respective successors and assigns.

	
 

		
	
 

	
(d)     

	
Arbitration. Any dispute arising in connection with this Agreement shall be resolved by arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association as
then in effect. The arbitrators shall be instructed to award, in addition to damages or other remedies, attorneys fees and costs of arbitration in favor of the prevailing party.

	
 

		
	
 

	
(e)     

	
Specific Enforcement: Legal Fees. The parties acknowledge that a breach of the provisions of this Agreement is likely to result in irreparable and unreasonable harm to the other party, and that
injunctive relief, as well as damages, would be appropriate. In the event action is brought to enforce or construe any provisions of this Agreement, the prevailing party shall be entitled to collect reasonable attorneys fees and costs from the other party
hereto.

	
 

		
	
 

	
(f)     

	
Applicable Law. This Agreement shall be construed in accordance with the internal law of the State of Louisiana without giving effect to principles of conflicts of law. Any judicial action relating
to this Agreement shall be brought only in the state or federal courts located in the State of Louisiana and the parties hereby, consent to the exclusive jurisdiction and venue of such courts.

            IN WITNESS WHEREOF, this Agreement and Plan of Reorganization has been executed as of the date set forth above.

                                                                                   
RIVERBEND TELECOM, INC.,

                                                                                   
a Nevada corporation

                                                                                   
By:       /s/ Leon Nowalsky                  

                                                                                               
Leon Nowalsky, President

                                                                                   
RIVERBEND HOLDINGS, INC.,

                                                                                   
a Colorado corporation

                                                                                   
By:       /s/ Leon Nowalsky                  

                                                                                               
Leon Nowalsky, PresidentExhibit 10.9

                       SECOND AMENDMENT TO LEASE AGREEMENT

         THIS SECOND AMENDMENT TO LEASE AGREEMENT ("First Amendment") is made
this 9th day of September, 2004, by and between THE REALTY ASSOCIATES FUND VI,
L.P., a Delaware limited liability partnership, successor in interest to Van
Brunt Associates ("Landlord") and MEDICAL NUTRITION USA, INC., a Delaware
corporation, formerly known as Medical Nutrition, Inc. ("Tenant").

                                   WITNESSETH:

         WHEREAS, Van Brunt Associates, Landlord's predecessor in interest, and
Tenant entered into that certain Lease Agreement dated October 4, 1984, as
amended by that certain First Amendment to Lease dated as of October 24, 1994
and that certain lease extension letter dated November 17, 1999 (collectively,
the "Lease"), pursuant to which Tenant leased that certain premises in the
building located at 10 West Forest Avenue, Englewood, NJ 07631 (the "Building"),
said premises containing Seven Thousand Five Hundred (7,500) rentable square
feet (the "Premises"); and

         WHEREAS, the Term of the Lease expires December 31, 2004; and

         WHEREAS, Landlord and Tenant desire to amend the Lease to extend the
Term of the Lease and to amend certain other terms and conditions of the Lease
as herein provided.

         NOW, THEREFORE, in consideration of the premises and mutual covenants
and agreements herein contained and for other good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, Landlord and
Tenant hereby agree to the following:

     1.   Recitals. The recitals set forth above are incorporated herein by this
          reference with the same force and effects as if fully set forth
          hereinafter.

     2.   Capitalized Terms. Capitalized terms not otherwise defined herein
          shall have the meeting ascribed to them in the Lease. From and after
          the date hereof, the Lease and his Second Amendment shall be known
          collectively as the "Lease".

     3.   Term. Notwithstanding anything to the contrary contained in the Lease
          or elsewhere, the Term of the Lease is hereby extended for a period of
          five (5) years commencing on January 1, 2005 (the "Renewal Date") and
          expiring December 31, 2009 (inclusively, the "Renewal Term"), unless
          sooner terminated pursuant to the terms of the Lease or hereof.

     4.   Base Rent.
        a. Notwithstanding anything to the contrary contained in the Lease,
         during the Renewal Term Tenant shall pay Base Rent with respect to the
         Premises at the times and in the manner set forth in Section 3 of the
         Lease in accordance with the following schedule:

                    Period             Annual Base Rent     Monthly Base Rent
                    ------             ----------------     -----------------
             01/01/05 - 12/31/05          $77,625.00            $6,468.75
             01/01/06 - 12/31/06          $79,953.75            $6,662.81
             01/01/07 - 12/31/07          $82,352.36            $6,862.70
             01/01/08 - 12/31/08          $84,822.93            $7,068.58
             01/01/09 - 12/31/09          $87,367.62            $7,280.64

        b. Tenant shall continue to pay all Additional Rent as and when due
         under the Lease.
<PAGE>

     5.   "As-Is" Condition.

     a.   Tenant acknowledges that all obligations of Landlord to construct
     tenant improvements for the Premises pursuant to the Lease have been met.
     Tenant hereby agrees to accept the Premises in its "as-is" condition
     existing on the date hereof and Landlord shall have no obligation to
     construct any tenant improvements to the Premises on behalf of Tenant
     during the Renewal Term.
     b.   Notwithstanding the foregoing, Landlord shall:

       (i) Replace the HVAC roof mounted unit that serves the conference room;
       and

       (ii) Replace the lavatory sinks and toilets (provided this does not
       require reconstruction of the lavatory rooms or their finishes).

     6.   Notices. Landlord's address for notices set forth on the first page of
          the Lease is hereby deleted.
     All notices required to be sent to Landlord pursuant to Section 20 of the
     Lease shall be sent to landlord at the following addresses:

                 Landlord:                 The Realty Associates Fund VI, L.P.
                                           c/o Kwartler Associates
                                           2 North Street
                                           Waldwick, New Jersey 07463

                 With a copy to:           TA Associates Realty
                                           28 State Street
                                           Boston, Massachusetts 02109
                                           Attn:  Mr. Christopher J. Good

      The last clause of the first paragraph of Section 20 "with copies to
   Harris R. Silver, Esq., 101 Eisenhower Parkway, Roseland, New Jersey 07068"
                                shall be deleted.

     7.   Assignment and Subletting. Article 14 of the Lease is herby deleted in
          its entirety and the following Article 14 is hereby substituted in
          lieu thereof:

          "14.     ASSIGNMENT AND SUBLETTING
                   -------------------------

              14.1 Tenant shall not voluntarily or by operation of law assign,
              transfer, hypothecate, mortgage, sublet, or otherwise transfer or
              encumber (hereinafter collectively "Assign") or sublet
              (hereinafter "Sublet") all or any part of Tenant's interest in
              this Lease or in the Premises, without Landlord's prior written
              consent, which shall not be unreasonably withheld. Landlord shall
              respond to Tenant's written request for consent hereunder within
              thirty (30) days after Landlord's receipt of the written request
              from Tenant. Any attempted Transfer without such consent shall be
              void and shall constitute a material default and breach of this
              Lease. Tenant's written request for Landlord's consent shall
              include, and Landlord's thirty (30) day response period referred
              to above shall not commence, unless and until Landlord has
              received from Tenant, all of the following information in Section
              14.2 or 14.3, as applicable:

              14.2 Sublet: Tenant's written request for Landlord's consent to
              Sublet shall include (a) a description of the business the
              subtenant intends to operate on the Premises, which must be for a
              use permitted by the Lease, (b) the proposed effective date of the
              sublease, (c) a copy of the proposed sublease, and (d) a detailed
              description of any Alterations needed to accommodate the proposed
              subtenant.

              14.3 Assignment : Tenant's written request for Landlord's consent
              to Assign shall include all of the following: (a) financial
              statements for the proposed assignee or subtenant for the past two
              (2) years prepared in accordance with generally accepted
              accounting principles, if available, (b) federal tax returns for
              the proposed assignee for the past two (2) years, if available,
              (c) a detailed description of the business the assignee or
              subtenant intends to operate the Premises, (d) the proposed
              effective date of the assignment or sublease, (e) a copy of the
              proposed sublease or assignment which includes all of the terms
              and conditions of the proposed assignment or sublease, and (f) a
<PAGE>

              detailed description of any Alterations the proposed assignee or
              subtenant desires to make to the Premises.

              14.4 Landlord shall not unreasonably withhold its consent to
              Sublet or Assign, provided that Tenant has complied with each and
              every requirement, term and condition of this Section 14. Tenant
              acknowledges and agrees that each requirement, term and condition
              in this Section 14 is a reasonable requirement, term or condition.
              It shall be deemed reasonable for Landlord to withhold its consent
              to Sublet or Assign any requirement, term or condition of this
              Section 14 is not complied with or (a) the proposal would cause
              Landlord to be in violation of its obligations under another lease
              or agreement to which Landlord is a party; (b) in Landlord's
              reasonable judgment, a proposed assignee has a smaller net worth
              than Tenant had on the date this Lease was entered into with
              Tenant or is not able financially to pay the rents due under this
              Lease as and when they are due and payable; (c) a proposed
              assignee's or subtenant's business will impose a burden on the
              Project's parking facilities, Common Areas or utilities that is
              substantially greater than the burden imposed by Tenant, in
              Landlord's reasonable judgment; (d) the terms of a proposed
              assignment or subletting will allow the proposed assignee or
              subtenant to exercise a right of renewal, right of expansion,
              right of first offer, right of first refusal or similar right held
              by Tenant; (e) a proposed assignee refuses to enter into a written
              assignment agreement, reasonably satisfactory to Landlord, which
              provides that it will abide by and assume all of the terms and
              conditions of this Lease for the term of any assignment and
              containing such other terms and conditions as Landlord reasonably
              deems necessary; (f) the use of the premises by the proposed
              assignee or subtenant will not be a use permitted by this Lease:
              (g) any guarantor of this Lease refuses to consent to the
              assignment or to execute a written agreement reaffirming the
              guaranty; (h) Tenant is in default as defined in Section 18 at the
              time of the request; (i) Landlord has sued or been sued by the
              proposed assignee or has otherwise been involved in a legal
              dispute with the proposed assignee; (j) the assignee or subtenants
              is involved in a business which is not in keeping with the
              then-current standards of the Project; (k) the proposed assignee
              or subtenant is an existing tenant of the Project or is a person
              or entity then negotiating with Landlord for the lease of space in
              the Project; or (l)the assignee or subtenant will use, store or
              handle Hazardous Materials in or about the Premises of a type,
              nature, quantity not acceptable to Landlord, in landlord's sole
              discretion.

              14.5 Landlord shall be entitled to receive from Tenant (as and
              when received by Tenant) as an item of additional rent the
              following amounts (hereinafter the Premium): one-half of all
              amounts received by Tenant from the subtenant or assignee in
              excess of the amounts payable by Tenant to Landlord hereunder. The
              Premium shall be reduced by the reasonable brokerage commissions
              and legal fees actually paid by Tenant in order to assign the
              Lease or to sublet a portion of the Premises. "Premium" shall mean
              all Base Rent, additional rent or other consideration of any type
              whatsoever payable by the assignee or subtenant in excess of the
              Base Rent and additional rent payable by Tenant under this Lease.
              If less than all of the Premises is transferred, the Base Rent and
              the additional rent shall be determined on a
              per-leasable-square-foot basis. "Premium" shall also include, but
              not be limited to, key money and bonus money paid by the assignee
              or subtenant to Tenant in connection with such transfer, and any
              payment in excess of fair-market value for services rendered by
              Tenant to the assignee or subtenant or for assets, fixtures,
              inventory, equipment or furniture transferred by Tenant to the
              assignee or subtenant in connection with such transfer.

              14.6 Notwithstanding anything to the contrary contained in this
              Section 14, Landlord shall have the option, by giving written
              notice to Tenant within thirty (30) days after receipt of any
              request by Tenant to assign this Lease or to sublease space in the
              Premises (the term of which sublease expires during the last
              twelve (12) months of the Term), to terminate this Lease with
              respect to said space as of the date thirty (30) days after
              Landlord's election. In the event of a recapture by Landlord, if
              this Lease shall be canceled with respect to less than the entire
              Premises, the Base Rent, Operating Expenses and the number of
              parking spaces Tenant may use shall be adjusted on the basis of
              the number of rentable square feet retained by Tenant in
              proportion to the number of rentable square feet contained in the
              original Premises, and this Lease as so amended shall continue
              thereafter in full force and effect, and upon request of either
              party, the parties shall execute written confirmation of same. If
              Landlord recaptures only a portion of the Premises, it shall
              construct and erect at its sole cost such partitions as may be
              required to sever the space to be retained by Tenant from the
<PAGE>

              space recaptured by landlord. Landlord may, at its option, lease
              any recaptured portion of the Premises to the proposed subtenant
              or assignee or to any other person or entity without liability to
              Tenant. Tenant shall not be entitled to any portion of the profit,
              if any, Landlord may realize on account of such termination and
              reletting. Tenant acknowledges that the purpose of this Section is
              to enable Landlord to receive profit in form of higher rent or
              other consideration to be received from an assignee or subtenant
              to give Landlord the ability to meet additional space requirements
              of other tenants of the Project and to permit Landlord to control
              the leasing of space in the Project. Tenant acknowledges and
              agrees that the requirements of this Section are commercially
              reasonable and are consistent with the intentions of Landlord and
              Tenant.

              14.7 In the event Tenant shall request Landlord's consent to
              Assign this Lease or Sublet the Premises, then Tenant shall pay
              Landlord's reasonable costs and expenses incurred in connection
              therewith, including, but not limited to, attorneys', architects',
              accountants', engineers', or other consultants' fees.

              14.8 The foregoing notwithstanding, provided Tenant is not in
              default after expiration of all applicable notice and cure
              periods, Tenant shall have the right, without Landlord's consent,
              upon thirty (30) days advance written notice to Landlord, to
              assign the Lease or sublet the whole or any part of the Premises
              (a) to any entity or entities which are owned by Tenant, or which
              owns Tenant, (b) in connection with the sale or transfer of
              substantially all of the assets of the Tenant or the sale or
              transfer of substantially all of the outstanding ownership
              interests in Tenant, or (c) in connection with a merger,
              consolidation or other corporate reorganization of Tenant (each of
              the transactions referenced in the above subparagraphs (a), (b),
              and (c) are hereinafter referred to as "Permitted Transfer," and
              each surviving entity shall hereinafter be referred to as a
              "Permitted Transferee"); provided, that such assignment or
              sublease is subject to the following conditions:

                (i) Tenant shall remain fully liable under the terms of the
                Lease;

                (ii) such Permitted Transfer shall be subject to all of the
                terms, covenants and conditions of the Lease;

                (iii) in the event the entity which constitutes Tenant does not
                survive such transaction, such Permitted Transferee has a net
                worth at least equal to the net worth of Tenant as of the date
                of this Lease, and

                (iv) such Permitted Transferee shall expressly assume the
                obligations of Tenant under the Lease by a document reasonably
                satisfactory to Landlord.

     8.   Compliance with Laws. Article 16 of the Lease is hereby modified by
          adding the following new Section 16.2(iv):

                (iv) "Tenant shall, at Tenant's sole expense, comply with all
                requirements of the Americans With Disabilities Act ("ADA") that
                relate to the Premises and with all federal, state and local
                laws and regulations governing occupational safety and health."

     9.   Brokers. Tenants represents and warrants to Landlord that Tenant has
          not had any dealings or entered into any agreements with any person,
          entity, realtor, broker, agent or finder in connection with the
          negotiation of this Second Amendment other than Kwartler Associates,
          Inc. Tenant shall indemnify and hold Landlord harmless from and
          against any loss, claim, damage, expense (including costs of suit and
          reasonable attorneys' fees) or liability to any compensation,
          commission or charges claimed by any other realtor, broker, agent or
          finder claiming to have dealt with Tenant in connection with this
          Second Amendment.

     10.  Reaffirmation of Terms. Except as modified herein, all of the terms,
          covenants and provisions of the Lease are hereby confirmed and
          ratified and shall remain unchanged and in full force and effect.

     11.  Representations. Tenant hereby represents and warrants to Landlord
          that Tenant (i) is not in default of its obligation under the Lease
          and that such Lease is valid, binding and enforceable in accordance
<PAGE>

          with its terms, (ii) has full power and authority to execute and
          perform this Second Amendment, and (iii) has taken all action
          necessary to authorize the execution and performance of this Second
          Amendment.

     12.  Counterpart Copies: This Second Amendment may be executed in two or
          more counterpart copies, each of which shall be deemed to be an
          original and all of which counterparts shall have the same force and
          effect as if the parties hereto had executed a single copy of this
          Second Amendment.

     13.  Deleted Provision: Effective as of the date hereof, Section 51 of the
          Lease is hereby deleted in its entirety.

                        [SIGNATURES APPEAR ON NEXT PAGE]
<PAGE>

IN WITNESS WHEREOF, Landlord and Tenant have executed this Second Amendment as
of the day and year first above written.

LANDLORD

THE REALTY ASSOCIATES FUND VI, L.P.
A Delaware limited partnership

By:  Realty Associates Fund VI LLC, a
     Massachusetts limited liability company,
     General partner

     By:   Realty Associates Advisors LLC, a
           Delaware limited liability company,
           Manager

           By:   Realty Associates Advisor Trusts, a
                 Massachusetts business trust, sole
                 Member

                 By:
                    ----------------------------------
                                [Officer]

By:  Realty Associates Fund VI Texas
     Corporation, a Texas corporation, general
     Partner

     By:
        ----------------------------------------------
                          [Officer]

TENANT

MEDICAL NUTRITION USA, INC.
A Delaware corporation

By:
   ----------------------------------------------

Name:
     --------------------------------------------

Title:
      -------------------------------------------

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