Document:

Lease Agreement

 Exhibit 10.2 
 Burton Hills VI 
 AmSurg Corp. 

Schedule to Lease Agreement 

The following Schedule comprises an integral part of the Lease Agreement between the Landlord and Tenant hereinafter named, dated as of December 27, 2012
(the “Lease”). Unless the context otherwise requires, the terms described below shall have the meanings ascribed to them and shall be governed and construed in accordance with the terms of the Lease. 

 

			
	Landlord:	  	Burton 6, LLC, a Tennessee limited liability company, whose address is c/o Eakin Properties, LLC, 1600 Division Street, Suite 600, Nashville, TN 37203, and FAX number
615-250-1805.
		
	Tenant:	  	AmSurg Corp., a Tennessee corporation, whose address is Suite 500, 20 Burton Hills Blvd, Nashville, TN 37215, Attn: Chief Financial Officer and Fax Number
615-665-0755.
		
	Project:	  	That certain property consisting of approximately two and 9/100 (2.09) acres of currently unimproved land located on Burton Hills Boulevard, Nashville, Tennessee, a legal
description of which is attached as Exhibit A (the “Land”), together with a three story office building to contain 109,751 rentable square feet designated Burton Hills VI (the “Building”) and
related parking areas, driveways and other improvements (the “Site Improvements”) to be constructed thereon by Landlord in accordance with the site plan attached hereto as Exhibit B (the “Site
Plan”), the provisions of Sections 4 and 5 below and the provisions of that certain Development Agreement of even date herewith, by and between Landlord and Tenant (the “Development Agreement”) together with all rights,
privileges, easements, servitudes, right-of-ways and appurtenances belonging or appurtenant to the Land. The Building shall include an underground parking garage (such portion of the Building being sometimes hereinafter referred to as the
“Parking Garage”). The Building (including the Parking Garage), the Land and the Site Improvements are herein collectively referred to as the “Project.” The Building, excluding the Parking Garage, is
sometimes hereinafter referred to as the Premises.
		
	Initial Term:	  	180 months.

  
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	Renewal Terms:	  	Two (2) 5 year renewal options.
		
	Commencement Date:	  	March 1, 2015, subject to change as provided in Section 1 of this Lease.
		
	Initial Term Expiration Date:	  	February 28, 2030, subject to change as provided in Section 1 of this Lease.
		
	Base Rental:	  	$2,277,333.25 ($20.75 per rentable square foot of the Premises) per annum; provided, however, that on the first day of the second Lease Year, and on the first day of
each succeeding Lease Year thereafter, such Base Rental shall be increased by 1.9% over the Base Rental payable during the prior Lease Year. Base Rental shall be paid according to the rent schedule attached hereto as Exhibit C. This
shall be the rent net of the Operating Costs that are to be paid by Tenant pursuant to Section 6.
		
	Rentable Area:	  	109,751 rentable square feet.
		
	Tenant Cost Allowance:	  	$4,390,040 ($40.00 per rentable square foot of the Premises) to be used and applied in the manner specified in the Development Agreement. The allowance may be used towards physical
improvements to the Premises, architectural design costs, engineering fees, construction management services, cabling and telecommunications, supplemental A/C units, Tenant security systems and such other items as may be permitted by the Development
Agreement.
		
	Security Deposit:	  	None.
		
	Permitted Use:	  	General office purposes that are consistent with a first class office building, subject to the terms, limitations and conditions provided in this Lease.
		
	Parking:	  	Exclusive use of (i) not less than 330 parking spaces located within the Parking Garage, and (ii) fourteen (14) of the parking spaces located in the parking lot located on the north
side of the Building (the “Surface Parking Lot”), as depicted on the Site Plan, at no cost to Tenant, subject to Section 10 hereof.
		
	Broker(s):	  	Eakin Properties, LLC and Cornerstone Commercial Real Estate Services of Tennessee, LLC.

  
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 Landlord and Tenant hereby agree to the foregoing terms of this Schedule. 

 

											
	LANDLORD:	 		 	TENANT:
			
	Burton 6, LLC, a Tennessee limited liability company	 		 	 AmSurg Corp.,
 a
Tennessee corporation

					
	By:	 	 Eakin Properties, LLC,
 a Tennessee limited liability company,
 Chief Manager
	 		 	By:	 	 /s/ Christopher A. Holden

	 	 		 	  
 Printed Name:
	 	  
 Christopher A.
Holden

						
		 	By:	 	 /s/ John W. Eakin
	 		 	Title:	 	 President and CEO

		 		 	John W. Eakin, President	 		 		 	
			
	Date: December 27, 2012	 		 	Date: December 27, 2012

  
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 LEASE AGREEMENT 
 Landlord leases to Tenant, and Tenant accepts from Landlord, the Premises described in the Schedule, in consideration of the following mutual covenants and conditions: 

1. Initial Lease Term: Renewal Terms. 

(a) The term of this Lease shall commence upon the Commencement Date specified in the Schedule, and shall expire on the Initial Lease
Term Expiration Date specified in the Schedule (the “Initial Lease Term”), unless such term is extended pursuant to Section 1(e) below. 
 (b) As used herein, “Lease Year” shall mean each twelve (12) month period or portion thereof during the Term, commencing with the Commencement Date (or an anniversary
thereof), without regard to calendar years. 
 (c) Landlord shall deliver possession of the Premises to Tenant on the
Substantial Completion Date (as defined in the Development Agreement). In the event the Substantial Completion Date occurs prior to the Commencement Date, then during the period commencing on the Substantial Completion Date and ending on the
Commencement Date, Tenant may commence the use and occupancy of the Premises, in which event all terms and provisions of this Lease shall apply, except that no Base Rental, Operating Costs or Additional Rent shall be due with respect to
Tenant’s use or occupancy of the Premises during such period. Landlord hereby acknowledges Tenant’s desire to begin occupancy of certain portions of the Premises on a staggered basis, as same are substantially completed in compliance with
the Development Agreement. Landlord agrees that in the event a portion of the Premises (but no less than one floor) has reached substantial completion prior to the Substantial Completion Date, Landlord shall notify Tenant of same and Landlord and
Tenant shall work in good faith to provide Tenant access to said portion to facilitate Tenant’s occupancy on a staggered basis. In the event Tenant occupies a portion of the Premises in accordance with the foregoing, Tenant agrees not to
interfere with the progress of construction within the remaining areas of the Project. 
 (d) In the event the Substantial
Completion Date occurs after the scheduled Commencement Date due to reasons other than Tenant Delay, then the Commencement Date and Initial Term Expiration Date shall be extended by one day for each day that elapses from the scheduled Commencement
Date until the Substantial Completion Date. In the event the Substantial Completion Date occurs after the scheduled Commencement Date due to reasons other than Tenant Delay or delay due to Force Majeure, as defined in Section 41 hereof,
(provided that no more than thirty (30) days of delay for Force Majeure shall be included for the purposes of this sentence), in excess of thirty (30) days, Landlord shall reimburse Tenant for all holdover costs (i.e. the 100% increase in
rent under such leases over the rent in effect as of the last day of the then-expiring term(s)) Tenant is required to pay to its existing landlords under Tenant’s leases for Suite 500, 20 Burton Hills Boulevard, and Suite 200, 40 Burton Hills
Blvd. Nashville, TN. The Commencement Date shall not be so extended to the extent the Substantial Completion Date is delayed beyond the scheduled Commencement Date due solely to Tenant Delay. “Tenant Delay” shall mean any
measurable delay that Landlord may encounter in the performance of Landlord’s obligations under this Lease solely because of (i) changes requested 

  
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by Tenant to the Plans and Specifications (as defined in the Development Agreement) after such Plans and Specifications have been approved by Landlord and Tenant pursuant to Sections 2 and 3 of
the Development Agreement; (ii) the postponement of any work at Tenant’s request; (iii) delay by Tenant in the submission of information or the giving of authorizations or approvals required under Development Agreement beyond the time
periods specified therein; (iv) delays attributable to the failure by Tenant’s architect, space planner or other agent or contractor, to timely prepare plans, pull permits, provide approvals or perform any other act required under
Development Agreement beyond the time periods specified therein; (v) delays attributable to Tenant’s failure to pay any amounts required to be paid by Tenant pursuant to Development Agreement beyond the time periods specified therein;
(vi) delays caused by specialty items required by Tenant that have extended delivery periods; and (vii) delays caused by Tenant or Tenant’s employees, agents, or contractors due to unreasonable interference with the progress of
construction at the construction site; provided, however, that no act or omission shall be deemed to constitute “unreasonable interference with the progress of construction” unless Landlord shall deliver written notice to Tenant that
Tenant’s acts or omissions are interfering with the progress of construction within two (2) business days after Landlord’s actual knowledge of such interference. Promptly after Landlord has actual knowledge of a Tenant Delay, Landlord
shall deliver written notice thereof to Tenant and shall confirm the number of days that such Tenant Delay existed to the extent then determinable. Upon Tenant’s request from time to time, Landlord shall provide Tenant with Landlord’s
calculation as to how many aggregate days of Tenant Delay has occurred at such time. When the Commencement Date has been determined, Landlord and Tenant shall execute that certain Commencement Date Letter attached hereto as Exhibit F.

 (e) Provided no Default (as hereinafter defined) exists beyond the expiration of any applicable grace and/or notice and cure
periods at the time of exercising each renewal option described below or as of the first day of any resulting renewal term, Landlord hereby grants to Tenant the option to renew this Lease for two (2) additional successive five (5) year
periods (each, a “Renewal Term”) upon the same terms and conditions set forth herein, including the continuation of annual 1.9% Base Rental increases, as provided in the Schedule. Tenant agrees to notify Landlord of Tenant’s
intent to exercise its option to renew this Lease in writing no later than three hundred sixty-five (365) days, and no more than five hundred forty-five (545) days, prior to the expiration date of the Initial Term or the then preceding the
Renewal Term in question. If Tenant fails to give such notice within the foregoing notice period, the remaining renewal options shall be deemed null and void. References herein to “Term” or “Lease Term” or the “Term of this
Lease” shall include the “Initial Term” and the “Renewal Term(s)” as to which the foregoing renewal options are timely and properly exercised. 

2. Rent. Commencing on the Commencement Date, Tenant shall pay the annual Base Rental specified
in the Schedule in equal monthly installments equal to one twelfth (12th) of the annual Base Rental to Landlord at the address set forth on the Schedule or to such other address as Landlord may direct by notice in accordance with this Lease. Such Base Rental shall be due
and payable in advance without demand on or before the first day of each calendar month during the Term. In addition, Tenant shall pay to Landlord any sales, use or other tax (excluding, however, the Tax Exclusions (as hereinafter defined)) that may
be levied upon or in any way measured by this Lease or the rents payable by Tenant, notwithstanding the fact that a statute, ordinance or enactment imposing the same may endeavor to impose such tax upon

  
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Landlord. If the Term commences on other than the first day of a calendar month or terminates on other than the last day of a calendar month, then the Base Rental for such month or months shall
be prorated. Tenant shall also pay, as additional rent, all such other sums as shall become due from and payable by Tenant under this Lease (“Additional Rent”). All rent or other payments due hereunder, if not paid within five
(5) days of when due, shall bear interest from the date due until paid at the Prime Rate of interest that Citibank, N.A. (or its successor) establishes from time to time as its Prime Rate (the “Prime Rate”), plus two
percent (2%), said interest rate to be adjusted on the date the Prime Rate changes, but not to exceed the lesser of (i) ten percent (10%) per annum, or (ii) the maximum lawful rate of interest chargeable under applicable Law (the
“Default Rate”). All sums due under this Lease shall be deemed rent and shall be paid without offset or deduction. 
 3. Site Plan; Title Matters. 
 a. The Land is a portion of a
larger tract of land which shall be subdivided by Landlord into two separate parcels prior to July 22, 2013 pursuant to a subdivision plat approved by Tenant, which approval shall not be unreasonably withheld, conditioned, or delayed; provided
that such subdivision plat and any related easements and agreements shall be subject to the provisions of Section 3(f) below and shall not materially and adversely affect Tenant’s rights or obligations under this Lease, its use or
occupancy of the Project, or its ingress or egress to the Project; provided further that Tenant shall not be required to expend any funds in connection with such subdivision, easements or agreements except to the extent applicable as Operating
Costs. Landlord shall comply with all reasonable requests of Tenant for information relating to such subdivision, at no material cost to Landlord. Notwithstanding the foregoing, in no event shall Landlord grant to third parties any access rights
through, or parking rights upon, the Project, except as set forth in any Permitted Encumbrances (as defined below). The Site Plan is subject to modification only with Tenant’s prior written agreement, which shall not be unreasonably withheld,
conditioned, or delayed. 
 b. Landlord represents and warrants that ingress and egress to the Project shall be provided by
Burton Hills Boulevard, a public road, substantially as outlined in the Site Plan. 
 c. Landlord represents and warrants that
(i) the Land is currently owned by E.P. Real Estate Fund, L.P., a Tennessee limited partnership (“Ground Lessor”), (ii) Landlord has the full power and authority to execute this Lease, (iii) Landlord shall hold a
ground leasehold interest in the Project on or before August 22, 2013 pursuant to a Ground Lease by and between Ground Lessor and Landlord (the “Ground Lease”), and (iv) the estate demised herein is and shall be subject
only to the Ground Lease and the liens and encumbrances described on Exhibit D attached hereto, as the same may be modified from time to time in compliance with Section 3(f) below, and any new easements, restrictions or other
encumbrances hereafter applicable to the Project executed in compliance with Section 3(f) below (collectively, the “Permitted Encumbrances”). The Ground Lease shall be subject to the approval of Tenant, which approval shall not
be withheld so long as the Ground Lease, when considered collectively within the Ground Lessor NDA (as hereinafter defined), does not increase the obligations of Tenant under this Lease in any material respect, decrease or interfere with the rights
and entitlements of Tenant under this Lease in any material respect, interfere with Tenant’s use and 

  
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enjoyment of the Project in any material respect or expose Tenant to any additional material risk. Contemporaneously with the execution of the Ground Lease, Landlord shall also deliver to Tenant
(x) a non-disturbance agreement (the “Ground Lessor NDA”) executed by Ground Lessor, which shall be in a form mutually acceptable to Tenant and Ground Lessor, whereby Ground Lessor shall agree to honor and to not disturb or
interfere with Tenant’s use and occupancy of the Project or Tenant’s rights and entitlements under this Lease (including rights regarding the application of insurance proceeds and condemnation awards), regardless of any default by Landlord
under the Ground Lease or any termination of the Ground Lease, and (y) a non-disturbance agreement (the “Fee Mortgagee NDA”) executed by the holder (“Fee Mortgagee”) of any Mortgage (as hereinafter defined) on
Ground Lessor’s fee interest in the Project (“Fee Mortgage”), which shall be in a form mutually acceptable to Tenant and Fee Mortgagee, whereby Fee Mortgagee shall agree to honor and to not disturb or interfere with
Tenant’s use and occupancy of the Project or Tenant’s rights and entitlements under this Lease (including rights regarding the application of insurance proceeds and condemnation awards), regardless of any default by Landlord under the
Ground Lease, any termination of the Ground Lease or any default by Ground Lessor under the Fee Mortgage. The Ground Lease shall include an obligation of Ground Lessor to convey, and an obligation of Ground Lessee to purchase, Ground Lessor’s
fee interest in the Project on or before December 31, 2015. In the event the Ground Lease, the Ground Lessor NDA and the Fee Mortgage NDA are not approved by Tenant and fully executed and delivered by all parties thereto on or before
August 22, 2013, then Tenant shall be entitled to terminate this Lease by delivering written notice of such termination to Landlord in addition to Tenant’s other rights and remedies available at law. Upon Landlord’s acquisition of fee
title to the Project, pursuant to the Ground Lease or otherwise, the premises leased by Landlord to Tenant under this Lease shall automatically, without the execution of any further documentation, be expanded to include such greater estate then held
by Landlord. 
 d. As long as Tenant is entitled to possession of the Premises, Tenant shall have the non-exclusive right (in
common with the occupants of Burton Hills Building I) to use all drives and entrances located within the Project, the exclusive right to use fourteen (14) parking spaces in the Surface Parking Lot (which spaces shall be marked as reserved for
Tenant’s use) and three hundred thirty (330) parking spaces in the Parking Garage (as more particularly provided in Section 10), and the right to use all other portions of the Project (except Ground Lessor’s Reserved Parking
Spaces, as described in Section 10), including the driveways, sidewalks and other site improvements within the Project as they may exist from time to time, subject to the Permitted Encumbrances. No third parties have the right to use any
portion of the Project except as set forth in this Lease or the Permitted Encumbrances. Notwithstanding the foregoing, Landlord hereby reserves the right to establish reasonable rules and regulations for the use thereof, and to close all or any
portion thereof as may be deemed necessary by Landlord to prevent a dedication thereof or the accrual of any rights to any person or the public therein. 
 e. Landlord acknowledges and agrees that, by July 22, 2013, Landlord will deliver to Tenant complete copies of any surveys, title policies (including copies of the Permitted Encumbrances) and
environmental reports relating to the Premises in its possession. 
 f. Landlord and Tenant acknowledge that Tenant, Landlord,
Ground Lessor, and the Premises shall be subject to the terms and conditions of that certain declaration to be executed by Landlord and Ground Lessor as amended from time to time in compliance with this

  
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Section 3(f), the “Declaration”). Tenant shall have the right to approve the Declaration which approval shall not be unreasonably withheld, conditioned or delayed so long as
the Declaration does not increase the obligations of Tenant under this Lease in any material respect, decrease or interfere with the rights and entitlements of Tenant under this Lease in any material respect, interfere with Tenant’s use and
enjoyment of the Project in any material respect or expose Tenant to any additional material risk. The Declaration shall provide for mutual ingress/egress easements and certain parking rights for the Ground Lessor’s Reserved Parking Spaces on
the Surface Parking Lot and within the Parking Garage. Landlord agrees that in no event shall Landlord agree to any amendment or modification to the Declaration, or consent to any matter under the Declaration, that could adversely affect the rights,
or increase the obligations, of Tenant hereunder, including, without limitation, any action that (i) grants any easement that could interfere with the operations of Tenant, or (ii) grants any access easements or other rights of ingress or
egress to third parties onto or through the Project, without the prior written consent of Tenant, which shall not be unreasonably withheld, conditioned, or delayed. Landlord agrees to (x) promptly provide Tenant with copies of any notices that
Landlord may give or receive pursuant to the Declaration or any of the other Permitted Encumbrances and (y) consult with Tenant regarding how to cast any votes allocated to the Project under the Declaration or any of the other Permitted
Encumbrances. Landlord represents and warrants that it has or will receive all necessary approvals required pursuant to the Declaration or any of the other Permitted Encumbrances in order to construct the improvements described herein. Subject to
Landlord’s obligation to subdivide the larger parcel of which the Premises is part, Landlord shall not amend, modify or terminate the Permitted Encumbrances, or grant any consent or approval regarding any matter under the Permitted
Encumbrances, or allow any new easements, restrictions or encumbrances with respect to the Project to be created, without the prior written consent of Tenant (which shall not be unreasonably withheld, conditioned, or delayed), except for such
amendments, modifications, terminations, consents or approvals, or such new easements, restrictions or encumbrances (copies of which shall be promptly provided to Tenant), as shall not increase in any material respect the obligations of Tenant under
this Lease, decrease, interfere with or impair in any material respect Tenant’s rights under this Lease or its use and enjoyment of the Project, or expose Tenant to additional material risk. 

g. Tenant acknowledges that, except as set forth in this Lease and the Development Agreement, including but not limited to
Landlord’s commitment to complete the construction described in the Development Agreement, no promise has been made by or on behalf of Landlord, or relied upon by Tenant, to construct, alter, remodel, improve, repair, decorate or maintain the
Project, and that, except as otherwise provided in this Lease and in the Development Agreement, no representation respecting the condition of the Project has been made by or on behalf of Landlord or relied upon by Tenant 

4. Landlord’s Work. 
 (a) Landlord agrees to construct the Base Building (as defined in the Development Agreement) and the Site Improvements (“Landlord’s Work”), at its expense in a good and workmanlike
manner and in compliance with all Laws (as defined in Section 12), all Permitted Encumbrances and the terms and provisions of the Development Agreement. All of Landlord’s Work shall be completed at Landlord’s sole cost and expense,
without contribution from Tenant, except as otherwise expressly set forth in the Development Agreement. 

  
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 (b) The Rentable Area of the Premises shall be 109,751 rentable square feet. 

(c) Prior to August 22, 2013, Landlord shall provide Tenant with (i) reasonable evidence that Landlord has obtained
construction financing and equity commitments sufficient to pay all costs of the Project, and (ii) the NDA required by Section 28(b) below. If Landlord fails to provide such items prior to August 22, 2013, and if such failure
continues for an additional thirty (30) days after written notice from Tenant, Tenant shall be entitled to terminate this Lease without limiting Tenant’s other rights and remedies with respect to such failure. 

(d) In the event (i) Landlord does not commence vertical construction of the Building on or before February 22, 2014,
(ii) Landlord abandons construction of the Building or ceases construction activities related to the Project after the commencement of vertical construction for a period longer than ninety (90) days for reasons other than Tenant Delay or
Force Majeure (or for more than one hundred twenty (120) days for reasons other than Tenant Delay only), (iii) the Substantial Completion Date does not occur within one hundred eighty (180) days after the scheduled Commencement Date
herein for reasons other than Tenant Delay or Force Majeure or (iv) the Substantial Completion Date does not occur within two hundred forty (240) days after the scheduled Commencement Date herein for reasons other than Tenant Delay
(regardless of Force Majeure), then, without limiting any other remedies available to Tenant at law or in equity, Tenant may terminate this Lease, which such right to terminate must be exercised at any time after the lapse of time giving rise
to such termination right but no later than thirty (30) days after the date Landlord notifies Tenant in writing that Tenant is entitled to exercise such termination right. 

5. Tenant Improvements to Premises. 
 a. Landlord further agrees to construct certain interior improvements to the Building to provide finished and functioning office space for Tenant’s use (the “Tenant Improvements”).
The Tenant Improvements shall be more particularly described in, and shall be constructed in accordance with the provisions of, the Development Agreement. 
 b. Landlord shall pay for all Tenant Improvements up to the Tenant Cost Allowance. If the cost of the Tenant Improvements exceeds the Tenant Cost Allowance, Tenant shall be responsible for paying all
excess costs as incurred by Landlord pursuant to, and as more particularly described in, the Development Agreement. 
 c.
Provided that Tenant has obtained the commercial general liability insurance required hereunder, naming Landlord as additional insured, Tenant shall be granted early access to the Premises prior to the Substantial Completion Date for the purpose of
installing communication equipment, cabling and similar infrastructure; and its modular furniture systems at the times, and subject to the terms, described in Section 4 of the Development Agreement. Such early access by Tenant shall be deemed
to be that of a tenant under all of the terms, covenants, and conditions of this Lease, except that the obligation to pay Base Rental, Operating Costs or Additional Rent shall not be due and payable until the Commencement Date. 

  
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 6. Additional Rent. As Additional Rent, commencing on the Commencement
Date, Tenant shall pay Landlord an amount equal to the annual Operating Costs for the Project, which Operating Costs shall be calculated and paid as follows: 
 a. “Operating Costs” shall mean all commercially reasonable costs and expenses incurred by Landlord in connection with the operation, maintenance, repair and management of the
Project, as computed on a cash basis in accordance with generally accepted accounting principles consistently applied, and shall include all commercially reasonable expenses, costs and disbursements of every kind and nature that Landlord shall pay
because of or in connection with the ownership and operation of the Project, including but not limited to, the following: 
 i. Wages, salaries, taxes, insurance and benefits directly attributable to all employees engaged solely in operating, maintaining, managing or providing security for the Project, or to employees partially
so engaged, on a proportionate basis. 
 ii. All supplies and materials used in operation and maintenance of the
Project. 
 iii. Utilities for the Project, including but not limited to water, electric, sewer and gas;
provided, however, that at Tenant’s option, Tenant may put all or a part of such utilities serving the Premises in its own name, in which event Tenant shall pay such utilities directly to the appropriate utility provider(s) and
that portion of such utilities shall be excluded from Operating Costs. 
 iv. Maintenance, janitorial, security,
and service agreements for the Project. 
 v. All insurance required to be carried by Landlord with respect to
the Project in accordance with Section 26 below (the “Insurance Costs”). 
 vi. Ad valorem
real estate taxes, assessments and governmental charges charged or assessed against the Project (“Taxes”); provided, however, that (x) Landlord’s income, profit, excise and franchise taxes and similar taxes
as well as any inheritance, estate, succession, gift or any form of property transfer tax or indebtedness tax which may be assessed or levied against Landlord or any mortgagee of Landlord (collectively, the “Tax Exclusions”) are
specifically excluded from Taxes for purposes of this paragraph, (y) in the event any assessments may be paid in installments, only those installments becoming due during the applicable calendar year shall be included in the amount of Taxes for
such year, and (z) Tenant shall receive the full benefit of any tax incentives procured with respect to the Project and in connection therewith, in the event that lease of the Land pursuant to the Ground Lease results in the value of the Land
being excluded from the benefits of the PILOT Agreement (as defined in Section 46 below) during the term of the Ground Lease, then only fifty percent (50%) of the resulting real estate taxes resulting therefrom shall be included in
Operating Expenses during the term of the Ground Lease. 

  
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 vii. Maintenance, repairs and replacements of improvements comprising the
Project (except to the extent the same are for the repair, maintenance, or replacement of the roof, structural components, or exterior walls (including windows therein) of the Building) including all capital maintenance, repairs and replacements to
the full extent the same may be expensed (and not capitalized) pursuant to GAAP. 
 viii. Amortization (on a
straight line basis over the useful life of the applicable item) of the cost of installation of capital investment items required by, or permitted pursuant to, this Lease or otherwise requested by Tenant, except to the extent same are for the
repair, maintenance, or replacement of the roof, structural components, or exterior walls (including windows therein) of the Building. 
 ix. Management fees for the Project not to exceed three and 62/100 percent (3.62%) of the then-applicable annual Base Rental, which management fee shall be inclusive of all accounting, property
management and incidentals such as postage and copies. 
 x. Legal consultants’, appraisers’ and
auditors’ fees incurred in connection with an appeal for reduction of taxes requested by Tenant or for other management purposes directly incurred in the operation of the Project, but excluding any such expenses intended to be included in the
management fees as described in clause (ix) above. 
 xi. Association fees and payments allocated to the
Premises pursuant to the Declaration, or other Permitted Encumbrances. 
 b. Intentionally Deleted. 

 c. Notwithstanding the foregoing, the following items shall not be included in Operating Costs: (i) any
expenses which under generally accepted accounting principles would not be considered a maintenance, repair and/or operating expense for a commercial office facility, other than items expressly included in Operating Expenses as set forth in
subsections 6(a)(vii) and (viii) above, (ii) costs associated with the operation of the business of the entity which constitutes the “Landlord”, including, but not limited to, the legal and accounting costs associated with the
leasing, selling, syndicating, financing, mortgaging, or hypothecating of any of Landlord’s interest in the Project, (iii) costs of disputes between Landlord and its employees, tenants or contractors, (iv) depreciation and/or
amortization of the Project, (v) the cost of repairs or other work incurred by reason of fire, windstorm or other casualty paid under insurance contracts, (vi) Landlord’s gross receipts taxes, personal and corporate taxes, inheritance
and estate taxes, franchise, gift or transfer taxes or other Tax Exclusions, (vii) fines, penalties and other government imposed charges inclusive of interest and attorney fees incurred solely

  
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as a result of Landlord’s failure to comply with legal or regulatory requirements (except to the extent such fees were incurred as a result of Tenant’s failure to perform Tenant’s
obligations hereunder), (viii) costs relating to challenging the assessed valuation of the Project including attorneys’ fees, except for any costs or expenses incurred by Landlord in challenging tax assessments at the request of Tenant;
(ix) capital improvements, except for items expressly included in Operating Expenses as set forth in subsections 6(a)(vii) and (viii) above; (x) construction defects or repairs due to the negligent or willful acts or omissions (where
there was a duty to act) of Landlord or its agents or others under its control, (xi) advertising or other promotional costs concerning the Project, (xii) ground lease payments, payments on mortgages or other debt obligations,
(xiii) any expense which is reimbursed by insurance, warranties or third parties; (xiv) management fees in excess of three and 62/100 percent (3.62%) of the then-applicable annual Base Rental; (xv) wages, salaries, or other
compensation paid to any executive above the grade of building manager; (xvi) expenditures for compliance with any federal, state or local law, rule, ordinance or requirement regarding the environment or hazardous waste and materials the
violation of which existed at or prior to the Commencement Date hereof for which Tenant is not legally responsible; (xvii) expenses of Landlord in curing defaults or performing work expressly provided in this Lease to be borne at
Landlord’s expense; (xviii) Landlord’s general corporate overhead and administrative expenses; (xix) penalties for late payment, including, without limitation, penalties for late payment of taxes, equipment leases, and other
amounts owing by Landlord, unless such late payment was due to Tenant’s late payment of Additional Rent; (xx) wages, salaries, benefits and expenses attributable to off-site personnel, except as expressly included in Section 6(a)
hereof; (xxi) except for emergencies, rentals and other related expenses, if any, incurred in leasing air conditioning systems, elevators or other equipment ordinarily considered to be of a capital nature except equipment the costs of which
would have been included in Operating Costs had Landlord purchased such equipment, but not any amounts in excess of the Operating Costs that Landlord would have incurred had Landlord purchased such equipment; (xxii) initial costs of
constructing the Building, the Site Improvements, the Tenant Improvements and the parking lots, driveways, sidewalks, landscaping, courtyard and any other improvements on the Project; (xxiii) the costs of any initial “tap fees” or one
time lump sum sewer or water connection fees for the Project; (xxiv) costs or fees relating to the defense of Landlord’s title to or interest in the Project, or any part thereof, or any costs or expenses associated with any sale or finance
transaction, or any costs or expenses associated with implementing the Ground Lease beyond what Landlord would have incurred had Landlord owned the Project in fee simple; (xxv) expenses and costs of encapsulation, removal, or abatement of
substances located on the Project prior to the Commencement Date required to be encapsulated, removed, or abated pursuant to applicable laws; (xxvi) costs or expenses, including judgments, incurred in connection with tort claims against
Landlord (including the cost of investigating, defending, or settling the same), (xxvii) payments to subsidiaries or affiliates of Landlord for goods or services which as a result of a non-competitive selection process materially exceed the
cost of such goods or services if obtained by parties unaffiliated with Landlord; and (xxviii) costs for the acquisition of sculpture, paintings or other objects of art unless Tenant expressly consents in writing, (xxix) any charges
otherwise payable by Tenant under another provision of this Lease (i.e. no duplicative charges); and (xxx) costs to maintain those parking spaces on the Surface Parking Lot exclusively used by Ground Lessor. 

  
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 d. Landlord may estimate the Operating Costs for any calendar year, (the
“Estimated Operating Costs”). The Estimated Operating Costs shall be divided by twelve and paid to Landlord as Additional Rent monthly on the same day the Base Rental is due and payable. The initial Estimated Operating Costs
for the first Lease Year shall be $817,645 ($7.45 per rentable square foot of the Premises), assuming no tax abatement is in effect at such time. Tenant agrees to pay this amount monthly with the Base Rental as shown on Exhibit C. Landlord
agrees that the total amount of Operating Costs allocated to janitorial services (for cleaning five (5) times per week), landscaping, repairs, maintenance, and management fees shall not exceed $2.39 per rentable square foot for the 2015
calendar year (to be prorated if the Commencement Date occurs after January 1, 2015). Landlord agrees to review the budget for Operating Costs with Tenant prior to the beginning of each calendar year and to consider in good faith Tenant’s
input with respect to such budget and the management of Operating Costs. 
 e. Within one hundred
fifty (150) days or as soon thereafter as may be reasonably practicable after the conclusion of each calendar year during the Term, Landlord shall furnish to Tenant a report describing the actual amount of Operating Costs for such calendar
year. A lump sum payment shall be made by Landlord to Tenant or by Tenant to Landlord, as appropriate, within thirty (30) days after the delivery of such report equal to the amount of any difference between the actual Operating Costs and the
Estimated Operating Costs paid by Tenant for such year (the “Reconciliation Payment”). 

f. Landlord shall present Tenant with all tax notices, bills or assessments imposed upon the Project (to the extent
reimbursable by Tenant), within fifteen (15) days after Tenant’s request therefor. Tenant shall have the right to require Landlord, at no cost to Landlord, to challenge any such taxes or other impositions, provided Tenant posts any
security or pays any Taxes required by law in connection with the challenge. Landlord will then file appropriate appeals as directed by Tenant. Upon request of Tenant, Landlord shall cooperate with Tenant by assigning to Tenant the right to proceed
on behalf of or in the name of Landlord with respect to the challenge of any such tax or imposition. 
 g.
Landlord shall maintain reasonably detailed books and records of all Operating Costs paid by Landlord. Tenant shall have the right no more than one (1) time for each calendar year during the Term, after reasonable notice to Landlord, during
normal business hours, to inspect, review, or audit the books and records of Landlord relating to the calculation of Operating Costs. If the inspection, review, or audit reveals an overcharge by Landlord, then Landlord shall refund any such
overcharge within thirty (30) days after notice from Tenant. In addition, if Tenant’s inspection, review, or audit of the Operating Costs reveals an overcharge of more than five percent (5%), Landlord shall reimburse Tenant for the
reasonable cost of the audit within ten (10) days after Landlord’s receipt of an invoice therefor. In the event Tenant does not object to a report of Operating Costs (as discussed in Section 6(e)) within one (1) year after the
receipt of same, such report shall be considered final and the Operating Costs covered by same shall no longer be subject to audit as set forth in this Section 6(g). 

h. The Operating Costs during any fractional part of a calendar year shall be prorated. 

  
 13 

 7. Services to be Furnished by Landlord. As a part of Operating Costs,
Landlord shall furnish the following services: 
 a. Tenant may have entry at all times to the Parking Garage by
card key system or by such other method as is chosen by Tenant. Tenant shall have access to the Premises on a 24-7 basis, subject only to such security procedures as Tenant may elect from time to time. 

b. Tenant shall have full use of all elevators in the Building, subject to call. 

c. Hot and cold water at those points of supply provided for in the Plans and Specifications; central heat and air
conditioning as provided for in the Plans and Specifications, at such temperatures and in such amounts as are desired by Tenant consistent with the capacity of the HVAC facilities described in the Plans and Specifications. 

d. Routine maintenance and electric lighting service for all public areas and special service areas of the Project.

 e. Janitorial service as requested by Tenant from time to time. 

f. Electrical facilities and sufficient power for Tenant’s office equipment consistent with the capacities described
in the Plans and Specifications. Any additional equipment, feeders or risers necessary to supply Tenant’s electrical requirements in excess of the amount to be provided by Landlord pursuant to this subsection shall be supplied by Landlord at
the expense of Tenant, and only if such installations will not, in Landlord’s judgment, overload the electrical system of the Project or entail excessive or unreasonable alterations to the Project. 

g. Replacement of Building standard fluorescent bulbs in all areas and incandescent bulbs in the Building. 

Notwithstanding the foregoing, upon reasonable prior notice, Tenant may request modifications, cessation or additions to the services
provided by Landlord and/or to the service providers being used, which such additions or modifications shall be included within Operating Costs. Upon any such request, Landlord agrees to use commercially reasonable efforts, at no cost to Landlord,
to accommodate such request, provided that, Landlord shall always have the sole and exclusive right to appoint the property manager. Notwithstanding the foregoing, in the event that the property manager is not affiliated with Eakin Partners, LLC or
John W. Eakin, Tenant shall have the right to request a change to the property manager at the end of the term of such property manager’s agreement (but in no event later than one (1) year after Tenant’s request), but only if the
Project is not being operated in a manner comparable to other first class 

  
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office buildings in the Nashville, Tennessee market (the “Operating Standard”), and if such failure is not cured within sixty (60) days after written notice to Landlord and the
property manager, which notice specifies the ways in which the management of the Project does not meet the Operating Standard. 

8. Keys, Locks and Card Keys. Landlord shall furnish Tenant with a reasonable number of keys and/or key cards for
all of Tenant’s employees for entry to the Building and the Parking Garage. Additional keys or keycards, or the replacement of lost keys or key cards, will be furnished to Tenant, at Tenant’s cost, on an order signed by Tenant or
Tenant’s authorized representative. All such keys shall remain the property of Landlord. No additional locks shall be allowed on any door of the Premises, nor shall Tenant change any locks without Landlord’s prior permission (which shall
not be unreasonably withheld) and delivery to Landlord of a key for same. Tenant shall not make, or permit to be made, any duplicate keys. Upon termination of this Lease, Tenant shall surrender to Landlord all keys and card keys for the Premises and
the Building, along with all parking cards. Tenant shall supply Landlord with the combination of all locks for safes, safe cabinets and vault doors, if any, installed in the Premises. 

9. Signage. Tenant will have full rights to all signage in, on or about the Premises, including interior signage,
building signage (which, at Tenant’s option, may include signage on top of the Building) and any exterior signage, all as Tenant may specify and elect from time to time, provided that Tenant shall be limited to one (1) sign on the exterior
walls of the Building, all of which may be modified by Tenant from time to time; provided, however, that all such signage must adhere to any applicable municipal codes and meet Landlord’s approval as to design and method of
installation, which approval shall not be unreasonably withheld, conditioned or delayed. All Tenant signage costs may, at Tenant’s option, be paid from the Tenant Improvement Allowance. Landlord shall pay for signage required within the parking
areas to comply with applicable law. Tenant shall remove any exterior signage at the expiration or earlier termination of this Lease. Tenant shall maintain such signage at Tenant’s sole cost and expense, and shall repair any damage to the
Building caused by the maintenance, operation, or removal of such signage. 
 10. Parking. Tenant shall
have the exclusive right to use (a) fourteen (14) parking spaces within the Surface Parking Lot as shown on the Site Plan (which spaces shall be marked for Tenant’s exclusive use) and (b) a minimum of three hundred thirty
(330) parking spaces within the Parking Garage for parking of Tenant’s automobiles and those of its employees and visitors. Tenant acknowledges that, pursuant and subject to the Declaration, the Ground Lessor shall have rights to use those
spaces in the Surface Parking Lot that are not reserved for Tenant’s exclusive use, and six (6) parking spaces in the Parking Garage on an exclusive basis, which six (6) spaces shall be in the location shown on the Site Plan and shall
be marked for Ground Lessor’s use (collectively, the “Ground Lessor’s Reserved Parking Spaces”). Tenant agrees not to use the Ground Lessor’s Reserved Parking Spaces. Landlord reserves the right to adopt reasonable
regulations for the use of the Parking Garage and/or Surface Parking, including those rules which may be necessary to curtail unauthorized parking within the Parking Garage and/or the Surface Parking Lot, including the required use of “parking
permits” so long as Landlord uses reasonable efforts to enforce the same on a uniform basis. Notwithstanding the foregoing, in the event Landlord fails for any reason to provide at least 330 parking spaces in the Parking Garage for
Tenant’s exclusive use in accordance with the terms of this Section 10, then without limiting Tenant’s other rights and remedies for such failure, Tenant shall have the right to seek alternate parking and Landlord shall reimburse
Tenant on demand for the costs incurred by Tenant to obtain such parking. 

  
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 11. Permitted Uses. Tenant may use and occupy the Premises for the
purpose specified in the Schedule and purposes ancillary thereto and for no other purpose. Tenant shall not commit or allow any waste or damage to be committed on any portion of the Premises. Tenant shall not occupy or use, or permit any portion of
the Premises to be occupied or used for (i) any business or purpose that is unlawful or extra-hazardous, (ii) a noxious use, or a use which would be considered a public or private nuisance, (iv) a use which would trigger or require
any further or different governmental compliance or improvements (unless the cost thereof is paid for by Tenant) than as proposed as part of the initial construction of the Building. Tenant shall not permit anything to be done that would in any way
increase the rate of any insurance coverage on the Project (unless Tenant agrees to pay the increased cost associated therewith), cause the load on any floor of the Building to exceed the load for which the floor was designed, or use electrical
energy exceeding the capacity of the then existing feeders or wiring installations (unless Tenant agrees to pay the increased cost to increase such capacity). Further, in the event Tenant subleases space within the Premises hereunder, such sublease
shall not materially increase the burden on the then-existing parking areas beyond the burden that would exist on such areas if Tenant’s use of the Building was at full capacity. Tenant shall further conduct its business and control its agents,
employees, invitees, and visitors (the “Tenant Parties”) in such manner as not to create any nuisance. Any food, soft drink or other vending machine installed within the Premises shall not be visible from the exterior of the
Building. Tenant will have, throughout the Term, access to all portions of the Premises (including the roof, except that any access to the roof by Tenant shall be in compliance with the Permitted Encumbrances) for installation and maintenance of any
conduits, cables and other equipment installations necessary for its communications, data processing, and any other requirements necessary for the conduct of the Tenant’s business. Tenant shall cause such installation and maintenance of this
equipment to be constructed in such a manner as to not violate the roof or other building systems warranties, the Permitted Encumbrances or applicable law. Tenant shall give Landlord reasonable advance notice of Tenant’s intention to access the
roof for any purposes, and Landlord shall have the right to accompany Tenant. Tenant shall indemnify and hold Landlord harmless from any and all losses, claims, or other liabilities resulting from any such installations by Tenant, including
reasonable attorneys’ fees. 
 12. Laws, Regulations, and Rules of Building. Landlord shall deliver
the Project in compliance with all applicable federal, state, county and local governmental and municipal laws, statutes, ordinances, rules, regulations, requirements, codes, decrees, orders, and decisions by courts and cases now in force or which
may hereafter be in force, when the decisions are considered binding precedent in Tennessee, and all decisions of federal courts applying the law of Tennessee; including but not limited to The Americans With Disabilities Act of 1990 (42 U.S.C.
§ 12101 et seq.) (the “ADA”), and any regulations and guidelines promulgated thereunder, as all of the same may be amended and supplemented from time to time (the “Laws”) and all Permitted
Encumbrances and, if the Project is not in compliance with all Laws and Permitted Encumbrances in effect as of the date of delivery of the Premises to Tenant, Landlord will make such alterations (at Landlord’s cost and not as part of Operating
Costs) as may be required in order to cause the Project to comply with such Laws and Permitted Encumbrances. Thereafter, (a) Tenant shall comply with all Laws to the extent applicable to the

  
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portions of the Premises required to be maintained by Tenant; provided, however, that in no event shall Tenant have any obligation to make structural alterations to the Premises,
except as may be required by Laws enacted after the Commencement Date and imposing the obligation to make such structural repairs only in connection with Tenant’s particular use of the Premises (but not with respect to structural alterations
required by law as a result of office space generally), and (b) Landlord shall be obligated to comply with Laws to the extent applicable to portions of the Project required to be maintained by Landlord. Tenant shall comply with the rules and
regulations attached hereto as Exhibit E, as such rules and regulations may be reasonably modified by Landlord from time to time for the safety, care and cleanliness of the Project and for preservation of good order therein after receiving
notice thereof (the “Rules and Regulations”); provided, however, that in the event of a conflict between the Rules and Regulations and the terms of this Lease, the terms of this Lease shall control. 

Landlord makes no representations or warranties with respect to crime in the area, undertakes no duty to protect against criminal acts and shall not be
liable for any injury, wrongful death or property damage arising from any criminal acts of third parties; provided, however, Landlord shall, from time to time, upon Tenant’s request, and as a part of Operating Costs, employ or
cause to be employed security personnel and equipment for the Project. Landlord’s agreement to employ security as requested by Tenant shall not be deemed an undertaking by Landlord to ensure the safety of the tenants of the Building or any of
their agents, employees, contractors, customers or invitees or the property of any such parties. Tenant is urged to provide security for its agents, employees, contractors, customers and invitees or the property of any such parties, as it deems
necessary, and to obtain insurance to protect against criminal acts. 
 13. Financial Statements. In
the event Tenant’s financial statements are not publicly available, Tenant shall provide Landlord with accurate financial statements (balance sheet and income statements) on Tenant within thirty (30) days of request by Landlord. As a
condition to the delivery of any such financial statements, Landlord agrees to keep such financial statements confidential and to not disclose or deliver such financial statements to any third party, except that Landlord may deliver such financial
statements to actual or potential lenders, purchasers or investors as long as such parties agree to keep such financial statements confidential. 
 14. Repairs. 
 a. During the Term of this Lease, Landlord
shall maintain, repair, and replace the entirety of the Project, including without limitation the Building (including all leasehold improvements and all Building Systems), the Parking Garage, the Surface Parking Lot, all driveways and landscaping
and all other portions of the Project as necessary to keep same in good condition and repair, in a manner consistent with first class office buildings located in Nashville, Tennessee. In addition, Landlord shall perform all maintenance, repairs,
replacements and improvements to the Project required by any governmental law, ordination, rule or regulation. Notwithstanding the foregoing (i) the cost of repairs, maintenance, or replacement of the roof, structural portions, and exterior
walls (including the windows therein) of the Building, including the repair of damage caused by any leaks caused by Landlord’s failure to maintain the roof or exterior walls (including windows therein), shall be paid by Landlord and shall not
be a part of Operating Costs, (ii) maintenance, repair, and/or replacement of Permitted Alterations shall always be considered a part of Operating Costs, and (iii) Tenant shall pay on demand

  
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Landlord’s costs for any repairs necessitated by the acts or omissions of Tenant or Tenant’s agents, contractors, employees, visitors or invitees to the extent not covered by
Landlord’s insurance. 
 b. If Tenant is not satisfied with the level of service provided by any of Landlord’s vendors
(for example, hvac, janitorial, landscape maintenance which are included within Operating Costs), Tenant shall notify Landlord. Landlord will thereafter work with Tenant in good faith to upgrade the level of services by rebidding the unsatisfactory
vendor’s contract to another vendor reasonably acceptable to both Landlord and Tenant. 
 c. As used above,
“Building Systems” shall mean any plant, machinery, transformers, duct work, cable, wires, and other equipment and facilities, and any systems designed to supply heat, ventilation, air conditioning and humidity or any other
services or utilities, or comprising or serving as any component or portion of the electrical, gas, steam, plumbing, sprinkler, communications, alarm, security, or fire/life safety systems or equipment, any telecommunications system serving the
Building and any other mechanical, electrical, electronic, computer or other systems or equipment that serves the Building in whole or in part. Unless otherwise specifically agreed in writing, Landlord shall have no responsibility for the
maintenance of Tenant’s telecommunications equipment, including wiring and cabling, nor for any wiring or other infrastructure to which Tenant’s telecommunications equipment may be connected. Tenant agrees that to the extent any such
service is interrupted, curtailed or discontinued, Landlord shall have no obligation or liability with respect thereto (unless such interruption or curtailment is a result of Landlord’s gross negligence or intentional misconduct), and it shall
be the sole obligation of Tenant at its expense to obtain substitute service. 
 d. Notwithstanding any provision contained
herein to the contrary, if Landlord fails to commence any of its maintenance, repair, or replacement obligations pursuant to this Section 14 for more than thirty (30) days after written notice from Tenant (or does not within said period
commence and diligently proceed to cure such default, although notice shall be limited to that which is reasonable under the circumstances if there is an emergency with imminent threat to life or property or if such failure has an imminent material
and adverse impact on the operation of Tenant’s business operations), Tenant may perform such maintenance, repairs, and replacements, and Landlord shall pay to Tenant the reasonable cost thereof actually incurred by Tenant within thirty
(30) days after receipt of an invoice from Tenant together with supporting documentation reasonably acceptable to Landlord. 
 e. Tenant shall, at its expense, keep in good order, condition and state of repair all portions of the Premises with the exception of those to be maintained and repaired by Landlord under the preceding
subsections. In the event Tenant fails to comply with the requirements of this Section and such failure continues for more than thirty (30) days after written notice of such failure is delivered to Tenant, Landlord may make such maintenance and
repair, and Tenant shall pay the cost thereof, plus an administrative fee of five percent (5%), upon demand. 

  
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 15. Alterations.  

a. After construction of the Tenant Improvements, except for any Permitted Alterations (hereinafter defined), Tenant shall not make or
allow to be made any alterations or physical additions in or to the Premises, without first obtaining the written consent of Landlord which consent shall not be unreasonably withheld, conditioned or delayed; provided, however,
Landlord’s consent may be subject to reasonable protections or restrictions designed to preserve the architectural design and structural integrity of the Building and to protect against claims by materialmen and laborers, or contingent upon
Tenant’s agreement to remove such alteration at the end of the Term. At Landlord’s election, any alterations or additions made by Tenant (excluding Tenant’s Personal Property) shall become the property of Landlord upon termination of
this Lease. Landlord’s interest in the Project shall not be subject to liens for improvements made by Tenant, and Tenant shall have no power or authority to create any lien or permit any lien to attach to the Project as a result of improvements
made by Tenant or by reason of any other work done on Tenant’s behalf or any other act or omission of Tenant. Tenant agrees to provide notice to such effect to any such persons doing work or supplying materials to the Premises. Tenant shall
indemnify Landlord against any loss or expenses incurred as a result of the assertion of any such lien, and Tenant covenants and agrees to remove such lien or transfer such lien to a bond or such other security, as may be permitted by applicable
law, within thirty (30) days after Tenant has actual knowledge of such lien. In the event Tenant fails to have such lien removed as required hereunder, Landlord shall have the right to pay such lien, and Tenant shall reimburse Landlord for such
sum, plus an administrative fee of five percent (5%) of same, upon demand. 
 b. Notwithstanding any provision contained in
this Lease to the contrary, Tenant shall have the right to make the following alterations to the Premises without obtaining Landlord’s prior consent (the “Permitted Alterations”): (i) interior, non-structural alterations
which do not cost in excess of One Hundred Thousand and No/100 Dollars ($100,000) in any one instance and do not adversely affect the Building or require any work to be done within the walls, above the ceiling, or below the floor; and
(ii) cosmetic alterations such as changing carpets, floor coverings, wall coverings and painting. Tenant shall give Landlord advance written notice of all Permitted Alterations to be made by Tenant whenever the cost of such Permitted
Alterations exceeds Ten Thousand and No/100 Dollars ($10,000.00). 
 c. In no event shall Landlord make alterations to the
Project without the approval of Tenant except in connection with the discharge of Landlord’s obligations hereunder. 
 16.
Surrender of Premises. At the termination of this Lease, Tenant shall deliver possession of the Premises to Landlord in as good condition as at the Commencement Date (but as altered or improved after such date in compliance with
the requirements of this Lease), or as the same may have been improved during the Term, ordinary wear and tear, damage resulting from fire or other casualty or condemnation, and construction, maintenance, repairs and replacements required hereunder
to be completed by Landlord excepted. If Tenant installs improvements in the Premises reasonably determined by Landlord to be special or non-standard and advises Tenant at the time such improvements are made that Landlord will require the same to be
removed at the end of the Term, Landlord may require Tenant to remove such special or non-standard improvements and repair the Premises at Tenant’s sole cost and expense upon the termination of this Lease. Before surrendering possession of the
Premises, Tenant shall, without expense to Landlord, remove all signs, furnishings, equipment, trade fixtures, merchandise and 

  
 19 

 
other personal property installed or placed in the Premises by Tenant (the “Tenant’s Personal Property”). Tenant’s Personal Property shall be and shall remain the
property of Tenant and may be removed by Tenant at any time during the Term; provided that, if any of Tenant’s Personal Property is removed, Tenant shall promptly repair any damage resulting from such removal. If Tenant fails to remove any of
the Tenant’s Personal Property prior to expiration or termination of this Lease and such failure continues for ten (10) days following written notice thereof from Landlord to Tenant, then Landlord may, at its sole option, (a) deem any
or all of such items abandoned, and, at Landlord’s option, title to such items shall pass to Landlord under this Lease as by a bill of sale, or (b) remove and dispose of all or any part of Tenant’s Personal Property, in which event
Tenant shall pay the reasonable cost of removal and disposal, including, without limitation, repairing any damage caused by such removal. 

Notwithstanding the foregoing, the parties to this Lease acknowledge the importance of complying with the National Electric Code, as amended from time to
time, and all other applicable electric, fire and safety codes. Tenant shall promptly remove and properly discard any wiring and/or cabling installed for Tenant’s use to the extent required by applicable laws, codes, or regulations, before or
as of the time of the surrender of the Premises, unless excused in writing by Landlord. Tenant hereby agrees that any such cabling or wiring installed during the Lease shall meet the requirements of the applicable electric, fire and safety codes. In
the event that any wiring and/or cabling remains on the Premises upon surrender by Tenant, such items are deemed to be abandoned and may be removed and disposed of by Landlord as Landlord sees fit. To the extent Tenant is required to remove cabling
and wiring pursuant to the provisions of this paragraph, all expenses of such removal and disposal shall be at Tenant’s sole cost and shall be payable on demand. 
 17. Quiet Enjoyment. Tenant shall have the right to peacefully occupy, use and enjoy the Premises during the Term, subject to the other terms hereof, provided no Default exists
hereunder. 
 18. Landlord’s Right of Entry. Landlord or its agents or representatives may enter the
Premises, at reasonable times, and on reasonable prior notice to Tenant (except in the event of an emergency, in which case only such notice as may be reasonable under the circumstances (which may include no notice if merited by the circumstances)
shall be required) (a) to inspect the Premises; (b) to show the Premises to any prospective purchaser or lender of the Project, or to others having an interest in the Project or Landlord; (c) during the last six (6) months of the
Term, to show the Premises to brokers and prospective tenants; (d) to make inspections, repairs, alterations, additions, or improvements to the Premises or the Building (including, without limitation, checking, calibrating, adjusting, or
balancing controls and other parts of the heating, ventilation and air-conditioning system) required or permitted by this Lease and (e) to take all steps as may be necessary or desirable for the safety, protection, maintenance, or preservation
of the Premises or the Building or Landlord’s interest therein, or as may be necessary or desirable for the operation or improvement of the Building in order to comply with Laws. Landlord shall use reasonable efforts not to interfere with the
operation of Tenant’s business during any such entry. Notwithstanding any of Landlord’s rights to enter the Building pursuant to the terms of this Lease, Landlord shall not cause Tenant to in any way violate any laws, regulations or
ordinances intended to protect the rights and privacy of confidential patient and billing information processed in Tenant’s operations, including those relating to any and all patient and billing records and the computers and servers that store
such records, which at any time, Tenant shall be able to secure in locked storage units or areas. 

  
 20 

 19. Limitation of Landlord’ Liability. Landlord’s liability
to Tenant shall be limited as follows: 
 a. As between Landlord and Tenant, Tenant hereby assumes all risk of damage or injury
to Tenant or Tenant’s employees, invitees, or contractors or the property of Tenant or Tenant’s employees, invitees, or contractors in, on, or about the Project from any cause other than the negligence or tortious act or omission (where
there was a duty to act) of Landlord or the breach of this Lease by Landlord. By way of example, but without limitation, Tenant agrees that Landlord will not be liable for any loss, injury, death, or damage to persons, property, or Tenant’s
business resulting from (i) theft; (ii) act of God, public enemy, injunction, riot, strike, insurrection, war, terrorism, court order, requisition, order of governmental body or authority, fire, explosion or falling objects; (iii) any
accident or occurrence in, on or about the Premises caused by the Premises becoming out of repair or by the obstruction, breakage or defect in or failure of equipment, pipes, sprinklers, wiring, plumbing, heating, ventilation and air-conditioning or
lighting fixtures of the Building or by broken glass or by the backing up of drains, or by gas, water, steam, electricity or oil leaking, escaping or flowing into or out of the Premises; (iv) business interruption or loss of use of the
Premises; (v) any diminution or shutting off of light, air or view by any structure erected on the Land or any land adjacent to the Premises, even if Landlord is the adjacent land owner; (vi) mold or indoor air quality; (vii) any acts
or omissions of any visitor of the Premises; or (viii) any cause beyond Landlord’s control, unless caused by the gross negligence or tortious act or omission (where there was a duty to act) of Landlord or the breach of this Lease by
Landlord. In no event shall Landlord be liable for indirect, consequential, or punitive damages or for damages based on lost profits. None of the foregoing shall be considered a constructive eviction of Tenant, nor shall the same entitle Tenant to
an abatement of rent; provided, however, if an interruption or failure of utility services caused by or within the control of Landlord or any of its employees or contractors continues for more than five (5) business days, Tenant
shall receive an abatement of all Base Rental hereunder from the commencement of such interruption or failure until such time as the services are restored. 
 b. All separate and personal liability of any member, partner, principal, joint venturer, director, officer, shareholder or beneficial owner of Landlord and of any constituents of the Landlord is hereby
expressly waived by Tenant, and by every person now or hereafter claiming by, through, or under Tenant; and Tenant shall look solely to Landlord’s interest in the Project and the proceeds thereof for the payment of any claim against Landlord.
Upon any transfer of Landlord’s interest in this Lease or in the Project and the corresponding assumption by the transferee of Landlord’s obligations under this Lease, the transferring Landlord shall have no liability or obligation for
matters arising under this Lease after the date of such transfer. 
 20. Indemnity. 

a. Tenant shall hereby indemnify, defend and hold Landlord harmless against and from all liabilities, obligations, suits, damages,
penalties, claims, costs, charges and expenses, including, without limitation, reasonable attorneys’ fees and other professional fees (if and to the extent permitted by law), that may be imposed upon, incurred by, or asserted against Landlord

  
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and arising, directly or indirectly, out of or in connection with (i) Tenant’s use, occupancy or maintenance of the Premises, the Building or the Project (but not including the use of
the Parking Garage by others or the use of other portions of the Project by others), (ii) any failure on the part of Tenant to perform or comply with any of the covenants, agreements, terms or conditions contained in this Lease; and
(iii) any negligent or otherwise tortious act or omission (where there was a duty to act) of Tenant. 
 b. Landlord shall
hereby indemnify, defend and hold Tenant harmless against and from all liabilities, obligations, suits, damages, penalties, claims, costs, charges and expenses, including, without limitation, reasonable attorneys’ fees and other professional
fees (if and to the extent permitted by law), that may be imposed upon, incurred by, or asserted against Tenant and arising, directly or indirectly, out of or in connection with any of the following: (i) any failure on the part of Landlord to
perform or comply with any of the covenants, agreements, terms or conditions contained in this Lease; and (ii) any negligent or otherwise tortious act or omission (where there was a duty to act) of Landlord. 

21. Defaults. Any of the following shall be deemed a “Default”: 

a. If Tenant fails to pay any rent when due and does not cure such failure within five (5) days after written notice from Landlord
that such amount is past due. Notwithstanding the preceding sentence, Landlord shall not be obligated to give more than two (2) such written notices during any calendar year. Thereafter, failure by Tenant to pay any monetary sum due under the
Lease within five (5) days after the applicable due date shall constitute an Event of Default without the obligation to provide notice therefor. 
 b. If any material representation or warranty made by Tenant to Landlord is false in any material respect when made. 
 c. If any voluntary or involuntary petition under any section of any bankruptcy act shall be filed by or against Tenant, or any voluntary or involuntary proceeding in any court or tribunal shall be
instituted to declare Tenant insolvent or unable to pay its debts, and in the case of an involuntary petition or proceeding, the petition or proceeding is not dismissed within ninety (90) days from the date it is filed. 

d. If the leasehold interest of Tenant be levied upon under execution or be attached by process of law (and the same shall not be
released within ninety (90) days after the filing thereof), or if Tenant makes an assignment for the benefit of creditors, or if a receiver be appointed for any property of Tenant and is not discharged within ninety (90) days after such
appointment. 
 e. Failure by Tenant to observe or perform any other covenant, agreement, condition or provision of this Lease,
if such failure shall continue for thirty (30) days after written notice thereof from Landlord to Tenant; provided that such thirty (30) day period shall be extended for the time reasonably required to complete such cure, if such failure
cannot reasonably be cured within said thirty (30) day period and Tenant commences to cure such failure within said thirty (30) day period and thereafter diligently and continuously proceeds to cure such failure. 

  
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 22. Remedies and Damages. 

a. In the event of a Default and for so long as such Default shall be continuing, then in addition to any other rights or remedies
Landlord may have at law or in equity, Landlord shall have the right, at Landlord’s option, without further notice or demand of any kind, to do any or all of the following without prejudice to any other remedy that Landlord may have:

 i. Terminate this Lease and Tenant’s right to possession of the Premises by giving notice to Tenant. Tenant shall
immediately surrender the Premises to Landlord, and if Tenant fails to do so, Landlord may re-enter the Premises and take possession thereof, whereupon Tenant shall have no further claim to the Premises or under this Lease. 

ii. Continue this Lease in full force and effect, whether or not Tenant has vacated or abandoned the Premises, and collect any unpaid
rent or other charges that have or thereafter become due and payable. 
 iii. Continue this Lease in effect, but terminate
Tenant’s right to possession of the Premises and re-enter the Premises and take possession thereof, whereupon Tenant shall have no further claim to the Premises without the same constituting an acceptance of surrender. 

iv. In the event of any re-entry or retaking of possession by Landlord, Landlord shall have the right, but not the obligation,
(A) to expel or remove Tenant and any other party who may be occupying the Premises or any part thereof; and (B) to remove all or any part of Tenant’s or any other occupant’s property on the Premises and to place such property in
storage at a public warehouse at the expense and risk of Tenant. 
 v. Landlord may relet the Premises without thereby avoiding
or terminating this Lease (if the same has not been previously terminated), and Tenant shall remain liable for any and all rent and other charges and expenses hereunder. For the purpose of reletting, Landlord is authorized to make such repairs or
alterations to the Premises as may be reasonably necessary in the sole discretion of Landlord for the purpose of such reletting, and if a sufficient sum is not realized from such reletting (after payment of all costs and expenses of such repairs,
alterations and the expense of such reletting (including, without limitation, reasonable attorney and brokerage fees) and the collection of rent accruing therefrom) each month to equal the rent payable under this Lease, then Tenant shall pay such
deficiency each month upon demand therefor. Actions to collect such amounts may be brought from time to time, on one or more occasions, without the necessity of Landlord’s waiting until the expiration of the Term. 

vi. Without any further notice or demand, Landlord may enter upon the Premises, if necessary, without being liable for prosecution or
claim for damages therefor, and do whatever Tenant is obligated to do under the terms of the Lease. Tenant agrees to reimburse Landlord on demand for any reasonable expenses which Landlord may incur in effecting compliance with Tenant’s
obligations under the Lease. Tenant further agrees that Landlord shall not be liable for any damages resulting to Tenant from such action, unless caused by the gross negligence or willful misconduct of Landlord (but subject to the other limitations
on Landlord’s liability set forth in this Lease). Notwithstanding anything herein to the contrary, Landlord will have no obligation to cure any Default of Tenant. 

  
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 vii. Landlord shall at all times have the right, without prior demand or notice except as
required by Law, to seek any declaratory, injunctive or other equitable relief, and specifically enforce this Lease, or restrain or enjoin a violation or breach of any provision hereof, without the necessity of proving the inadequacy of any legal
remedy or irreparable harm. 
 viii. The rights given to Landlord in this Section are cumulative and shall be in addition and
supplemental to all other rights or remedies that Landlord may have under this Lease and under applicable Laws or in equity. 

b. Should Landlord elect to terminate this Lease or Tenant’s right to possession under the provisions above, Landlord may recover
the following damages from Tenant: 
 i. The worth at the time of the award of any unpaid rent that had been earned at the time
of termination; plus 
 ii. The worth at the time of the award of the unpaid rent that would have been earned after termination,
until the time of award; plus 
 iii. The worth at the time of the award of the amount by which the unpaid rent for the balance
of the Term after the time of award exceeds the amount of the rental loss that Tenant proves could have been reasonably avoided, if any; plus 
 iv. Any other amount necessary to compensate Landlord for all detriment proximately caused by Tenant’s failure to perform its obligations under this Lease or that in the ordinary course of things
would be likely to result therefrom, including, but not limited to, any costs or expenses (including, without limitation, reasonable attorneys’ fees), incurred by Landlord in (A) retaking possession of the Premises; (B) maintaining
the Premises after Default; (C) preparing the Premises or any portion thereof for reletting to a new tenant, including, without limitation, any repairs or alterations, whether for the same or a different use; (D) reletting the Premises,
including but not limited to, advertising expenses, brokers’ commissions and fees; and (E) any commercially reasonable concessions made to obtain a new tenant. 
 v. At Landlord’s election, such other amounts in addition to or in lieu of the foregoing as may be permitted from time to time by Law. 
 As used in subsections (i) and (ii), the phrase “worth at the time of the award” shall be computed by adding interest on all such sums from the date when originally due at the Default Rate.
As used in subsection (iii), the phrase “worth at the time of the award” shall be computed by discounting the sum in question at the Prime Rate. 
 c. Tenant specifically acknowledges and agrees that, unless Landlord collects the amounts described in Section 22(b) above, Landlord shall have the right to continue to collect rent after any
termination pursuant to this Section 22 (whether said termination occurs through eviction proceedings or as a result of some other early termination pursuant to this Section 22) for the remainder of the Term, less any amounts collected by
Landlord from the reletting of the Premises, but in no event shall Tenant be entitled to receive any excess of any such rents collected over the rent payable hereunder. 

  
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 d. A termination of this Lease by Landlord or the recovery of possession of the Premises by
Landlord or any voluntary or other surrender of this Lease by Tenant or a mutual cancellation thereof, shall not work a merger and shall at the option of Landlord, terminate all or any existing franchises or concessions, licenses, permits,
subleases, subtenancies or the like between Tenant and any third party with respect to the Premises, or may, at the option of Landlord, operate as an assignment to Landlord of Tenant’s interest in same. Following a Default, Landlord shall have
the right to require any subtenants to pay all sums due under their subleases directly to Landlord. 
 e. No covenant, term or
condition of this Lease to be performed by Tenant shall be waived by Landlord, except by consent of Landlord, and forbearance or indulgence by Landlord in any regard whatsoever shall not constitute a waiver of the covenant, term or condition to be
performed by Tenant. Until complete performance by Tenant of such covenant, term or condition, Landlord shall be entitled to invoke any remedy available under this Lease despite such forbearance or indulgence. Landlord’s acceptance of rent
following a Default shall not be deemed to be a waiver of any Default. 
 f. Notwithstanding any provision contained in this
Lease to the contrary, (a) Tenant shall be entitled to vacate the Premises for all or part of the Lease term and same shall not constitute a Default by Tenant; (b) Landlord shall not be entitled to change the door locks or lock Tenant out
of the Premises without a court order; (c) Landlord shall use good faith, commercially reasonable efforts to mitigate Landlord’s damages, and (d) Tenant will not be liable for any consequential, speculative or punitive damages.

 g. Notwithstanding the foregoing, Tenant shall have the right to cure any Default until such time as Landlord shall begin to
exercise any of its rights and remedies under this Section 22 with respect to such Default. In the event Tenant cures any Default before Landlord begins to exercise its right and remedies with respect to such Default, then Landlord shall not
exercise any of the right and remedies provided under this Section 22 with respect to the cured Default. 
 23.
Holding Over and Vacating. If Tenant retains possession of the Premises or any part thereof after the termination of this Lease, Tenant shall pay Base Rental at one hundred twenty-five percent (125%) the rate payable during
the month preceding such holding over, computed on a daily basis for each day that Tenant remains in possession, together with 100% of all Additional Rent payable with respect to such period. In addition, Tenant shall be liable for and pay to
Landlord all damages, consequential as well as direct, sustained by reason of Tenant’s holding over. Such holdover tenancy shall be terminable by either party upon thirty (30) days’ notice. 

24. Condemnation. 
 (a) If such a portion of the Project is taken under the power of eminent domain or appropriation by any public or quasi-public authority, or Landlord delivers a deed-in-lieu of such a taking (a
“Taking”), with the result that (i) the operation of Tenant’s business within the Premises is no longer economically feasible (using commercially reasonable judgment), or (ii) Tenant no longer has adequate
parking or adequate rights of ingress and egress to the Premises 

  
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(using commercially reasonable judgment), Tenant shall have the right, at its option, to terminate this Lease as of the date of such Taking, upon notice within thirty (30) days following the
date of the Taking. If this Lease is terminated as provided above, this Lease shall cease and expire as of the date of the Taking. 
 (b) In all events (except as described in Section 24(d) below), Landlord shall be entitled to the entire award that may be paid in connection with such Taking, and Tenant hereby assigns to Landlord
its interest in such award, and Tenant shall not assert a claim for a condemnation award therefor; provided, however, that Tenant shall be entitled to the portion of any award for Tenant’s unamortized leasehold improvements (such amortization
to be made on a straight-line basis over the Initial Term) to the extent such improvements were paid for by Tenant (the parties agreeing that the cost of the leasehold improvements will be deemed to have been paid for by Landlord to the extent of
the Tenant Cost Allowance), and further provided that Tenant may pursue a separate award from the condemning authority for (a) relocation and moving expenses, (b) compensation for loss of Tenant’s business, and (c) loss of
Permitted Alterations or Tenant’s Personal Property. 
 (c) In the event that this Lease is not terminated following a
Taking, Tenant shall pay the full Base Rental and Additional Rent up to the date that possession of the portion of the Project subject to the Taking is transferred to the applicable authority, and this Lease shall thereupon cease and terminate with
respect to the portion of the Project so taken. Thereafter, this Lease shall remain in effect as to the remainder of the Project, except that the Base Rent and Additional Rent shall be adjusted on an equitable basis. If this Lease is not terminated,
Landlord shall promptly repair the Project or the Building, as the case may be, to a complete architectural unit, fit for Tenant’s occupancy and business. 
 (d) In the event of any temporary Taking of the Premises or any portion thereof, this Lease shall continue in full force and effect except that the award for such Taking shall belong to Tenant. For
purposes hereof, any temporary Taking that lasts longer that one year may, at Tenant’s option, be treated as a permanent Taking instead of a temporary Taking, and therefore subject to the provisions of Section 24(a) above. 

(e) Notwithstanding any language herein to the contrary, Landlord shall have the right to terminate this Lease if (i) less than two
(2) years remain in the term of this Lease at the time of such Taking, and the cost of restoring the Project or Building, as applicable, exceeds thirty percent (30%) of the replacement cost of the same or (ii) the cost to restore the
Project or Building, as applicable, exceeds the award received by Landlord for such Taking; provided, however, that (x) if Landlord terminates this Lease pursuant to clause (i) of this subsection (e), Tenant may exercise an
option to renew this Lease for a Renewal Term (but only if a Renewal Term indeed remains unexercised at such time), and upon any such renewal, this Lease shall be reinstated and the parties shall proceed under Section 24(c), all as if such
termination had never occurred, and (y) if Landlord terminates this Lease pursuant to clause (ii) of this subsection (e), Tenant may void such termination by electing to fund any shortfall within twenty (20) days following
Landlord’s termination notice, in which event this Lease shall be reinstated and the parties shall proceed under Section 24(c), all as if such termination had never occurred. 

  
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 25. Damage or Destruction to the Premises.  

(a) If any portion of the Project is damaged or destroyed by fire or other casualty, cause or condition whatsoever and such damage or
destruction cannot, in the reasonable opinion of Landlord’s architect (or Tenant’s architect if so permitted below), be repaired within one hundred eighty (180) days so as to restore fully Tenant’s full use and enjoyment of the
Project, then either Tenant or Landlord may terminate this Lease, by notice to the other party given within thirty (30) days following the date the terminating party receives notice of the opinion of Landlord’s architect (or Tenant’s
architect if so permitted below), in which event Tenant shall pay all rent owed up to the time of such destruction. Within thirty (30) days after the occurrence of any such casualty, Landlord shall cause its architect to certify and deliver to
Tenant such architect’s opinion as to how much time is reasonably required to repair such damage; provided, however, in the event such architect fails to provide such certification to Tenant within such time frame, then Tenant shall be
entitled to select an architect to make the certifications and determinations required pursuant to this paragraph in the place and stead of Landlord’s architect. If neither party exercises or is entitled to exercise its right to terminate after
any damage to the Project by fire or other casualty, subject to the limitations set forth in Section 25(c), Landlord shall proceed with due diligence to repair such damage and restore Tenant’s full use and enjoyment of the Project to the
condition immediately prior to such casualty, provided that Landlord shall have no obligation to restore Tenant’s fixtures, furniture, inventory, or other personal property or Permitted Alterations. 

(b) Notwithstanding any language herein to the contrary, either Landlord, or Tenant shall have the right to terminate this Lease if at
the time of any such damage, (i) less than two (2) years remain in the term of this Lease, and (ii) the cost of repairing and restoring the damage exceeds thirty percent (30%) of the replacement cost of the Building; provided,
however, that if Landlord terminates this Lease pursuant to this subsection (b), Tenant may exercise an option to renew this Lease for a Renewal Term (but only if a Renewal Term indeed remains unexercised at such time), and upon any such renewal,
this Lease shall be reinstated and Landlord shall promptly repair such damage, all as if such termination had never occurred. 

(c) In the event this Lease is not terminated as provided hereunder (i) Landlord shall be obligated to repair the damage to the
extent of the net insurance proceeds received by Landlord (for the purposes of this Section 25, insurance proceeds received by Landlord’s lender are deemed to be received by Landlord) and any applicable deductible, and (ii) Tenant
shall be entitled to a pro rata abatement of Base Rental during the period of time the Premises, or any portion thereof, is untenantable due to such damage, provided that if the Project or the Building, or any portion thereof shall be damaged
through the acts or omissions of Tenant or its employees and the same is not covered by any rent loss insurance carried by Landlord, there shall be no abatement of rent. If the net insurance proceeds received by Landlord are insufficient to complete
the repair of the Project to substantially the same level of finish as in place prior to the casualty loss, Landlord shall so notify Tenant. Tenant shall thereafter have the right to terminate this Lease within ten (10) days following such
notice from Landlord; provided, however, Landlord shall have the right to void such termination by electing to fund any shortfall within ten (10) days following Tenant’s termination notice. 

(d) Notwithstanding any provision contained herein to the contrary, if Landlord does not complete such repairs or rebuilding of the
Project within 240 days following the date of the casualty, Tenant may terminate this Lease upon written notice of termination to Landlord prior to 

  
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the date Landlord completes such repairs or rebuilding and Tenant shall have a reasonable time thereafter to move out of the Premises, unless Landlord’s architect certified to Tenant that
the repairs and rebuilding would take longer than two hundred forty (240) days and, with such knowledge, Tenant opted not to terminate the Lease pursuant to the terms of this Section. 

(e) Notwithstanding the foregoing, if such damage results from a cause excluded from coverage under the insurance carried by Landlord or
required to be carried by Landlord hereunder, then Landlord may terminate this Lease by notice to Tenant; provided that Tenant shall have the right to void Landlord’s notice of termination with delivery of written notice to Landlord within
thirty (30) days after Tenant’s receipt of such termination, such notice to expressly provide that Tenant shall repair/rebuild the Premises at Tenant’s cost and take an assignment of any applicable insurance proceeds related thereto.

 (f) In the event the Lease is terminated as set forth herein pursuant to a casualty, then Tenant shall receive a portion of
the insurance proceeds in the amount of the unamortized leasehold improvements (such amortization to be made on a straight-line basis over the Initial Term) to the extent such improvements were paid for by Tenant (the parties agreeing that the cost
of the leasehold improvements will be deemed to have been paid for by Landlord to the extent of the Tenant Cost Allowance). 

26. Insurance. 
 a. Tenant shall maintain the following insurance at its expense: 
 i. Causes of
Loss – Property insurance on all of its personal property, including removable trade fixtures, located in the Premises and on all additions and improvements made by Tenant after the Commencement Date. Tenant acknowledges and agrees that
Landlord will not obtain or carry insurance on Tenant’s personal property, fixtures, equipment, inventory or Tenant’s leasehold improvements performed after the Commencement Date, and Tenant agrees that Tenant shall be responsible for
obtaining and carrying insurance on the foregoing, at its sole cost and expense. 
 ii. Commercial General Liability Insurance
(or its equivalent) covering the insured against claims of bodily injury, personal injury and property damage arising out of Tenant’s operations, assumed liabilities or use of the Premises, for limits of liability not less than Five Million and
No/100 Dollars ($5,000,000.00) combined single limit per occurrence. 
 iii. Business Income and Extra Expense insurance (or its
equivalent) in such amounts as will reimburse Tenant for direct or indirect loss of earnings attributable to all perils commonly insured against by prudent tenants or attributable to prevention of access to the Premises or to the Building as a
result of such perils, for a period of not less than twelve (12) months. 
 b. All liability insurance shall (i) name
Landlord, and at Landlord’s request, any mortgagee holding a lien on the Project, each as an additional insured, as their respective interests may appear; (ii) specifically cover the liability assumed by Tenant under this Lease, including,
but not limited to, Tenant’s indemnity obligations under this Lease; (iii) be issued by an insurance company having a rating of not less than A- IX in Best’s Insurance Guide or that is

  
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otherwise acceptable to Landlord and licensed to do business in Tennessee; (iv) be primary insurance as to all claims thereunder and provide that any insurance carried by Landlord shall be
excess and non-contributing with any insurance requirement of Tenant; and (v) to the extent available at commercially reasonable rates, provide thirty (30) days’ notice to Landlord prior to any cancellation or reduction in coverage.

 c. Tenant shall deliver evidence of insurance reasonably satisfactory to Landlord, evidencing the existence and amount of
each insurance policy required hereunder on or before Landlord delivers possession of the Premises to Tenant, and at least thirty (30) days before the expiration dates of the applicable policies. Tenant shall furnish Landlord with insurance
certificates evidencing renewals of each policy at least ten (10) days prior to the expiration thereof. Tenant agrees that, if Tenant does not obtain and maintain such insurance, Landlord may (but shall not be required to) after fifteen
(15) days’ notice to Tenant during which time Tenant does not supply Landlord evidence of the required insurance, procure said insurance on Tenant’s behalf and charge Tenant the premiums therefor, plus an administrative fee of five
percent (5%), upon demand. Tenant shall have the right to provide the insurance required hereunder pursuant to blanket policies obtained by Tenant, provided such blanket policies afford coverage as required by this Lease. 

d. Tenant acknowledges and agrees that Tenant’s insurance obligations under this Lease are independent of Tenant’s indemnity
obligations, liabilities and duties under this Lease. 
 e. Tenant shall pay promptly when due all taxes directly or indirectly
imposed or assessed upon Tenant’s gross sales, business operations, machinery, equipment, trade fixtures and other personal property or assets, whether such taxes are assessed against Tenant, Landlord or the Building. In the event that such
taxes are imposed or assessed against Landlord or the Building, Landlord shall furnish Tenant with all applicable tax bills, public charges and other assessments or impositions and Tenant shall forthwith pay the same either directly to the taxing
authority or, at Landlord’s option, to Landlord. Notwithstanding the foregoing, in no event shall Tenant be liable for the Tax Exclusions. 
 f. As a part of Operating Costs, Landlord shall maintain special form causes of loss property insurance coverage on the Building, such insurance to be in an amount not less than the full replacement cost
of the Building, and shall include rent loss coverage, and commercial general liability insurance covering the Project and other customary coverages as Landlord may elect in its reasonable discretion, all consistent with the types and amounts of
coverage and deductibles as are customary, prudent and commercially reasonable with respect to buildings of the same size, use, class and location as the Building; provided that if Tenant requests any additional coverages or increased amounts,
Landlord will obtain such insurance subject to reimbursement as Operating Costs under Section 6 hereof. The deductible for such policy shall not be less than $5,000, nor greater than $25,000 without the prior approval of Tenant. Except as
provided in Section 25, all payments for losses thereunder shall be made solely to Landlord or its Mortgagee. Landlord shall provide Tenant with certificates of insurance from time to time upon Tenant’s request, evidencing the coverages
described above. Landlord shall cause Tenant to be named as additional insured on all liability insurance. 

  
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 27. Waiver of Subrogation. Anything in this Lease to the contrary
notwithstanding, Landlord and Tenant each hereby waives any and all rights of recovery, claim, action or cause of action against the other for any loss or damage to any property of Landlord or Tenant, arising from any cause that (a) would be
insured against under the terms of any property insurance required to be carried hereunder; or (b) is insured against under the terms of any property insurance actually carried, regardless of whether the same is required hereunder. The
foregoing waiver shall apply regardless of the cause or origin of such claim, including but not limited to the negligence of a party, or such party’s agents, officers, employees or contractors. The foregoing waiver shall not apply if it would
have the effect, but only to the extent of such effect, of invalidating any insurance coverage of Landlord or Tenant. The foregoing waiver shall also apply to any deductible, as if the same were a part of the insurance recovery. 

28. Subordination and Attornment. 
 (a) Subject to (and conditioned upon) Landlord’s delivery of an NDA (hereinafter defined) to Tenant with respect to any Mortgage (hereinafter defined) currently encumbering the Project, this Lease is
subject and subordinate to all mortgages or deeds of trust now or hereafter placed upon the interest of Landlord and/or Ground Lessor in the Project (a “Mortgage”); provided, however, that the holder of any Mortgage (a
“Mortgagee”), so long as no Default is continuing, shall agree not to disturb Tenant in its use and possession of the Project or its rights under this Lease. If any foreclosure or power of sale proceedings are initiated by any
Mortgagee or a deed in lieu is granted, Tenant agrees to attorn and pay rent to such Mortgagee or any purchaser at such foreclosure sale and to execute and deliver any instruments necessary or appropriate to evidence or effectuate such attornment.
In the event of attornment, no Mortgagee shall be: (a) liable for any act or omission of Landlord, or subject to any offsets or defenses that Tenant might have against Landlord (prior to such Mortgagee becoming Landlord under such attornment),
(b) liable for any security deposit or bound by any rent that has been prepaid for more than thirty (30) days in advance of the date it is due and not actually received by such lender, or (c) bound by any modification of this Lease
made after notice of such Mortgagee’s Mortgage was provided to Tenant unless such modification is consented to by such Mortgagee. Any Mortgagee may elect to make this Lease prior to the lien of its Mortgage, and if the Mortgagee under any prior
Mortgage shall require, this Lease shall be prior to any such mortgage; such elections shall be effective upon notice to Tenant. The provisions of this Section shall be self-operative; however, Tenant shall execute such documentation as Landlord or
any lender may reasonably request from time to time in order to confirm the matters set forth in this Section, provided that Tenant is provided a NDA in a form reasonably approved by Tenant from any such Mortgagee. To the extent not expressly
prohibited by Law, Tenant waives the provisions of any Law now or hereafter adopted that may give or purport to give Tenant any right or election to terminate or otherwise adversely affect this Lease or Tenant’s obligations hereunder if such
foreclosure or power of sale proceedings are initiated, prosecuted or completed. 
 (b) Notwithstanding any provision contained
herein to the contrary, on or before August 22, 2013, Landlord shall deliver to Tenant a non-disturbance agreement (“NDA”) in form reasonably acceptable to Tenant, from any Mortgagee providing Landlord’s construction financing,
wherein such parties shall agree that in the event of a default by Landlord or a foreclosure or other action taken by such Mortgagee or the Ground Lessor, this Lease and the rights of Tenant hereunder shall not be disturbed but shall continue in
full force and effect so long as no uncured Default exists. 

  
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 29. Estoppel Letter. 

(a) Tenant shall at any time (but not more than two (2) times in any calendar year), upon not less than thirty (30) days prior
request, execute and deliver in form and substance satisfactory to Landlord and any Mortgagee, an estoppel letter certifying: 
 i. The dates upon which the Term commences and expires: 
 ii. The
date through which rent has been paid; 
 iii. That Tenant has accepted the Premises and that all improvements
have been satisfactorily completed (or if all improvements have not been satisfactorily completed, the nature thereof in detail and what is necessary to complete said improvements); 

iv. That this Lease is in full force and effect and has not been modified or amended (or if there have been modifications
or amendments, that this Lease, as modified and amended, is in full force and effect and setting forth the modifications and amendments); 
 v. That, to Tenant’s knowledge, there are no defaults by Landlord under this Lease nor any existing conditions with respect to which the giving of notice or lapse of time would constitute a default
(or, if there are defaults, the nature thereof in detail and what is required to cure same); 
 vi. That Tenant
has not received any concession that is not expressly set forth in this Lease (or, if Tenant has received a concession, the nature thereof in detail and the amount thereof); 

vii. That Tenant has received no notice from any insurance company of any defects or inadequacies in the Premises or the
Project (or, if Tenant has received a notice, a detailed description of such defects or inadequacies); 
 viii.
That Tenant has no options or rights other than as expressly set forth in this Lease or any amendment thereto described in such letter; and 
 ix. Such other matters as may be necessary or appropriate to qualify Tenant’s response to any of the foregoing statements or that Landlord may reasonably request. 

If such letter is to be delivered to a purchaser of the Project, it shall further include the agreement of Tenant to recognize such purchaser as Landlord
under this Lease, and thereafter to pay rent to the purchaser or its designee in accordance with the terms of this Lease. Tenant acknowledges that any purchaser or prospective mortgagee of the Project may rely upon such estoppel letter and that
Landlord may incur substantial damages by reason of any failure on the part of Tenant to provide such letter in a timely manner. 

  
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 (b) Landlord agrees that, from time to time (but not more than two (2) times per
calendar year) upon request by Tenant, Landlord will complete, execute and deliver a written estoppel certificate certifying (a) that this Lease is unmodified and is in full force and effect (or if there have been modifications, that this
Lease, as modified, is in full force and effect and attaching the Lease and the modifications); (b) the amounts of the monthly installments of Base Rental, Additional Rent and other sums then required to be paid under this Lease by Tenant;
(c) the date to which the Base Rent, Additional Rent and other sums required to be paid under this Lease by Tenant have been paid; (d) a representation that neither Landlord or Tenant is in default under any of the provisions of this
Lease, or if in default, the nature thereof in detail and what is required to cure same; and (e) such other information concerning the status of this Lease or the parties performance hereunder reasonably requested by Landlord or the party to
whom such estoppel certificate is to be addressed. 
 30. Commissions. Landlord and Tenant each represents
and warrants to the other that it did not deal with any broker in connection with this Lease, other than the Brokers listed in the Schedule of this Lease (collectively, “Brokers”), both of which shall be paid by Landlord pursuant to a
separate agreement. Tenant and Landlord shall indemnify, defend and hold the other harmless of, from and against any and all losses, damages, liabilities, claims, liens, costs and expenses (including, without limitation, court costs, reasonable
attorneys’ fees and litigation expenses) arising from any claims or demands of any other broker or brokers or finders (other than Brokers) for any commission alleged to be due such other broker or brokers or finders (other than Brokers)
claiming to have dealt with either party in connection with this Lease. Landlord’s obligations under such agreement with Brokers shall be binding on Landlord and any subsequent owner of the Premises, including without limitation, any purchaser
at foreclosure or any transfer in lieu of foreclosure, and by accepting a transfer of title to the Premises, each of such parties shall be deemed to have assumed each of Landlord’s obligations under this Section 30. 

31. Hazardous Substances. Tenant shall not cause or permit the use, generation, storage or disposal in or about the
Premises or Project of any substances, materials or wastes subject to regulation under any Law from time to time in effect concerning hazardous, toxic or radioactive materials or environmental protection (hereinafter “Hazardous
Materials”), except for cleaning materials, office products and other substances typically used in the operation of an office, unless Tenant shall have received Landlord’s prior consent, which consent Landlord may withhold or at
any time revoke at its sole discretion. If Tenant uses, generates, stores or disposes of any Hazardous Materials, Tenant shall obtain all necessary permits and comply with all Laws applicable to such activity. Furthermore, if Landlord reasonably
suspects that Tenant has violated the foregoing provision, Landlord shall have the right to require that Tenant deliver an environmental audit of the Premises evidencing that no violations have occurred. Tenant shall indemnify and hold Landlord
harmless from and against all liability, cost, claim, penalty, expense and fees (including court costs and attorney’s fees) arising from Tenant’s use, generation, storage, or disposal of Hazardous Materials in or about the Premises or the
Project. The foregoing indemnification and the responsibilities of Tenant shall survive the termination or expiration of this Lease. Tenant shall give Landlord prompt notice if Tenant has knowledge or

  
 32 

 
receives notice with regard to the presence of any Hazardous Materials on the Premises or in the Building. Notwithstanding any provision contained herein to the contrary, (i) Landlord
represents to Tenant that there are, and as of the Commencement Date will be, no Hazardous Materials within the Building or the Premises; and (ii) prior to the commencement of construction of the Building, Landlord will furnish Tenant with an
updated environmental site assessment for the Premises reflecting no recognized environmental condition. If the environmental site assessment furnished by Landlord reflects a recognized environmental condition, then Landlord shall be obligated to
cure such condition in a commercially reasonable manner approved in advance by Tenant within thirty (30) days after receipt of the environmental site assessment, or such longer time as is reasonable if same cannot reasonably be cured within
thirty (30) days. Landlord hereby represents and warrants as of the date hereof, with respect to the Property, Landlord has not received any written citation, directive, inquiry, notice, order, summons, warning, or other communication that
relates to (a) Hazardous Materials, or (b) any alleged, actual, or potential violation of or failure to comply with any environmental laws 
 32. Assignment or Sublease. 
 (a) Except in connection with a
Permitted Transfer, Tenant shall not, without the Landlord’s prior written consent, not to be unreasonably withheld, conditioned, or delayed, (i) assign, convey, mortgage, pledge, encumber, or otherwise transfer (whether voluntarily, by
operation of law, or otherwise) any of its rights in, to, or under this Lease; or (ii) allow any lien to be placed upon Tenant’s interest hereunder (except for a consensual lien granted by Tenant in connection with a leasehold deed of
trust or mortgage) (each, a “Transfer”). Except in connection with a Permitted Transfer, any Transfer without Landlord’s prior written consent shall be void and of no force or effect. 

(b) With respect to any proposed Transfer, but subject to Tenant’s right to complete a Permitted Transfer without Landlord approval,
Tenant shall submit to Landlord a copy of the proposed assignment or other documents evidencing such Transfer, and such additional information concerning the business, reputation and creditworthiness of the proposed assignee as shall be sufficient
to allow Landlord to form a commercially reasonable judgment with respect thereto. After an Event of Default, Landlord may require that any rent or other sums paid by a sublessee or assignee be paid directly to Landlord. 

(c) Notwithstanding the giving by Landlord of its consent to any Transfer as provided hereunder or any language contained in any lease,
sublease or assignment to the contrary, unless this Lease is expressly terminated by Landlord in writing or Tenant is expressly released from liability by Landlord by written release, Tenant shall not be relieved of any of Tenant’s obligations
or covenants under this Lease as a result of any Transfer, and Tenant shall remain fully liable hereunder. 
 (d)
Notwithstanding any provision contained herein to the contrary, Tenant shall have the right to (i) mortgage or otherwise collaterally assign all or any part of its leasehold estate hereunder as security for a loan, (ii) assign its entire
interest under this Lease (x) to any entity controlling or controlled by or under common control with Tenant, (y) to any successor to Tenant by purchase, merger, consolidation or reorganization so long as the resulting tenant entity has a
greater net worth than Tenant, as measured on the day immediately preceding such 

  
 33 

 
transfer, (z) to any entity purchasing all or substantially all of the assets of Tenant, and/or (iii) sublet a portion of the Premises with notice to Landlord, except that Tenant shall
not have the right to sublet the Premises for the following uses: a call center, medical office, school or education facility, or a government office (each of (i), (ii) and (iii) herein referred to as a “Permitted
Transfer”). In connection with such mortgage or collateral assignment, Landlord will cooperate with reasonable requests of Tenant or Tenant’s lender for Landlord to execute additional documents in order for Tenant and Tenant’s
lender to obtain policies of leasehold title insurance, including, without limitation, owner’s affidavits and general corporate documentation. In addition, the sale or transfer of ownership interests in the Tenant shall not be considered a
“Transfer”. Notwithstanding the foregoing to the contrary, in no event shall Tenant be permitted to use a series of one or more transfers permitted hereunder solely for the purpose of “spinning off” the Lease to an independent
third party that would not otherwise be a permitted transferee without Landlord’s prior approval hereunder. 
 33.
Amendments. This Lease may not be altered or amended, except by an instrument in writing signed by all parties hereto. 
 34. Binding Agreement. This Lease shall be binding upon and inure to the benefit of the successors and assigns of Landlord, and to the extent a Transfer may be approved by Landlord
hereunder, Tenant’s successors and assigns. 
 35. Gender. The pronouns of any gender shall include
the other genders, and either the singular or the plural shall include the other. 
 36. Governing Law.
This Lease shall be governed, construed and enforced in accordance with the laws of Tennessee. 
 37. Entire
Agreement. This Lease and the Development Agreement, together with the exhibits attached hereto and thereto, set forth the entire agreement between Landlord and Tenant. The submission of this Lease for examination and negotiation does
not constitute an offer to lease, or a reservation of, or option for, the Premises. This Lease shall become effective and binding only upon execution and delivery hereof by Tenant and by Landlord (or, when duly authorized, by Landlord’s agent
or employee). No act or omission of any agent of Landlord or of Landlord’s broker shall alter, change or modify any of the provisions hereof. This Lease and Development Agreement constitute the entire agreement between the parties and all prior
negotiations shall be deemed incorporated herein. Landlord has made no promises, representations, warranties or covenants, except as expressly provided herein or in the Development Agreement. 

38. Severability. The invalidity or unenforceability of a particular provision of this Lease shall not affect the
other provisions hereof, and this Lease shall be construed in all respects as if such invalid or unenforceable provision were omitted. 
 39. Notices. Any notice, demand, request, consent, covenant, approval or other communication to be given by one party to the other must be in writing and (a) delivered
personally; (b) mailed by certified United States mail, postage prepaid, return receipt requested; or (c) sent by nationally recognized overnight courier. The effective date of notice shall be

  
 34 

 
(i) for any notice delivered in person, the date of delivery; (ii) for any notice by certified mail, three (3) days after the date of certification thereof; and (iii) for any
notice by overnight courier, the next Business Day after deposit with the courier. All notices shall be delivered or addressed to Landlord at its addresses set forth on the Schedule and to Tenant at the address set forth on the Schedule (for all
notices prior to the Substantial Completion Date) or at the address of the Building, Attention: Chief Financial Officer (for all notices after the Substantial Completion Date). Either party may change the address at which it desires to receive
notice upon giving notice of such request to the other party in the manner provided herein. 
 40. Mortgagee
Protection. Tenant agrees to give any Mortgagee as to all or a portion of the Premises, a copy of any notice of default served upon Landlord, provided that prior to such notice Tenant has been notified in writing (by way of notice or
assignment of rents and leases, or otherwise) of the addresses of such Mortgagee(s). Any such Mortgagee(s) shall have thirty (30) days after receipt of notice of such default or such other amount of time as may be reasonably required to cure
such default, including time to obtain possession of the Project by power of sale or judicial action or deed in lieu of foreclosure. 
 41. Force Majeure. If either party is delayed in or prevented from performing any act required hereunder by reason of strikes, lockouts, labor troubles,
inability to procure materials, failure of power, restrictive governmental laws or regulations, riots, insurrection, war or other reason not the fault of such party (“Force Majeure”), then performance of such acts shall be excused
for the period of the delay and the period for the performance of any such acts shall be extended for a period equivalent to the period of such delay. The foregoing shall only apply if the party delayed in performing work or doing acts required
under this Lease gives notice to the other party of the delay as soon as reasonably possible. Nothing in this section shall excuse Tenant from the prompt payment of rent. 

42. Joint Obligation. If there be more than one Tenant or guarantor, the obligations of
such parties shall be joint and several among them. 
 43. Time. Time is of the essence of this Lease and
each and all of its provisions in which performance is a factor. 
 44. Counterparts. This Lease may be
executed simultaneously in one or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. 
 45. Attorney’s Fees. If either party employs an attorney to enforce such party’s rights under this Lease, the non-prevailing party shall pay the fees and expenses incurred
by the prevailing party, including reasonable attorneys’ fees and any court costs upon demand. 
 46. Tax
Incentives.  
 (a) Landlord and Tenant acknowledge and agree that
this Lease is expressly conditional upon Tenant receiving approval, on or before March 8, 2013 (the “PILOT Approval Deadline”), from the Metropolitan County Council of the Metropolitan Government of Nashville and Davidson County
(“Metro Council”) and from the 

  
 35 

 
Industrial Development Board (the “IDB”) for a payment in lieu of taxes agreement (the “PILOT Agreement”), the economic effect of which will be to grant to Landlord, but for
the benefit of Tenant, a real estate tax abatement of 100 % for years 1 and 2, and 60% for years 3 through 8. Tenant will use all diligent good faith efforts to obtain such approvals prior to the PILOT Approval Deadline; provided, however, that
if such approvals have not been either granted or denied by the initial PILOT Approval Deadline, then Tenant may extend the PILOT Approval Deadline to March 15, 2013, by delivering written notice of such extension to Landlord on or prior to the
initial PILOT Approval Deadline; in the event the PILOT Approval Deadline is so extended, then all of the relevant dates and deadlines applicable to the construction of the Project and set forth in this Lease or the Development Agreement shall be
extended by a period of seven (7) days, except that the Commencement Date and the Initial Term Expiration Date shall not be so extended, and upon request of either party, both Landlord and Tenant shall execute amendments to this Lease and the
Development Agreement to evidence the extension of such dates/deadlines. In the event that the Metro Council or the IDB fails to approve such PILOT Agreement, Tenant may terminate this Lease by delivering written notice of termination to Landlord on
or before the PILOT Approval Deadline (as the same may be extended as set forth above) and by paying to Landlord with such notice the sum of $265,500.00 as a break-up fee for the right to so terminate this Lease. In the event Tenant does not
terminate this Lease pursuant to this Section, Landlord and Tenant acknowledge and agree that Tenant’s termination right under this Section shall be deemed null and void and this Lease shall remain in full force and effect. Landlord hereby
agrees to cooperate with Tenant in obtaining such PILOT Agreement. 
 (b) Any governmental and tax benefits which
are finally realized in connection with the PILOT Agreement shall inure completely to the benefit of Tenant. Should such benefits be structured as direct benefits to Landlord, such benefits shall be passed through dollar for dollar to Tenant or
reflected in decreased Operating Costs, as appropriate. 
 (c) Tenant shall reimburse Landlord for all reasonable
out-of-pocket costs, including reasonable legal fees incurred by Landlord, that are related to the process of obtaining and documenting any such PILOT Agreement. 
 THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. 

  
 36 

 IN WITNESS WHEREOF, the parties hereto have executed the foregoing Lease on the dates
set forth below. 
  

											
	LANDLORD:	 	TENANT:
		
	Burton 6, LLC, a Tennessee limited liability company	 	 AmSurg Corp, a Tennessee corporation

					
	By:	 	 Eakin Properties, LLC,
 a Tennessee limited liability company,
 Chief Manager
	 		 	By:	 	 /s/ Christopher A. Holden

	 	 		 		 	
	 	 		 	Printed Name:	 	 Christopher A. Holden

						
		 	By:	 	 /s/ John W. Eakin
	 		 	Title:	 	 President and CEO

		 		 	John W. Eakin, President	 		 		 	
		
	Date: December 27, 2012	 	Date: December 27, 2012

  
 37 

 EXHIBIT A 
 LEGAL DESCRIPTION 
 Beginning at a point on the southerly margin of Hillsboro Pike and the
north westerly property corner of the E.P. Real Estate Fund L.P. property: 
 Thence along said margin of Hillsboro Pike: North 44 deg. 42min.
20sec. East; 139.87 feet to a point on said margin, 
 Thence leaving the southerly margin of Hillsboro Pike: South 45deg. 16min. 15sec. East;
32.87 to a point, 
 Thence: North 89deg. 47min. 14sec. East; 61.24 feet to a point, 
 Thence: North 48deg. 03min. 33sec. East; 33.00 feet to a point on the westerly margin of Burton Hills Boulevard, 
 Thence along the westerly margin of Burton Hills Boulevard with a curve to the left: 205.47 feet and a radius of 281.53 feet to a point on said margin, 

Thence along said margin: South 83deg. 45min. 26 sec. West; 43.23 feet to a point, 
 Thence leaving the westerly margin of Burton Hills Boulevard: South 05deg. 27min. 29sec. West; 126.17 feet to a point, 
 Thence: South 45deg. 56min. 00sec. East; 24.86 feet to a point, 
 Thence: South 44 deg. 02 min.
47sec. West; 201.60 feet to a point on the westerly property line of the E.P. Real Estate Fund L.P. property, 
 Thence along said property
line: North 45deg. 55min. 26sec. West; 410.62 feet to the point of beginning containing 91,266 square feet or 2.09 acres. 

 EXHIBIT B 
 SITE PLAN 
  
 

 

 EXHIBIT C 
 RENT SCHEDULE 
  

									
	Year	  	 Annual
 Rent
	 	  	Monthly
Rent	 
			
	 1
	  	 	2,277,333.25	  	  	 	189,777.77	  
			
	 2
	  	 	2,320,602.58	  	  	 	193,383.55	  
			
	 3
	  	 	2,364,694.03	  	  	 	197,057.84	  
			
	 4
	  	 	2,409,623.22	  	  	 	200,801.93	  
			
	 5
	  	 	2,455,406.06	  	  	 	204,617.17	  
			
	 6
	  	 	2,502,058.77	  	  	 	208,504.90	  
			
	 7
	  	 	2,549,597.89	  	  	 	212,466.49	  
			
	 8
	  	 	2,598,040.25	  	  	 	216,503.35	  
			
	 9
	  	 	2,647,403.02	  	  	 	220,616.92	  
			
	 10
	  	 	2,697,703.67	  	  	 	224,808.64	  
			
	 11
	  	 	2,748,960.04	  	  	 	229,080.00	  
			
	 12
	  	 	2,801,190.28	  	  	 	233,432.52	  
			
	 13
	  	 	2,854,412.90	  	  	 	237,867.74	  
			
	 14
	  	 	2,908,646.74	  	  	 	242,387.23	  
			
	 15
	  	 	2,963,911.03	  	  	 	246,992.59	  

  
 2 

 EXHIBIT D 
 PERMITTED EXCEPTIONS 
 The following items apply to the entire Building I
site within which the Land is contained. This exhibit will be updated at the execution of the Ground Lease to provide for only those matters expressly encumbering the Land. 

 

	1.	Declaration of Covenants, Conditions, Liens, Easements and Restrictions, including, but not limited to, easements, assessments, special assessments, charges and liens,
contained in an instrument of record in Book 6470, Page 366, said Register’s Office. 

  

	2.	Agreement for Dedication of Easement for Sanitary Sewers and/or Storm Drainage of record in Book 7519, Page 978, as modified by Ordinance of Metropolitan Government of
record as Instrument No. 20050621-0071302, said Register’s Office. 

  

	3.	Declaration of Reciprocal Rights and Easements of record in Book 7703, Page 301, said Register’s Office. 

 

	4.	All matters shown on the Plat recorded in Book 6250, page 978, as amended in Book 6900, Page 304, said Register’s Office. 

 

	5.	Terms, provisions, requirements, conditions, obligations, agreements and stipulations contained in the lease by and between Burton Hills III, LLC, a Tennessee limited
liability company, Landlord and Clintrials Research, Inc., a Delaware corporation, Tenant dated December 19, 1995, of record in Book 10068, Page 583, Register’s Office for Davidson County, Tennessee. 

 

	6.	Grant of 20’ Public Utility Easement of record in Book 10222, Page 436, said Register’s Office. 

 

	7.	Agreement for Dedication of Easement of Water Mains and Appurtenances of record in Book 10248, Page 243, said Register’s Office. 

 

	8.	Stormwater Detention Agreement of record in Instrument No. 20011015-0112114, said Register’s Office. 

 

	9.	Easement(s) to XO Tennessee, Inc., as set forth in the instrument of record in Instrument No. 20001214-0123189, said Register’s Office.

  

	10.	The Declaration. 

 EXHIBIT E 
 RULES AND REGULATIONS 
 1. The Premises shall not be used for the storage
of merchandise held for sale to the general public or for lodging. 
 2. Tenant shall not employ any person or persons other
than the janitor of Landlord for the purpose of cleaning its Premises unless otherwise agreed to by Landlord in writing. Tenant shall use commercially reasonable efforts not to cause any unnecessary labor by reason of such tenant’s carelessness
or indifference in the preservation of good order and cleanliness. Tenant shall promptly notify Landlord of any carpet or wall stains requiring attention. 
 3. Landlord must have approved all means or methods used to move equipment, materials, supplies, furniture, or other property in or out of the Building prior to any such movement. All damage done to the
Building by moving or maintaining such repair shall be repaired at the expense of Tenant. 
 4. Tenant shall not use any method
of heating or ventilation or air conditioning other than that supplied by Landlord. 
 5. No animals (except for seeing eye
dogs) shall be brought or kept in the Premises or the Building. 
 6. Landlord shall in no case be liable for damages for any
error with regard to the admission to or exclusion from the Building of any person in the case of invasion, mob, riot, public excitement, or other circumstances rendering such action advisable in Landlord’s opinion. Landlord reserves the right
to prevent access to the Building during the continuance of the same by such action as Landlord may deem appropriate, including closing doors. 
 7. Tenant shall ensure that the doors of the Premises are closed and locked and that all water faucets, water apparatus, and utilities are shut off before Tenant or Tenant’s employees leave the
Premises so as to prevent waste or damage. 
 8. The toilet rooms, toilets, urinals, wash bowls, and other apparatus shall not
be used for any purpose other than that for which they are constructed, and no foreign substance of any kind whatsoever shall be thrown therein. 
 9. There shall not be used in the Premises, either by Tenant or others, any hand trucks except those equipped with rubber tires and side guards or such other material handling equipment as Landlord may
approve. No other vehicles of any kind shall be brought by Tenant into the Premises. 
 10. Tenant shall store all its trash and
garbage within its premises. No material shall be placed in the hallways or in the trash boxes or receptacles if such material is of such nature that it may not be disposed of in the ordinary and customary manner of removing and disposing of office
building trash and garbage in the locale without being in violation of any law or ordinance governing such disposal. All garbage and refuse disposal shall be made only through entryways provided for such purposes and at such times as Landlord shall
designate. 

 11. Canvassing, soliciting, distribution of handbills, or any other written material and
peddling in the Building are prohibited, and each tenant shall cooperate to prevent the same. 
 12. Except in a case of
emergency, the requirements of Tenant will be attended to only upon application in writing at the office of the Building or by facsimile transmitted to the office of the Building manager. Employees of Landlord shall not perform any work or do
anything outside of their regular duties unless under special instructions from Landlord. 
 13. Tenant shall not cause improper
noises, vibrations, or odors within the Building that can be heard or smelled outside the Building. 
 14. Tenant will not place
objects on window sills or otherwise obstruct the exterior wall window covering. 
 15. Tenant will keep all doors opening to
the exterior of the Building, all fire doors, and all smoke doors closed at all times, except when in use. 
 16. Tenant shall
not obstruct, alter, or in any way impair the efficient operation of Landlord’s heating, ventilating, electrical, fire, safety, or lighting systems. 
 17. If Tenant uses the Premises after regular business hours or on non-business days Tenant shall lock any entrance doors to the Premises used by Tenant immediately after using such doors. 

18. Tenant shall not use any portion of the Premises for lodging. 

19. Landlord reserves the right to exclude or expel from the Building any person who, in the judgment of Landlord is intoxicated or under
the influence of liquor or drugs, or who shall in any manner do any act in violation of any of these Rules and Regulations. 

20. Tenant shall not park or attach any bicycle or motor driven cycle on or to any part of the Project, except in designated areas.

 21. Provided Landlord acts in good faith pursuant to sound operating procedures, Landlord may waive any one or more of these
Rules and Regulations, but no such waiver by Landlord shall prevent Landlord from thereafter enforcing any such Rules and Regulations against any or all of the tenants of the Building. 

22. These Rules and Regulations are in addition to, and shall not be construed to in any way modify or amend, in whole or in part, the
agreements, covenants, conditions, and provisions of the Lease. 
 23. Landlord reserves the right to reasonably modify the
foregoing and promulgate such other reasonable Rules and Regulations as Landlord may from time to time decide are needed for the safety, care, or cleanliness of the Building, for the preservation of good order therein, or as changed conditions or
particular circumstances may require. 

  EXHIBIT F 
 FORM OF COMMENCEMENT DATE LETTER 
 AmSurg Corp. 

        Burton Hills Boulevard 
 Nashville, Tennessee 37215 
  

	 	Re:	Lease Agreement dated December     , 2012, between Burton 6, LLC (“Landlord”) and AmSurg Corp. (“Tenant”)

 Dear
                            : 
 The purpose of this letter is to confirm the following: 
 (i) The
Commencement Date for the Lease Term is
                                         
       . 
 (ii) The Lease Term Expiration Date is
                    . 

Please acknowledge your agreement with the provisions of this letter by signing the extra copy of this letter and returning the same to
the undersigned. 
  

			
	Sincerely,
		
	By:	 	  

 Acknowledged and Agreed to By: 
  

			
	TENANT:
	
	AmSurg Corp.
		
	By:	 	  

		
	Print Name:	 	  

		
	Print Title:	 	  

		
	Date:Form of Medium-Term Notes

 Exhibit 4.1 
 [Face of Note] 
 Unless this certificate is presented by an authorized
representative of The Depository Trust Company, a New York corporation (“DTC”), to the Company or its agent for registration of transfer, exchange or payment, and any certificate issued is registered in the name of Cede &
Co. or in such other name as requested by an authorized representative of DTC (and any payment is made to Cede & Co. or such other entity as is requested by an authorized representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR
VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the registered owner hereof, Cede & Co., has an interest herein. 
  

			
	 CUSIP NO. 94986RMH1
	 	FACE AMOUNT: $                     
	 REGISTERED NO.         
	 	

 WELLS FARGO & COMPANY 

MEDIUM-TERM NOTE, SERIES K 
 Due Nine Months or More From Date of Issue 
 Notes
Linked to the Dow Jones Industrial AverageSM

 due January 8, 2020 
 WELLS FARGO & COMPANY, a corporation duly organized and existing under the laws of the State of Delaware (hereinafter called the “Company,” which term includes any successor
corporation under the Indenture hereinafter referred to), for value received, hereby promises to pay to CEDE & Co., or registered assigns, an amount equal to the Redemption Amount (as defined below), in such coin or currency of the United
States of America as at the time of payment is legal tender for payment of public and private debts, on the Stated Maturity Date. The “Initial Stated Maturity Date” shall be January 8, 2020. If no Market Disruption Event (as
defined below) occurs or is continuing with respect to the Index (as defined below) on the final scheduled Calculation Day (as defined below), the Initial Stated Maturity Date will be the “Stated Maturity Date.” If a Market
Disruption Event occurs or is continuing with respect to the Index on the final scheduled Calculation Day, the “Stated Maturity Date” shall be the later of (i) three Business Days (as defined below) after the postponed final
Calculation Day and (ii) the Initial Stated Maturity Date. This Security shall not bear any interest. 
 Any payments on
this Security at Maturity will be made against presentation of this Security at the office or agency of the Company maintained for that purpose in the City of Minneapolis, Minnesota and at any other office or agency maintained by the Company for
such purpose. 
 “Face Amount” shall mean, when used with respect to this Security, the amount set forth on the
face of this Security as its “Face Amount.” 

 Determination of Redemption Amount 

The “Redemption Amount” of this Security will equal: 

 

	 	•	if the Average Ending Level is greater than the Starting Level: the Face Amount plus the greater of: 

(i) the Minimum Return; and 
  

					
	(ii)	 	

	 	; or

  

	 	•	if the Average Ending Level is less than or equal to the Starting Level: the Face Amount plus the Minimum Return. 

“Index” shall mean the Dow Jones Industrial AverageSM. 

The “Pricing Date” shall mean December 28, 2012. 

The “Starting Level” is 12938.11, the Closing Level of the Index on the Pricing Date. 

The “Closing Level” of the Index on any Trading Day means the official closing level of the Index as reported by the
Index Sponsor on such Trading Day. 
 The “Average Ending Level” will be the arithmetic average of the Closing
Level of the Index on the Calculation Days. 
 The “Participation Rate” is 100%. 

The “Minimum Return” is 2% of the Face Amount of this Security. 

“Index Sponsor” shall mean S&P Dow Jones Indices LLC. 

“Business Day” shall mean a day, other than a Saturday or Sunday, that is neither a legal holiday nor a day on which
banking institutions are authorized or required by law or regulation to close in New York, New York. 
 A “Trading
Day” with respect to the Index means a day, as determined by the Calculation Agent, on which (i) the Relevant Exchanges with respect to each security underlying the Index are scheduled to be open for trading for their respective
regular trading sessions and (ii) each Related Exchange is scheduled to be open for trading for its regular trading session. 
 The “Related Exchange” for the Index means each exchange or quotation system where trading has a material effect (as determined by the Calculation Agent) on the overall market for futures
or options contracts relating to the Index. 

  
 2 

 The “Relevant Exchange” for any security then underlying the Index means
the primary exchange or quotation system on which such security is traded, as determined by the Calculation Agent. 
 The
“Calculation Days” shall be quarterly, on the last Trading Day of each March, June, September and December, commencing March 2013 and ending December 2019. A Calculation Day is subject to postponement due to the occurrence of a
Market Disruption Event. If a Market Disruption Event occurs or is continuing with respect to the Index on a Calculation Day, such Calculation Day will be postponed to the first succeeding Trading Day on which a Market Disruption Event has not
occurred and is not continuing. If such first succeeding Trading Day has not occurred as of the eighth Trading Day after the originally scheduled Calculation Day, that eighth Trading Day shall be deemed the applicable Calculation Day. If a
Calculation Day has been postponed eight Trading Days after the originally scheduled Calculation Day and a Market Disruption Event occurs or is continuing with respect to the Index on such eighth Trading Day, the Calculation Agent will determine the
Closing Level of the Index on such eighth Trading Day in accordance with the formula for and method of calculating the Closing Level of the Index last in effect prior to commencement of the Market Disruption Event, using the closing price (or, with
respect to any of the relevant securities, if a Market Disruption Event has occurred, its good faith estimate of the value of such securities at the Scheduled Closing Time (as defined below) on the Relevant Exchanges) on such date of each security
included in the Index. See “—Market Disruption Events.” As used herein, “closing price” means, with respect to any security on any date, the relevant exchange traded or quoted price of such security as of the Close of
Trading (as defined below) on such date. 
 “Calculation Agent Agreement” shall mean the Calculation Agent
Agreement dated as of May 29, 2012 between the Company and the Calculation Agent, as amended from time to time. 

“Calculation Agent” shall mean the Person that has entered into the Calculation Agent Agreement with the Company
providing for, among other things, the determination of the Average Ending Level and the Redemption Amount, which term shall, unless the context otherwise requires, include its successors under such Calculation Agent Agreement. The initial
Calculation Agent shall be Wells Fargo Securities, LLC. Pursuant to the Calculation Agent Agreement, the Company may appoint a different Calculation Agent from time to time after the initial issuance of this Security without the consent of the
Holder of this Security and without notifying the Holder of this Security. 
 Discontinuance Of The Index; Alteration Of Method Of
Calculation 
 If the Index Sponsor discontinues publication of the Index, and the Index Sponsor or another entity
publishes a successor or substitute equity index that the Calculation Agent determines, in its sole discretion, to be comparable to the Index (a “Successor Equity Index”), then, upon the Calculation Agent’s notification of that
determination to the Trustee and the Company, the Calculation Agent will substitute the Successor Equity Index as calculated by the relevant Index Sponsor or any other entity and calculate the Average Ending Level as described above. Upon any
selection by the Calculation Agent of a Successor Equity Index, the Company will cause notice to be given to the Holder of this Security. 

  
 3 

 In the event that the Index Sponsor discontinues publication of the Index prior to, and the
discontinuance is continuing on, any Calculation Day and the Calculation Agent determines that no Successor Equity Index is available at such time, the Calculation Agent will calculate a substitute Closing Level for the Index in accordance with the
formula for and method of calculating the Index last in effect prior to the discontinuance, but using only those securities that comprised the Index immediately prior to that discontinuance. If a Successor Equity Index is selected or the Calculation
Agent calculates a level as a substitute for the Index, the Successor Equity Index or level will be used as a substitute for the Index for all purposes, including the purpose of determining whether a Market Disruption Event exists. 

If on any Calculation Day the Index Sponsor of the Index fails to calculate and announce the level of the Index, the Calculation Agent
will calculate a substitute Closing Level of the Index in accordance with the formula for and method of calculating the Index last in effect prior to the failure, but using only those securities that comprised the Index immediately prior to that
failure; provided that, if a Market Disruption Event occurs or is continuing on such day, then the provisions set forth above under the definition of “Calculation Days” shall apply in lieu of the foregoing. 

If at any time the Index Sponsor makes a material change in the formula for or the method of calculating the Index, or in any other way
materially modifies the Index (other than a modification prescribed in that formula or method to maintain the Index in the event of changes in constituent stock and capitalization and other routine events), then, from and after that time, the
Calculation Agent will, at the close of business in New York, New York, on each date that the Closing Level of the Index is to be calculated, calculate a substitute Closing Level of the Index in accordance with the formula for and method of
calculating the Index last in effect prior to the change, but using only those securities that comprised the Index immediately prior to that change. Accordingly, if the method of calculating the Index is modified so that the level of the Index is a
fraction or a multiple of what it would have been if it had not been modified, then the Calculation Agent will adjust the Index in order to arrive at a level of the Index as if it had not been modified. 

Market Disruption Events 
 A “Market Disruption Event” means, with respect to the Index, any of the following events as determined by the Calculation Agent in its sole discretion: 

 

	 	(A)	The occurrence or existence of a material suspension of or limitation imposed on trading by the Relevant Exchanges or otherwise relating to securities which then
comprise 20% or more of the level of the Index or any Successor Equity Index at any time during the one-hour period that ends at the Close of Trading on that day, whether by reason of movements in price exceeding limits permitted by those Relevant
Exchanges or otherwise. 

  

	 	(B)	 The occurrence or existence of a material suspension of or limitation imposed on trading by any Related Exchange or otherwise in futures or options
contracts relating to the Index or any Successor Equity Index on any Related Exchange at any time during the one-hour period that ends at the Close of Trading on that day, 

  
 4 

	 	
whether by reason of movements in price exceeding limits permitted by the Related Exchange or otherwise. 

 

	 	(C)	The occurrence or existence of any event, other than an early closure, that materially disrupts or impairs the ability of market participants in general to effect
transactions in, or obtain market values for, securities that then comprise 20% or more of the level of the Index or any Successor Equity Index on their Relevant Exchanges at any time during the one-hour period that ends at the Close of Trading on
that day. 

  

	 	(D)	The occurrence or existence of any event, other than an early closure, that materially disrupts or impairs the ability of market participants in general to effect
transactions in, or obtain market values for, futures or options contracts relating to the Index or any Successor Equity Index on any Related Exchange at any time during the one-hour period that ends at the Close of Trading on that day.

  

	 	(E)	The closure on any Exchange Business Day of the Relevant Exchanges on which securities that then comprise 20% or more of the level of the Index or any Successor Equity
Index are traded or any Related Exchange prior to its Scheduled Closing Time unless the earlier closing time is announced by the Relevant Exchange or Related Exchange, as applicable, at least one hour prior to the earlier of (1) the actual
closing time for the regular trading session on such Relevant Exchange or Related Exchange, as applicable, and (2) the submission deadline for orders to be entered into the Relevant Exchange or Related Exchange, as applicable, system for
execution at the Close of Trading on that day. 

  

	 	(F)	The Relevant Exchange for any security underlying the Index or Successor Equity Index or any Related Exchange fails to open for trading during its regular trading
session. 

 For purposes of determining whether a Market Disruption Event has occurred: 

 

	 	(1)	the relevant percentage contribution of a security to the level of the Index or any Successor Equity Index will be based on a comparison of (x) the portion of the
level of the Index attributable to that security and (y) the overall level of the Index or Successor Equity Index, in each case immediately before the occurrence of the Market Disruption Event; 

 

	 	(2)	the “Close of Trading” means the Scheduled Closing Time of the Relevant Exchanges with respect to the securities underlying the Index or any Successor
Equity Index; 

  

	 	(3)	the “Scheduled Closing Time” of any Relevant Exchange or Related Exchange on any Trading Day for the Index or any Successor Equity Index means
the scheduled weekday closing time of such Relevant Exchange or Related Exchange on such Trading Day, without regard to after hours or any other trading outside the regular trading session hours; and 

  
 5 

	 	(4)	an “Exchange Business Day” means any Trading Day for the Index or any Successor Equity Index on which each Relevant Exchange for the securities
underlying the Index or any Successor Equity Index and each Related Exchange are open for trading during their respective regular trading sessions, notwithstanding any such Relevant Exchange or Related Exchange closing prior to its Scheduled Closing
Time. 

 Calculation Agent 
 The Calculation Agent will determine the Redemption Amount and the Average Ending Level. In addition, the Calculation Agent will (i) determine if adjustments are required to the Closing Level of the
Index under the circumstances described in this Security, (ii) if publication of the Index is discontinued, select a Successor Equity Index or, if no Successor Equity Index is available, determine the Closing Level of the Index under the
circumstances described in this Security, and (iii) determine whether a Market Disruption Event has occurred. 
 The
Company covenants that, so long as this Security is Outstanding, there shall at all times be a Calculation Agent (which shall be a broker-dealer, bank or other financial institution) with respect to this Security. 

All determinations made by the Calculation Agent with respect to this Security will be at the sole discretion of the Calculation Agent
and, in the absence of manifest error, will be conclusive for all purposes and binding on the Company and the Holder of this Security. All percentages and other amounts resulting from any calculation with respect to this Security will be rounded at
the Calculation Agent’s discretion. 
 Redemption and Repayment 

This Security is not subject to redemption at the option of the Company or repayment at the option of the Holder hereof prior to
January 8, 2020. This Security is not entitled to any sinking fund. 
 Acceleration 

If an Event of Default, as defined in the Indenture, with respect to this Security shall occur and be continuing, the Redemption Amount
(calculated as set forth in the next sentence) of this Security may be declared due and payable in the manner and with the effect provided in the Indenture. The amount payable to the Holder hereof upon any acceleration permitted under the Indenture
will be equal to the Redemption Amount hereof calculated as provided herein; provided, however, that the Redemption Amount will be calculated using (i) the Closing Level(s) ascertained on the Calculation Day(s) that occurred before the date of
acceleration and (ii) the Closing Level(s) ascertained on each of the Trading Days leading up to and including the date of acceleration in such number equal to the number of Calculation Days scheduled to occur on or after the date of
acceleration. 
  
  

  
 6 

 Reference is hereby made to the further provisions of this Security set forth on the reverse
hereof, which further provisions shall for all purposes have the same effect as if set forth at this place. 
 Unless the
certificate of authentication hereon has been executed by the Trustee referred to on the reverse hereof by manual signature or its duly authorized agent under the Indenture referred to on the reverse hereof by manual signature, this Security shall
not be entitled to any benefit under the Indenture or be valid or obligatory for any purpose. 
 [The remainder of this page
has been left intentionally blank] 

  
 7 

 IN WITNESS WHEREOF, the Company has caused this instrument to be duly executed under its
corporate seal. 
 DATED:
                     
  

							
		 		 	WELLS FARGO & COMPANY
				
		 		 	By:	 	  

		 		 		 	  

		 		 		 	Its:                            
                                         
                
				
	 [SEAL]
	 		 		 	
				
		 		 	Attest:	 	  

		 		 		 	  

		 		 		 	Its:                            
                                        
                 

 TRUSTEE’S CERTIFICATE OF AUTHENTICATION 
 This is one of the Securities of the series designated 
 therein described in the within-mentioned
Indenture. 
  

			
	 CITIBANK, N.A.,
as Trustee

		
	 By:
	 	  

		 	Authorized Signature
		
		 	OR
	
	 WELLS FARGO BANK, N.A.,
as Authenticating Agent for the Trustee

		
	 By:
	 	  

		 	Authorized Signature

  
 8 

 [Reverse of Note] 
 WELLS FARGO & COMPANY 
 MEDIUM-TERM NOTE, SERIES K

 Due Nine Months or More From Date of Issue 

Notes Linked to the Dow Jones Industrial AverageSM 
 due January 8, 2020 
 This Security is one of a duly authorized issue
of securities of the Company (herein called the “Securities”), issued and to be issued in one or more series under an indenture dated as of July 21, 1999, as amended or supplemented from time to time (herein called the
“Indenture”), between the Company and Citibank, N.A., as Trustee (herein called the “Trustee,” which term includes any successor trustee under the Indenture), to which Indenture and all indentures supplemental
thereto reference is hereby made for a statement of the respective rights, limitations of rights, duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities, and of the terms upon which the Securities are, and are
to be, authenticated and delivered. This Security is one of the series of the Securities designated as Medium-Term Notes, Series K, of the Company, which series is limited to an aggregate principal amount or face amount, as applicable, of
$25,000,000,000 or the equivalent thereof in one or more foreign or composite currencies. The amount payable on the Securities of this series may be determined by reference to the performance of one or more equity-, commodity- or currency-based
indices, exchange traded funds, securities, commodities, currencies, statistical measures of economic or financial performance, or a basket comprised of two or more of the foregoing, or any other market measure or may bear interest at a fixed rate
or a floating rate. The Securities of this series may mature at different times, be redeemable at different times or not at all, be repayable at the option of the Holder at different times or not at all and be denominated in different currencies.

 Article Sixteen of the Indenture shall not apply to this Security. 

The Securities are issuable only in registered form without coupons and will be either (a) book-entry securities represented by one
or more Global Securities recorded in the book-entry system maintained by the Depositary or (b) certificated securities issued to and registered in the names of, the beneficial owners or their nominees. 

The Company agrees, to the extent permitted by law, not to voluntarily claim the benefits of any laws concerning usurious rates of
interest against a Holder of this Security. 
 Modification and Waivers 

The Indenture permits, with certain exceptions as therein provided, the amendment thereof and the modification of the rights and
obligations of the Company and the rights of the Holders of the Securities of each series to be affected under the Indenture at any time by the Company and the Trustee with the consent of the Holders of a majority in principal amount of the
Securities at the 

  
 9 

 
time Outstanding of all series to be affected, acting together as a class. The Indenture also contains provisions permitting the Holders of a majority in principal amount of the Securities of all
series at the time Outstanding affected by certain provisions of the Indenture, acting together as a class, on behalf of the Holders of all Securities of such series, to waive compliance by the Company with those provisions of the Indenture. Certain
past defaults under the Indenture and their consequences may be waived under the Indenture by the Holders of a majority in principal amount of the Securities of each series at the time Outstanding, on behalf of the Holders of all Securities of such
series. Solely for the purpose of determining whether any consent, waiver, notice or other action or Act to be taken or given by the Holders of Securities pursuant to the Indenture has been given or taken by the Holders of Outstanding Securities in
the requisite aggregate principal amount, the principal amount of this Security will be deemed to be equal to the amount set forth on the face hereof as the “Face Amount” hereof. Any such consent or waiver by the Holder of this Security
shall be conclusive and binding upon such Holder and upon all future Holders of this Security and of any Security issued upon the registration of transfer hereof or in exchange herefor or in lieu hereof, whether or not notation of such consent or
waiver is made upon this Security. 
 Defeasance 
 Section 403 and Article Fifteen of the Indenture and the provisions of clause (ii) of Section 401(1)(B) of the Indenture, relating to defeasance at any time of (a) the entire
indebtedness on this Security and (b) certain restrictive covenants and certain Events of Default, upon compliance by the Company with certain conditions set forth therein, shall not apply to this Security. The remaining provisions of
Section 401 of the Indenture shall apply to this Security. 
 Authorized Denominations 

This Security is issuable only in registered form without coupons in denominations of $1,000 or any amount in excess thereof which is an
integral multiple of $1,000. 
 Registration of Transfer 
 Upon due presentment for registration of transfer of this Security at the office or agency of the Company in the City of Minneapolis, Minnesota, a new Security or Securities of this series, with the same
terms as this Security, in authorized denominations for an equal aggregate Face Amount will be issued to the transferee in exchange herefor, as provided in the Indenture and subject to the limitations provided therein and to the limitations
described below, without charge except for any tax or other governmental charge imposed in connection therewith. 
 This
Security is exchangeable for definitive Securities in registered form only if (x) the Depositary notifies the Company that it is unwilling or unable to continue as Depositary for this Security or if at any time the Depositary ceases to be a
clearing agency registered under the Securities Exchange Act of 1934, as amended, and a successor depositary is not appointed within 90 days after the Company receives such notice or becomes aware of such ineligibility, (y) the Company in
its sole discretion determines that this Security shall be exchangeable for definitive Securities in registered form and notifies the Trustee thereof or (z) an Event of Default with respect to the Securities represented hereby has occurred and
is continuing. If this Security is exchangeable pursuant to the preceding sentence, it shall be exchangeable for definitive Securities in registered 

  
 10 

 
form, having the same date of issuance, Stated Maturity Date and other terms and of authorized denominations aggregating a like amount. 

This Security may not be transferred except as a whole by the Depositary to a nominee of the Depositary or by a nominee of the Depositary
to the Depositary or another nominee of the Depositary or by the Depositary or any such nominee to a successor of the Depositary or a nominee of such successor. Except as provided above, owners of beneficial interests in this Global Security will
not be entitled to receive physical delivery of Securities in definitive form and will not be considered the Holders hereof for any purpose under the Indenture. 
 Prior to due presentment of this Security for registration of transfer, the Company, the Trustee and any agent of the Company or the Trustee may treat the Person in whose name this Security is registered
as the owner hereof for all purposes, whether or not this Security be overdue, and neither the Company, the Trustee nor any such agent shall be affected by notice to the contrary. 
 Obligation of the Company Absolute 
 No reference herein to the
Indenture and no provision of this Security or the Indenture shall alter or impair the obligation of the Company, which is absolute and unconditional, to pay the Redemption Amount at the times, place and rate, and in the coin or currency, herein
prescribed, except as otherwise provided in this Security. 
 No Personal Recourse 

No recourse shall be had for the payment of the Redemption Amount, or for any claim based hereon, or otherwise in respect hereof, or based
on or in respect of the Indenture or any indenture supplemental thereto, against any incorporator, stockholder, officer or director, as such, past, present or future, of the Company or any successor corporation, whether by virtue of any
constitution, statute or rule of law, or by the enforcement of any assessment or penalty or otherwise, all such liability being, by the acceptance hereof and as part of the consideration for the issuance hereof, expressly waived and released.

 Defined Terms 
 All terms used in this Security which are defined in the Indenture shall have the meanings assigned to them in the Indenture unless otherwise defined in this Security. 

Governing Law 

This Security shall be governed by and construed in accordance with the law of the State of New York, without regard to principles of
conflicts of laws. 

  
 11 

 ABBREVIATIONS 

The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written
out in full according to applicable laws or regulations: 
  

							
	 TEN COM
	 	 	—	  	 	as tenants in common
			
	 TEN ENT
	 	 	—	  	 	as tenants by the entireties
			
	 JT TEN
	 	 	—	  	 	as joint tenants with right of survivorship
		 				 	and not as tenants in common

  

									
	UNIF GIFT MIN ACT	 	—  	 	 	 	Custodian	 	 
		 		 	(Cust)	 		 	(Minor)

 Under Uniform Gifts to Minors Act 
  

	
	
	  
	(State)

 Additional abbreviations may also be used though not in the above list. 

FOR VALUE RECEIVED, the undersigned hereby sell(s) and transfer(s) unto 
 Please Insert Social Security or 
 Other Identifying Number of Assignee 

	
	
	  

  
  

 
  
  

 
 (PLEASE
PRINT OR TYPE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE)

  
 12 

 the within Security of WELLS FARGO & COMPANY and does hereby irrevocably constitute and appoint
                                     attorney to transfer the said
Security on the books of the Company, with full power of substitution in the premises. 
  

							
	Dated:
                                         
   	 		 	
				
		 		 		 	 
		 		 		 	
		 		 		 	 

 NOTICE: The signature to this assignment must correspond with the name as written upon the face of the within instrument
in every particular, without alteration or enlargement or any change whatever. 

  
 13

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