Document:

EX-10.5

 Exhibit 10.5 
 FIRST AMENDMENT TO 
 AGREEMENT AND PLAN OF MERGER 

This AMENDMENT TO AGREEMENT AND PLAN OF MERGER (this “Amendment”), dated effective as of May 21, 2012, is by and
among USMD Holdings, Inc., a Delaware corporation, UANT Ventures, L.L.P., a Texas limited liability partnership, UANT Acquisition Company No. 2, L.L.C., a Texas limited liability company and a wholly-owned subsidiary of Ventures and Impel
Management Services, L.L.C., a Texas limited liability company. 
 WHEREAS, the Parties previously entered into that certain
Agreement and Plan of Merger dated December 15, 2011 (the “Agreement”); and 
 WHEREAS, the Parties desire
to amend certain terms of the Agreement as set forth herein. 
 NOW, THEREFORE, in consideration of the mutual agreements,
provisions and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto agree as follows: 

ARTICLE I 

DEFINITIONS 
 Capitalized terms used but not defined herein shall have the meanings ascribed to them in the Agreement. 
 ARTICLE II 
 AMENDMENTS; GENERAL 

2.1 Section 1.4(c)(v) of the Agreement is hereby deleted in its entirety and replaced with the following, effective as of the date
hereof: 
 (v) to reflect on Schedule 1.41 the amount of any mutually approved capital expenditures
(A) since December 31, 2010 relating to fixed assets of the UANT clinical practice and (B) since September 30, 2011 relating to fixed assets or mutually approved capital contributions of USMD, Ventures/UANT, Impel, and MCNT as
set forth in Cells K65, M65, O65, and Q65, including without limitation approved capital expenditures for equipment, building or tenant improvements. 
 2.2 Section 4.4(a) and (b) of the Agreement are hereby deleted in their entirety and replaced with the following, effective as of the date hereof: 

(a) As of the date hereof, the authorized capital stock of Holdings consists of 1,000,000 shares of preferred stock, $0.01
par value, of which no shares are issued and outstanding as of the date hereof, and 49,000,000 shares of common stock of Holdings, par value $.01 (“Holdings Stock”), of which 35,800 are issued and outstanding as of the date
hereof. As of the date hereof, up to 964,200 shares of Holdings Stock are reserved for issuance under the Holdings Equity Plan. Except as set forth above or in connection with the UANT/USMD Contribution and the MCNT Merger, no shares of
capital stock or other voting securities of Holdings are issued, reserved for issuance or outstanding. 
 (b)
Immediately following the consummation of the Merger, the MCNT Merger and the UANT/USMD Contribution, (i) the authorized capital stock of Holdings shall consists of 1,000,000 shares of preferred stock, $0.01 par value, of which no shares shall
be issued and outstanding as of the Closing Date, 49,000,000 shares of Holdings Stock, of which 

 
10,035,800 shares are expected to be issued and outstanding as of the Closing Date and 964,200 shares shall be reserved for issuance under the Holdings Equity Plan as of the Closing Date and
(ii) the capital structure of Holdings’ Subsidiaries shall be as set forth on Schedule 4.4(b) hereto. Schedule 4.4(b) sets forth (i) the name and jurisdiction of each Subsidiary of Holdings immediately following the
Closing, and (ii) a complete and accurate list of all outstanding securities beneficially owned by Holdings or its Subsidiaries immediately following Closing. Except as set forth above, immediately following the consummation of the Merger,
the MCNT Merger and the UANT/USMD Contribution, no shares of capital stock or other voting securities of Holdings shall be issued, reserved for issuance or outstanding. 
 2.3 Other than the amendments and modifications specifically contained in this Amendment, the Agreement remains in full force and effect. 

2.4 This Amendment may be executed in one or more counterparts, all of which shall be considered one and the same agreement and shall
become effective when one or more counterparts have been signed by each of the Parties and delivered to the other Parties. Facsimile execution and delivery of this Amendment is legal, valid and binding for all purposes. 

2.5 This Amendment shall be governed by, and construed in accordance with, the laws of the State of Texas, regardless of the laws that
might otherwise govern under applicable principles of conflicts of laws thereof. 
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 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to Agreement and Plan of
Merger to be duly executed by their respective authorized signatories as of the date first indicated above. 
  

			
	 HOLDINGS:

 

	 USMD Holdings, Inc., a Delaware
 corporation
  

	By:	 	  

	Name:	 	John House, M.D.
	Title:	 	Chairman and CEO
	  
 VENTURES:

 

	 UANT VENTURES, L.L.P. a Texas limited
 liability partnership
  

	By:	 	  

	Name:	 	Mark McCurdy, M.D.
	Title:	 	Authorized Partner
	  
 MERGER SUB:

 

	 UANT ACQUISITION COMPANY NO. 2,
 L.L.C., a Texas limited liability company
  

	By:	 	  

	Name:	 	Tom Hall
	Title:	 	Manager

 Signature Page to Amendment to Agreement and Plan of Merger 

 
			
	 IMPEL:

 

	 IMPEL MANAGEMENT SERVICES
 L.L.C., a Texas limited liability company
  

	By:	 	  

	Name:	 	Steven BrockSecond Amendment to Loan and Security Agreement

 Exhibit 10.2 

SECOND AMENDMENT 
 TO 
 LOAN AND SECURITY AGREEMENT 

THIS SECOND AMENDMENT to Loan and Security Agreement (this “Amendment”) is entered into this 14th day of March, 2012, by
and between Silicon Valley Bank (“Bank”) and CORNERSTONE ONDEMAND, INC., a Delaware corporation (“Borrower”) whose address is 1601 Cloverfield Blvd. #620, Santa Monica, CA 90404. 

RECITALS 
 A. Bank and Borrower have entered into that certain Loan and Security Agreement dated as of August 20, 2010, as amended by that certain First Amendment to Loan and Security Agreement dated as
of May 26, 2011 (as the same may from time to time be further amended, modified, supplemented or restated, the “Loan Agreement”). 
 B. Bank has extended credit to Borrower for the purposes permitted in the Loan Agreement. 
 C. Borrower has requested that Bank amend the Loan Agreement to (i) make certain revisions with respect to the provision of ancillary bank services, and (ii) make certain other revisions
to the Loan Agreement as more fully set forth herein. 
 D. Bank has agreed to so amend certain provisions of the Loan
Agreement, but only to the extent, in accordance with the terms, subject to the conditions and in reliance upon the representations and warranties set forth below. 
 AGREEMENT 
 NOW,
THEREFORE, in consideration of the foregoing recitals and other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, and intending to be legally bound, the parties hereto agree as follows:

 1. Definitions. Capitalized terms used but not defined in this Amendment shall have the meanings given to them
in the Loan Agreement. 
 2. Amendments to Loan Agreement. 

2.1 Section 2.1.2 (Letters of Credit Sublimit). Section 2.1.2 of the Loan Agreement hereby is amended and restated
in its entirety to read as follows: 
 “2.1.2 Intentionally Omitted.” 

2.2 Section 2.1.3 (Foreign Exchange Sublimit). Section 2.1.3 of the Loan Agreement hereby is amended and restated
in its entirety to read as follows: 
 “2.1.3 Intentionally Omitted.” 

 2.3 Section 2.1.4 (Cash Management Services Sublimit). Section 2.1.4
of the Loan Agreement hereby is amended and restated in its entirety to read as follows: 
 “2.1.4
Intentionally Omitted.” 
 2.4 Section 2.2 (Overadvances). Section 2.2 of the Loan Agreement
hereby is amended and restated in its entirety to read as follows: 
 “2.2 Overadvances. If, at any
time, the outstanding principal amount of any Advances exceeds the lesser of either the Revolving Line or the Borrowing Base, Borrower shall immediately pay to Bank in cash such excess.” 

2.5 Section 3.5 (Procedures for Borrower). Section 3.5(a) is hereby amended and restated in its entirety as
follows: 
 “(a) Advances. Subject to the prior satisfaction of all other applicable conditions to
the making of an Advance set forth in this Agreement, to obtain an Advance, Borrower shall notify Bank (which notice shall be irrevocable) by electronic mail, facsimile, or telephone by 12:00 p.m. Pacific time on the Funding Date of the Advance.
Together with any such electronic or facsimile notification, Borrower shall deliver to Bank by electronic mail or facsimile a completed Payment/Advance Form executed by a Responsible Officer or his or her designee. Bank may rely on any telephone
notice given by a person whom Bank believes is a Responsible Officer or designee. Bank shall credit Advances to the Designated Deposit Account. Bank may make Advances under this Agreement based on instructions from a Responsible Officer or his or
her designee or without instructions if the Advances are necessary to meet Obligations which have become due.” 
 2.6
Section 4.1 (Grant of Security). The following new paragraphs hereby are added to the end of Section 4.1 of the Loan Agreement as follows: 
 “Borrower acknowledges that it previously has entered, and/or may in the future enter, into Bank Services Agreements with Bank. Regardless of the terms of any Bank Services Agreement, Borrower agrees
that any amounts Borrower owes Bank thereunder shall be deemed to be Obligations hereunder and that it is the intent of Borrower and Bank to have all such Obligations secured by the first priority perfected security interest in the Collateral
granted herein (subject only to Permitted Liens that may have superior priority to Bank’s Lien in this Agreement). 
 If this Agreement is terminated, Bank’s Lien in the Collateral shall continue until the Obligations (other than inchoate 

  
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indemnity obligations) are satisfied in full, and at such time, Bank shall, at Borrower’s sole cost and expense, terminate its security interest in the Collateral and all rights therein
shall revert to Borrower. In the event (x) all Obligations (other than inchoate indemnity obligations), except for Bank Services, are satisfied in full, and (y) this Agreement is terminated, Bank shall terminate the security interest
granted herein upon Borrower providing cash collateral acceptable to Bank in its good faith business judgment for Bank Services, if any. In the event such Bank Services consist of outstanding Letters of Credit, Borrower shall provide to Bank cash
collateral in an amount equal to one hundred ten percent (110%) of the Dollar Equivalent of the face amount of all such Letters of Credit plus all interest, fees, and costs due or to become due in connection therewith (as estimated by Bank in
its good faith business judgment), to secure all of the Obligations relating to such Letters of Credit.” 
 2.7
Section 6.11 (Formation or Acquisition of Foreign Subsidiaries). Section 6.11 is hereby amended and restated in its entirety as follows: 
 “6.11 Formation or Acquisition of Foreign Subsidiaries. If at any time after the Effective Date either (I) an Event of Default has occurred and is continuing or (II) Borrower’s
Foreign Subsidiaries which are not guarantors of Borrower’s obligations under this Agreement, in the aggregate either (i) have assets representing more than thirty percent (30%) of Borrower’s and all its Subsidiaries aggregate
assets, (ii) have cash and/or Cash Equivalents representing more than thirty percent (30%) of Borrower’s and all its Subsidiaries cash and/or Cash Equivalents, or (iii) have executed recurring revenue contracts representing more
than thirty percent (30%) of Borrower’s and all its Subsidiaries recurring revenue contracts (the “30% Threshold”), Borrower shall, within thirty (30) days of Bank’s request therefor, cause such number of non-guarantor
Foreign Subsidiaries without which the remaining non-guarantor Foreign Subsidiaries would be at or below the 30% Threshold to (a) execute a guaranty and such other security documents as Bank may request, all in form and substance satisfactory
to Bank, to grant Bank a first priority Lien (subject to Permitted Liens) in and to the assets of such Foreign Subsidiaries, (b) provide to Bank appropriate certificates and powers and financing statements, pledging all of the direct or
beneficial ownership interest in such Foreign Subsidiaries, in form and substance satisfactory to Bank, and (c) provide to Bank all other documentation in form and substance satisfactory to Bank, which in its opinion is appropriate with
respect to the execution and delivery of the applicable documentation referred to above effective under the laws of the jurisdiction(s) where such Foreign Subsidiaries are organized. Any document, agreement, or instrument executed or issued pursuant
to this Section 6.11 shall be a Loan Document. 

  
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 2.8 Section 6.12 (Formation or Acquisition of Domestic Subsidiaries).
Section 6.12 is hereby amended and restated in its entirety as follows: 
 “6.12 Formation or
Acquisition of Domestic Subsidiaries. If at any time after the Effective Date either (I) an Event of Default has occurred and is continuing or (II) Borrower’s Domestic Subsidiaries which are not guarantors of Borrower’s
obligations under this Agreement, in the aggregate either (i) have assets representing more than ten percent (10%) of Borrower’s and all its Subsidiaries aggregate assets, (ii) have cash and/or Cash Equivalents representing more
than ten percent (10%) of Borrower’s and all its Subsidiaries cash and/or Cash Equivalents, or (iii) have executed recurring revenue contracts representing more than ten percent (10%) of Borrower’s and all its Subsidiaries
recurring revenue contracts (the “10% Threshold”), Borrower shall, within thirty (30) days of Bank’s request therefor, cause such number of non-guarantor Domestic Subsidiaries without which the remaining non-guarantor Domestic
Subsidiaries would be at or below the 10% Threshold to (a) either become a co-borrower or execute a guaranty and such other security documents as Bank may request, all in form and substance satisfactory to Bank, to grant Bank a first priority
Lien (subject to Permitted Liens) in and to the assets of such Domestic Subsidiaries, (b) provide to Bank appropriate certificates and powers and financing statements, pledging all of the direct or beneficial ownership interest in such Domestic
Subsidiaries, in form and substance satisfactory to Bank, and (c) provide to Bank all other documentation in form and substance satisfactory to Bank, which in its opinion is appropriate with respect to the execution and delivery of the
applicable documentation referred to above effective under the laws of the jurisdiction(s) where such Domestic Subsidiaries are organized. Any document, agreement, or instrument executed or issued pursuant to this Section 6.12 shall be a Loan
Document.” 
 2.9 Section 9.1 (Rights and Remedies). Sections 9.1(c) and 9.1(d) of the Loan Agreement
hereby are amended an restated in their entireties to read as follows: 
 “(c) for any Letters of Credit,
demand that Borrower (i) deposit cash with Bank in an amount equal to one hundred ten percent (110%) of the Dollar Equivalent of the aggregate face amount of all Letters of Credit remaining undrawn (plus all interest, fees, and costs due
or to become due in connection therewith (as estimated by Bank in its good faith business 

  
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judgment)), to secure all of the Obligations relating to such Letters of Credit, as collateral security for the repayment of any future drawings under such Letters of Credit, and Borrower shall
forthwith deposit and pay such amounts, and (ii) pay in advance all letter of credit fees scheduled to be paid or payable over the remaining term of any Letters of Credit; 

(d) terminate any FX Contracts;” 
 2.10 Section 12.8 (Survival). Section 12.8 of the Loan Agreement hereby is amended and restated in its entirety to read as follows: 

“12.8 Survival. All covenants, representations and warranties made in this Agreement continue in full force
until this Agreement has terminated pursuant to its terms and all Obligations (other than inchoate indemnity obligations and any other obligations which, by their terms, are to survive the termination of this Agreement) have been paid in full and
satisfied. The grant of security interest by Borrower in Section 4.1 shall survive until the termination of all Bank Services Agreements, and the obligation of Borrower in Section 12.2 to indemnify Bank shall survive until the statute of
limitations with respect to such claim or cause of action shall have run.” 
 2.11 Section 13
(Definitions). Subsection (j) of the defined term “Permitted Indebtedness” set forth in Section 13.1 is amended in its entirety and replaced with the following: 

“(j) capitalized leases and purchase money Indebtedness not to exceed Seven and One-Half Million Dollars
($7,500,000) in the aggregate in any fiscal year secured by Liens permitted under clause (c) of the definition of “Permitted Liens”;” 
 2.12 Section 13 (Definitions). The following defined terms in Section 13.1 of the Loan Agreement hereby are deleted in their entireties: 

“Cash Management Services”, “FX Business Day”, “FX Forward Contract”, “FX Reduction Amount”,
“FX Reserve”, “Letter of Credit Application”, “Letter of Credit Reserve”, “Settlement Date”. 
 2.13 Section 13 (Definitions). The following terms and their respective definition set forth in Section 13.1 is amended in its entirety and replaced with the following:

 “Availability Amount” is (a) the lesser of (i) the Revolving Line or (ii) the
amount available under the Borrowing Base minus (b) the outstanding principal balance of any Advances. 
  

  
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 “Bank Services” are any products, credit services,
and/or financial accommodations previously, now, or hereafter provided to Borrower or any of its Subsidiaries by Bank or any Bank Affiliate, including, without limitation, any letters of credit, cash management services (including, without
limitation, merchant services, direct deposit of payroll, business credit cards, and check cashing services), interest rate swap arrangements, and foreign exchange services as any such products or services may be identified in Bank’s various
agreements related thereto (each, a “Bank Services Agreement”). 
 “Credit
Extension” is any Advance, Equipment Advance or any other extension of credit by Bank for Borrower’s benefit. 
 “FX Contract” is any foreign exchange contract by and between Borrower and Bank under which Borrower commits to purchase from or sell to Bank a specific amount of Foreign Currency on a
specified date. 
 “Letter of Credit” is a standby or commercial letter of credit issued by
Bank upon request of Borrower based upon an application, guarantee, indemnity, or similar agreement. 

“Loan Documents” are, collectively, this Agreement, the Warrant, the Perfection Certificate, the IP
Agreement, the Subordination Agreement, the UK Share Pledge Documents, any Bank Services Agreement, any note, or notes or guaranties executed by Borrower or any Guarantor in favor (or for the benefit) of Bank, and any other present or future
agreement between Borrower any Guarantor and/or for the benefit of Bank in connection with this Agreement, all as amended, restated, or otherwise modified. 
 “Obligations” are Borrower’s obligations to pay when due any debts, principal, interest, Bank Expenses and other amounts Borrower owes Bank now or later, whether under this
Agreement, the other Loan Documents, or otherwise, including, without limitation, any interest accruing after Insolvency Proceedings begin and debts, liabilities, or obligations of Borrower assigned to Bank, and to perform Borrower’s duties
under the Loan Documents. 
 3. Limitation of Amendments. 

3.1 The amendments set forth in Section 2, above, are effective for the purposes set forth herein and shall be limited
precisely as written and shall not be deemed to (a) be a consent to any amendment, waiver or modification of any other term or condition of any Loan Document, or (b) otherwise prejudice any right or remedy which Bank may now have or may
have in the future under or in connection with any Loan Document. 

  
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 3.2 This Amendment shall be construed in connection with and as part of the Loan
Documents and all terms, conditions, representations, warranties, covenants and agreements set forth in the Loan Documents, except as herein amended, are hereby ratified and confirmed and shall remain in full force and effect. 

4. Representations and Warranties. To induce Bank to enter into this Amendment, Borrower hereby represents and warrants to
Bank as follows: 
 4.1 Immediately after giving effect to this Amendment (a) the representations and warranties
contained in the Loan Documents are true, accurate and complete in all material respects as of the date hereof (except to the extent such representations and warranties relate to an earlier date, in which case they are true and correct as of such
date), and (b) to the best of Borrower’s knowledge, no Event of Default has occurred and is continuing; 
 4.2
Borrower has the power and authority to execute and deliver this Amendment and to perform its obligations under the Loan Agreement, as amended by this Amendment; 
 4.3 The organizational documents of Borrower delivered to Bank on the Effective Date remain true, accurate and complete and have not been amended, supplemented or restated and are and continue to
be in full force and effect; 
 4.4 The execution and delivery by Borrower of this Amendment and the performance by
Borrower of its obligations under the Loan Agreement, as amended by this Amendment, have been duly authorized; 
 4.5 The
execution and delivery by Borrower of this Amendment and the performance by Borrower of its obligations under the Loan Agreement, as amended by this Amendment, do not and will not contravene (a) any law or regulation binding on or affecting
Borrower, (b) any contractual restriction with a Person binding on Borrower, (c) any order, judgment or decree of any court or other governmental or public body or authority, or subdivision thereof, binding on Borrower, or (d) the
organizational documents of Borrower; 
 4.6 The execution and delivery by Borrower of this Amendment and the performance
by Borrower of its obligations under the Loan Agreement, as amended by this Amendment, do not require any order, consent, approval, license, authorization or validation of, or filing, recording or registration with, or exemption by any governmental
or public body or authority, or subdivision thereof, binding on either Borrower, except as already has been obtained or made; and 
 4.7 This Amendment has been duly executed and delivered by Borrower and is the binding obligation of Borrower, enforceable against Borrower in accordance with its terms, except as such
enforceability may be limited by bankruptcy, insolvency, reorganization, liquidation, moratorium or other similar laws of general application and equitable principles relating to or affecting creditors’ rights. 

  
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 5. Counterparts. This Amendment may be executed in any number of counterparts
and all of such counterparts taken together shall be deemed to constitute one and the same instrument. 
 6.
Effectiveness. This Amendment shall be deemed effective upon the due execution and delivery to Bank of this Amendment by each party hereto. 
 [Signature page follows.] 

  
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 IN WITNESS WHEREOF, the parties hereto
have caused this Amendment to be duly executed and delivered as of the date first written above. 
  

									
	BANK	 		 	BORROWER
			
	Silicon Valley Bank	 		 	Cornerstone OnDemand, Inc.
					
	By:	 		 		 	By:	 	
	Name:	 	/s/ Tim Barnes	 		 	Name:	 	/s/ Adam L. Miller
	Title:	 	Relationship Manager	 		 	Title:	 	Chief Executive Officer

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