Document:

Form of Medium-Term Notes, Series K, Securities Linked to the Nikkei 225 Index

 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. 94986RLL3	  	FACE AMOUNT: $            
	REGISTERED NO.     	  	

 WELLS FARGO & COMPANY 

MEDIUM-TERM NOTE, SERIES K 
 Due Nine Months or More From Date of Issue 
 Securities Linked to the
Nikkei 225 Index 
 due March 17, 2016 
 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 March 17, 2016. If no Market Disruption Event (as
defined below) occurs or is continuing with respect to the Index (as defined below) on the 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 scheduled Calculation Day, the “Stated Maturity Date” shall be the later of (i) three Business Days (as defined below) after the postponed 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 Ending Level is greater than the Starting Level, the lesser of: 

 

	 	(i)	the Face Amount plus: 

  

 
  

	 	(ii)	the Capped Value; 

  

	 	•	 	 if the Ending Level is less than or equal to the Starting Level, but greater than or equal to the Threshold Level: the Face Amount; or

  

	 	•	 	 if the Ending Level is less than the Threshold Level: the Face Amount minus: 

 
 

 
 “Index” shall mean the Nikkei 225 Index. 

The “Pricing Date” shall mean September 12, 2012. 

The “Starting Level” is 8,959.96, 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 “Ending Level” will be the Closing Level of the Index on the
Calculation Day. 
 The “Capped Value” is 142% of the Face Amount of this Security. 

The “Threshold Level” is 7,167.97, which is equal to 80% of the Starting Level. 

The “Participation Rate” is 100%. 
 “Index Sponsor” shall mean Nikkei Inc. 
 “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. 

  
 2 

 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. 
 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 Day” shall be March 14, 2016 or, if such day is not a Trading Day, the next succeeding
Trading Day. The 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 the 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 Calculation Day. If the 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 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. 

  
 3 

 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 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. 
 In the event that the Index
Sponsor discontinues publication of the Index prior to, and the discontinuance is continuing on, the 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 the 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
Day” 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.

  
 4 

 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, 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. 

  
 5 

 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 

 

	 	(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 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. 

  
 6 

 Tax Considerations 
 The Company agrees, and by acceptance of a beneficial ownership interest in this Security each Holder of this Security will be deemed to have agreed (in the absence of a statutory, regulatory,
administrative or judicial ruling to the contrary), for United States federal income tax purposes to characterize and treat this Security as a pre-paid derivative contract in respect of the Index. 

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 March 17, 2016. 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 as though the date of acceleration was the Calculation Day. 
  

 
 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 
 Securities Linked to the Nikkei 225 Index 
 due March 17, 2016

 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. 

  
 13Form of Administrative Services Agreement

 Exhibit 10.3 
 FORM OF ADMINISTRATIVE SERVICES AGREEMENT 
 ADMINISTRATIVE SERVICES
AGREEMENT, dated as of the [            ] day of [            ], 2012 (this “Agreement”), by and between Blyth,
Inc., a Delaware corporation (“Blyth”), and ViSalus, Inc., a Nevada corporation (“ViSalus”). 

RECITALS 

WHEREAS, Blyth and ViSalus currently contemplate that ViSalus will make an initial public offering; 

WHEREAS, in connection therewith, the parties are entering into the Master Transaction Agreement, dated as of the date hereof (the
“Transaction Agreement”) to set forth the principal arrangements between Blyth and ViSalus regarding their relationship from and after the filing of the IPO Registration Statement (as defined in the Transaction Agreement) and the
consummation of the IPO (as defined in the Transaction Agreement); and 
 WHEREAS, the parties also desire that Blyth
provide ViSalus with certain services related to the ViSalus Business (as defined in the Transaction Agreement) described in this Agreement on and after the IPO Date (as defined in the Transaction Agreement), as more fully set forth herein.

 NOW, THEREFORE, in consideration of the foregoing premises and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, Blyth and ViSalus, intending to be legally bound, for themselves and their respective successors and assigns, hereby mutually covenant and agree as follows: 

ARTICLE I. 

DEFINITIONS 
 Section 1.1 Certain Defined Terms. For the purposes of this Agreement: 

“Administrative Service Managers” means the ViSalus Service Manager and the Blyth Service Manager. 

“Blyth Service Manager” means the individual appointed by Blyth to represent Blyth and be primarily responsible for the
management of the Blyth/ViSalus relationship under this Agreement. 
 “Business Day” means a day other than a
Saturday, Sunday or other day on which commercial banks in the States of Connecticut or Michigan are authorized or required by law to close. 
 “Force Majeure Event” means any riot, war, public disturbance, public health event, strike, lockout, labor dispute, fire explosion, storm, flood, acts of God, major breakdown or

 
failure of transportation, manufacturing, distribution or storage facilities, fires, sabotage, civil commotion or civil unrest, interference by civil or military authorities, acts of war
(declared or undeclared) and failure of energy sources, or any other event which is not within the control of the party whose performance is interfered with and which by the exercise of reasonable diligence such party is unable to prevent.

 “Services” means the services to be provided by Blyth to ViSalus as set forth in Schedule A.

 “ViSalus Personnel” means the employees, representatives, contractors, subcontractors and agents of ViSalus.

 “ViSalus Service Manager” means the individual appointed by ViSalus to represent ViSalus and be primarily
responsible for the management of the Blyth/ViSalus relationship under this Agreement. 
 Section 1.2 Other Capitalized
Terms. Capitalized terms not defined in this Agreement shall have the meanings ascribed to them in the Transaction Agreement. 
 ARTICLE II. 
 TERM 

Section 2.1 Term. The term of this Agreement (the “Term”) will begin on, and include, the IPO Date and continue
in effect for six months, unless terminated earlier in accordance with the terms of this Agreement (the “Initial Term”). 
 Section 2.2 Extension of Term. Commencing upon the expiration of the Initial term, and every three months thereafter, this Agreement shall be automatically renewed for an additional three-month
period (each a “Renewal Term”) unless terminated as set forth in Article VII. 
 ARTICLE III.

 SERVICES 
 Section 3.1 Performance of Services. 
 (a) Performance; Transitional
Nature of Services. During the Term of this Agreement, Blyth shall provide the Services to ViSalus and shall make available to ViSalus two (2) offices (the “Offices”) at Blyth’s facility located in Greenwich,
Connecticut (the “Blyth Facility”). The parties acknowledge the transitional nature of the Services and agree to cooperate in good faith and to use commercially reasonable efforts to effectuate a smooth transition of the Services
provided by Blyth to ViSalus. 
 (b) Charges. For the Services and the availability of Offices, ViSalus will pay to Blyth
a monthly fee for each Service delivered and the Offices made available in such month at the rates specified in Schedule A (the “Charges”). The Charges will be pro-rated for partial periods. Commencing upon the expiration of
the Initial Term, the Charges will be reviewed by Blyth prior to the commencement of each Renewal Term and increased or decreased, as 

  
 2 

 
appropriate, by Blyth to reflect increases or decreases in the cost to Blyth of providing the Services or making the Offices available to ViSalus. Schedule A shall be updated as
appropriate to reflect increases or decreases in the Charges and the transition of Services to ViSalus. 
 Section 3.2
Independent Contractor Status. 
 (a) Each Person (including any employee or agent of Blyth) that provides Services
hereunder is an independent contractor, with all of the attendant rights and liabilities of an independent contractor, and not an agent or employee of ViSalus. Any provision in this Agreement, or any action by ViSalus, that may appear to give
ViSalus the right to direct or control Blyth in performing under this Agreement means that Blyth shall follow the desires of ViSalus in results only. Nothing in this Agreement shall be construed to create the relationship of partnership, principal
and agent, joint venture, or fiduciary and beneficiary between or among Blyth, on the one hand, and ViSalus, on the other hand. 

(b) Blyth shall withhold and pay any contribution measured by wages of its employees required by the Federal Insurance Corporation Act
and all other contributions, taxes and other charges required to be withheld or paid pursuant to any state or federal statute and shall accept exclusive liability therefore. 
 Section 3.3 Service Standards. Unless otherwise specified in this Agreement (including the Schedules), the Services under this Agreement will initially be performed in substantially the same scope,
quality and nature (including historical usage levels) that such Services were generally performed by Blyth for the ViSalus Businesses as of the date immediately prior to the IPO Date, and thereafter will continue to be performed in substantially
the same scope, quality and nature (including usage levels) as Blyth generally performs such services for Blyth Businesses, except to the extent such Services differ because of the need to follow legal corporate formalities and to keep ViSalus data
separate from Blyth data. In no event will Blyth be required to make any customization to the Services (or Blyth systems or work processes) that are unique to ViSalus, beyond the customizations that Blyth elects to make to support Blyth systems and
work processes. To the extent ViSalus requests Services that exceed the historical usage levels of ViSalus Businesses, and Blyth agrees in its sole discretion to provide such Services, the parties will adjust the Charges by mutual agreement. ViSalus
shall comply with Blyth’s applicable work processes, policies and procedures and any applicable terms and conditions of third party suppliers. 
 Section 3.4 Conflict of Interest. In the event that Blyth determines there is a conflict of interest (other than a conflict of interest described in Section 7.2(b), which shall be
governed by that Section) between Blyth and ViSalus related to the performance of the Services on an issue that could reasonably have an adverse impact on Blyth with regard to its code of business conduct or public relations, or with regard to a
Governmental Authority, Blyth shall notify ViSalus of such issue. The parties will then work together, through the Administrative Service Managers, to resolve such issue. If the parties are unable to resolve such issue to their mutual satisfaction
within 30 days, Blyth will not be obligated to perform the Services giving rise to the conflict of interest, and ViSalus shall have the right to perform such Services for itself to the extent necessary to avoid the conflict of interest. In the event
that Blyth elects to cease providing a Service pursuant to this Section 3.4, the Charges shall be reduced appropriately and Schedule A shall be amended to reflect the elimination of such Service. 

  
 3 

 Section 3.5 ViSalus’ Obligations. Blyth’s failure to perform its
obligations under this Agreement shall be excused if and to the extent such non-performance is caused by (i) the actions or inactions of ViSalus or a third party contractor performing obligations on behalf of ViSalus under this Agreement, or
(ii) the failure of ViSalus or such a third party contractor to perform ViSalus’ obligations under this Agreement or otherwise comply with Blyth’s work processes, policies and procedures and any requirements under Blyth’s third
party contracts. ViSalus shall be responsible for any additional costs incurred by Blyth in connection with providing the Services as a result of (i) or (ii) above. 
 Section 3.6 Blyth Facility. Blyth (or any applicable subcontractor) will be responsible for all security procedures at the Blyth Facility. ViSalus shall cause its employees, agents and
subcontractors, while at the Blyth Facility, to (a) comply with reasonable personnel, operational, safety and security procedures, policies, rules and regulations applicable to Blyth personnel and the Blyth Facility provided in advance to
ViSalus from time to time, and (b) comply with reasonable requests of Blyth personnel pertaining to personal and professional conduct. Blyth shall have the right to require ViSalus to remove any employee, agent or subcontractor of ViSalus from
the Blyth Facility in an emergency or potential emergency situation arising from any failure to comply with this provision. In any other situation in which any employee, agent or subcontractor of ViSalus fails to comply with this provision, ViSalus
shall consult with Blyth and take appropriate action to remedy such failure, including removal of such employee, agent or subcontractor from the Blyth Facility. Notwithstanding the foregoing, ViSalus retains the sole right to hire and fire its
employees, and to manage contractual relationships with its agents and subcontractors. 
 ARTICLE IV. 

COMPENSATION 
 Section 4.1 Charge for Services. ViSalus shall pay to Blyth the Charges set forth in Section 3.1, and any other charges provided for elsewhere in this Agreement, for the Services and
the Offices in accordance with the terms set forth in this Agreement. 
 Section 4.2 Taxes. In addition to the other sums
payable under this Agreement, ViSalus shall pay, and hold Blyth harmless against, all sales, use or other taxes, or other fees or assessments imposed by law in connection with the provision of the Services and/or the Offices, other than income,
franchise or margin taxes measured by Blyth’s net income or margin and other than any gross receipts or other privilege taxes imposed on Blyth. Blyth and ViSalus shall cooperate with each other and use commercially reasonable efforts to assist
the other in entering into such arrangements as the other may reasonably request in order to minimize, to the extent lawful and feasible, the payment or assessment of any taxes relating to the transactions contemplated by this Agreement;
provided, however, that nothing in this Section 4.2 shall obligate Blyth to cooperate with, or assist, ViSalus in any arrangement proposed by ViSalus that would, in Blyth’s sole discretion, have a detrimental effect on
Blyth or ViSalus to cooperate with, or assist, Blyth in any arrangement proposed by Blyth that would, in ViSalus’ sole discretion, have a detrimental effect on ViSalus. 

  
 4 

 Section 4.3 Payment; Invoicing. The Charges shall be paid by ViSalus monthly, in
arrears. Blyth shall prepare and deliver to ViSalus a monthly invoice for Charges, plus applicable taxes, due in respect of the Services provided and Offices made available each month. Such monthly invoices shall be delivered within 15 days
following the end of each month in which Services are provided and/or Offices are made available, or at such other time or times as agreed to in writing by Blyth and ViSalus. ViSalus will pay the Charges no later than the 30 days after receipt of a
monthly invoice therefor. Payments for amounts past due shall bear interest calculated on a per annum basis from the due date to the date of actual payment at a fluctuating interest rate equal at all times to the prime rate of interest
published from time to time in The Wall Street Journal, but in no case higher than the maximum rate permitted by law. ViSalus shall make payments under this Agreement by electronic funds transfer in accordance with payment instructions provided by
Blyth from time to time. 
 ARTICLE V. 
 ADMINISTRATIVE SERVICES MANAGEMENT 
 Section 5.1 Administrative Services
Management Process. Each party has appointed an individual who will serve as its Administrative Service Manager, and the names of such appointed individuals are set forth in Schedule B. If either party changes the individual designated to
serve as its Administrative Service Manager, Schedule B shall be amended to reflect such change. The parties, including their respective Administrative Service Managers, shall conduct meetings and manage interactions in accordance with
Schedule B. The Administrative Service Managers shall meet as expeditiously as possible to resolve any dispute hereunder. Any dispute that is not resolved by the Administrative Service Managers within 45 days shall be resolved in accordance
with the dispute resolution procedures set forth in Section 1.9 of the Transaction Agreement. 
 Section 5.2
Books and Records; Audit. In addition to the rights and obligations of the parties in Section 1.3 and Section 1.4 of the Transaction Agreement, Blyth shall keep books of account and other records, in reasonable detail
and in accordance with United States generally accepted accounting principles, consistently applied, for any charges for which ViSalus is required to reimburse Blyth. Such books of account and other records shall be open for ViSalus’ inspection
during normal business hours for 24 months following the end of the calendar year in which the expense was incurred or the applicable Services were rendered to enable ViSalus to verify that the charges comply with the terms of this Agreement.

 ARTICLE VI. 
 REPRESENTATIONS AND WARRANTIES 
 Section 6.1 Service Warranty. Blyth
warrants to ViSalus that it will use the same level of care in providing the Services as Blyth uses for itself and in no event less than a reasonable level of care. 
 Section 6.2 Disclaimer. EXCEPT AS EXPRESSLY SET FORTH IN THIS ARTICLE VI, BLYTH DOES NOT MAKE AND HAS NOT MADE ANY REPRESENTATION OR WARRANTY, EXPRESS OR IMPLIED, AT LAW OR IN EQUITY, IN RESPECT OF
THE SERVICES OR THE OFFICES, INCLUDING WITH RESPECT TO 

  
 5 

 
(A) MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR USE OR PURPOSE, (B) THE USE OF THE SERVICE OR OFFICE BY VISALUS AFTER THE RECEIPT THEREOF, OR (C) THE PROBABLE SUCCESS OR PROFITABILITY
OF ANY VISALUS BUSINESS AFTER THE RECEIPT OF THE SERVICES OR OFFICES. 
 ARTICLE VII. 

TERMINATION 
 Section 7.1 Early Termination of the Services. From and after the date hereof, ViSalus may, in its sole discretion, terminate or reduce the level of any Service or the use of either of the Offices
by providing 60 days prior written notice to Blyth. From and after the expiration of the Initial Term, Blyth may, in its sole discretion, terminate or reduce the level of any Service or the availability of either of the Offices by providing 60 days
prior written notice to ViSalus. The Charges shall be appropriately adjusted for any Service or the availability of any Office terminated or reduced under this Section 7.1. 

Section 7.2 Right to Terminate for Compliance Issues. Blyth shall have the right to immediately terminate the provision of any
Services or the Offices if, and to the extent, Blyth determines that it must do so because (a) the provision of such Services or Offices would cause Blyth to violate applicable law or (b) a change in ViSalus’ method of doing business
creates a conflict of interest for Blyth. ViSalus shall have the right to immediately terminate the provision of any Services or the Offices if, and to the extent, ViSalus determines that it must do so because (a) the provision of such Services
or Offices would cause ViSalus to violate applicable law or (b) a change in Blyth’s method of doing business creates a conflict of interest for ViSalus. 
 Section 7.3 Survival. In addition to the rights and obligations of Section 3.5 of the Transaction Agreement (which is hereby incorporated into this Agreement), the parties further agree
that upon termination of this Agreement, all rights and obligations of the parties under this Agreement shall cease except for (a) obligations that expressly survive termination of this Agreement and (b) liabilities and obligations that
have accrued prior to such termination, including the obligation to pay any Charges or other amounts accrued, even if such Charges or amounts have not become due and payable prior to termination. 

Section 7.4 Effect of Termination. Within 60 days after the termination or expiration of this Agreement, Blyth shall deliver a
final invoice to ViSalus invoicing all amounts accrued for Services and work performed and the availability of the Offices prior to termination that have not already been paid. ViSalus shall pay such amount to Blyth within 30 days of its receipt of
such final invoice. 
 ARTICLE VIII. 
 GENERAL PROVISIONS 
 Section 8.1 Limitation of Liability;
Indemnification. 
 (a) Notwithstanding (i) Blyth’s agreement to perform, or cause to be performed, the Services
and make available the use of the Offices in accordance with the provisions hereof, or (ii) any term or provision of the Schedules to the contrary, ViSalus acknowledges that performance by Blyth of the Services and making available of the
Offices 

  
 6 

 
pursuant to this Agreement will not subject Blyth, its Affiliates, or their respective stockholders, directors, officers, members, agents or employees to any Liability whatsoever, except as
directly caused by gross negligence or willful misconduct on the part of Blyth or such other Persons; provided, however, that Blyth’s Liability as a result of such gross negligence or willful misconduct will be limited to an
amount not to exceed the lesser of (A) ViSalus’ price paid for the particular Service or the use of the Offices, (B) ViSalus’ cost of performing the Service or obtaining equivalent offices itself during the remainder of the Term
or (C) ViSalus’ cost of obtaining the Service or equivalent offices from a third party during the remainder of the Term; provided further that ViSalus will exercise its commercially reasonable efforts to minimize the cost of any
such alternatives to the Services and/or the Offices by selecting the most cost effective alternatives which provide the functional equivalent of the Services replaced or of the Offices. 

(b) Except as specifically set forth in this Agreement, ViSalus hereby releases, and agrees to indemnify and hold harmless, each of
Blyth, its Affiliates and their respective stockholders, directors, officers, members, agents or employees from any and all Liabilities arising from or relating to the provision or use of any Service or product, including, without limitation, the
Offices, provided hereunder to the extent not directly caused by the gross negligence or willful misconduct of Blyth or such other Persons. 
 Section 8.2 Compliance With Laws. ViSalus will be solely responsible for (a) compliance with all Laws affecting the ViSalus Business and (b) any use ViSalus may make of the Services or
the Offices to assist it in complying with such Laws. 
 Section 8.3 Further Action. The parties shall use their
reasonable best efforts to take, or cause to be taken, all appropriate action to do, or cause to be done, all things necessary, proper or advisable under applicable law, and to execute and deliver such documents and other papers, as may be required
to carry out the provisions of this Agreement and to consummate and make effective the transactions contemplated by this Agreement. 
 Section 8.4 Expenses. Except as otherwise specified in this Agreement, all costs and expenses, including fees and disbursements of counsel, financial advisors and accountants, incurred in
connection with this Agreement and the transactions contemplated by this Agreement shall be borne by the party incurring such costs and expenses. 
 Section 8.5 Authorization. ViSalus appoints Blyth, and its officers, employees and agents, or any of them, as agents for ViSalus to take all actions necessary or appropriate to perform the Services
or make available the Offices; provided, however, that Blyth shall not, directly or indirectly, enter into any material contract with any third party in the name of ViSalus, or incur any material third-party costs or obligations
chargeable to ViSalus, in each case without ViSalus’ prior written consent. ViSalus shall execute such other instruments and take such further action as may be required in order to effectuate the foregoing authorization. ViSalus expressly
waives any defense of lack of authorization that might be asserted against Blyth or any third party as to any transaction entered into on behalf of ViSalus by Blyth, or any of its officers, employees or agents under the terms of this
Section 8.5. 

  
 7 

 Section 8.6 Assignment. This Agreement may not be assigned by operation of law or
otherwise by ViSalus without the express written consent of Blyth (which consent may be granted or withheld in the sole discretion of Blyth), and any attempted assignment without such consent shall be null and void. 

Section 8.7 Force Majeure. 
 (a) If a Force Majeure Event is claimed by either party, the party making such claim shall orally notify the other party as soon as reasonably possible after the occurrence of such Force Majeure Event
and, in addition, shall provide the other party with written notice of such Force Majeure Event within five days after the occurrence of such Force Majeure Event. 
 (b) Except for a party’s obligations to make payments hereunder (including, but not limited to, those obligations under Article IV), neither party will be liable for any nonperformance or
delay in performance of the terms of this Agreement when such failure is due to a Force Majeure Event. If either party relies on the occurrence of a Force Majeure Event as a basis for being excused from performance of its obligations hereunder, such
party relying on the Force Majeure Event shall (i) provide an estimate of the expected duration of the Force Majeure Event and its probable impact on performance of such party’s obligations hereunder and (ii) provide prompt notice to
the other party of the cessation of the Force Majeure Event. 
 (c) Upon the occurrence of a Force Majeure Event, the same will,
so far as possible, be remedied as expeditiously as possible using commercially reasonable efforts. It is understood and agreed that nothing in this Section 8.7(c) shall require the settlement of strikes, lockouts or labor disputes by
acceding to the demands of any opposing party therein when such course is inadvisable in the discretion of the party having the difficulty. 
 Section 8.8 Acknowledgment. The parties acknowledge that the terms and conditions of this Agreement have been the subject of active and complete negotiations, and that this Agreement shall be
construed as if drafted jointly by the parties and no presumption or burden of proof shall arise favoring or disfavoring either party by virtue of the authorship of any provision of this Agreement. 

Section 8.9 Order of Precedence. In the event of a conflict between Articles I through VIII of this Agreement and
the Schedules hereto, Articles I through VIII of this Agreement shall take precedence over the Schedules. 

Section 8.10 References. References to any Schedule include all subparts, schedules, exhibits, attachments, appendices and annexes
to such Schedule. 
 Section 8.11 Incorporation of Transaction Agreement Provisions. The following provisions of the
Transaction Agreement are hereby incorporated herein by reference, and unless otherwise expressly specified herein, such provisions shall apply as if fully set forth herein (references in this Section 8.11 to an “Article” or
“Section” shall mean Articles or Sections of the Transaction Agreement, and references in the material incorporated herein by reference shall be references to the Transaction Agreement): Section 1.3 and Section 1.5
(relating to Exchange of Information and Confidentiality), Article II (relating to Mutual Releases; Indemnification); and Article III (Miscellaneous). In the event of any conflict or inconsistency between any of the foregoing
provisions of the Transaction Agreement and any provision of this Agreement, this Agreement shall prevail with respect to matters governed by this Agreement. 

  
 8 

 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized representatives as of the date first set forth above. 
  

			
	 BLYTH, INC.

		
	 By:
	 	  

		 	Name:
		 	Title:
	
	 VISALUS, INC.

		
	By:	 	  

		 	Name:
		 	Title:

 [Signature Page to Administrative Services Agreement] 

  
 9

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00208-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00208-of-00352.parquet"}]]