Document:

Management Support and Marketing Agreement

 Exhibit 10.12 
  
 MANAGEMENT SUPPORT AND MARKETING AGREEMENT 
  
 This MANAGEMENT SUPPORT AND MARKETING AGREEMENT (“Agreement,”) entered into and effective as of the 1st day of September, 2002 (notwithstanding
the date of actual execution) by and between DOCTORS PRACTICE MANAGEMENT, INC., A Texas business corporation (“DPM”), and MEDICAL MULTIMEDIA ADVERTISING, INC. (“MMA”). 
  
 WITNESSETH: 
  
 WHEREAS, MMA is a duly and validly existing Texas corporation that has been organized for the purpose of providing
investment opportunities and management support and marketing services for medical and related healthcare providers (“Healthcare Services”) to the general public in the Greater Houston, Texas area; 
  
 WHEREAS, DPM is experienced in providing management and related items
and services to physicians, professional associations, and other professional healthcare entities and individuals and has been engaged as manager by VISTA COMMUNITY MEDICAL CENTER, L.L.C., (“VISTA”) a Texas business corporation
organized for the purpose of operating an outpatient surgical and diagnostic clinic and providing medical and related healthcare services (“Healthcare Services”) in the Greater Houston, Texas area; 
  
 WHEREAS, DPM desires and intends to obtain such management,
administrative, and business services necessary and appropriate for VISTA’S business operations and the provision of Healthcare Services by VISTA, and MMA is capable of assisting DPM in providing, all such
management, administrative, and business services; and 
  
 WHEREAS, DPM and MMA mutually desire an arrangement that: 
  

	 	(1)	ensures consistency of service, quality of care, and safety of VISTA’S patients; 

  

	 	(2)	facilitates effective utilization of Healthcare Services; 

  

	 	(3)	ensures consistent and customary patterns for the provision of Healthcare Services; 

  

	 	(4)	facilitate the establishment and maintenance of a public image of excellence and high quality for VISTA, all for the benefit of those persons seeking Healthcare Services as
patients of VISTA. 

  

 NOW, THEREFORE, for and in consideration of the mutual covenants set forth herein, and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged and confessed, the parties agree as follows: 
  
 Covenants and Conditions Regarding Management and Advertising: 
  
 1.1 MMA agrees that it has the primary responsibility for the marketing of the facilities, including but not limited
to the following: 
  

	 	(a)	recruitment of physicians as tenants in the professional building; 

  

	 	(b)	recruitment of physicians to use and otherwise employ the services of the hospital; 

  

	 	(c)	general efforts to improve the reputation and market the benefits of VISTA; and 

  

	 	(d)	create and publish multi-media advertising (subject to advance DPM approval). 

  
 1.2 DPM agrees to pay Two Hundred Thousand Dollars ($200,000.00) a month to be used for advertising and to pay fees
and expenses of MMA. MMA and DPM agree that these funds will be deposited in an account to be managed and controlled solely by MMA. From these funds, MMA agrees to expend at least $165,000.00 monthly, directly on
advertising and the general marketing of VISTA, and the associated services of the Vista Medical Center at 1401 and 1401A Vista, Pasadena, Texas. Further, MMA will provide to DPM a written report and verification of these
expenditures quarterly, with said report being due not later than thirty (30) days after the end of each respective quarter. 
  
 1.3 Management and Clerical Personnel. MMA shall employ or otherwise retain, and shall be responsible for selecting, training,
supervising, scheduling, and terminating, all management and clerical personnel as MMA deems reasonably necessary and appropriate in the performance of its duties and obligations under this Agreement. MMA shall have sole responsibility
for determining the salaries, wages, and fringe benefits of all such management and clerical personnel, for paying such salaries and wages, and for providing such fringe benefits, and for withholding as required by law, any sums for income tax,
unemployment insurance, social security, or any other withholding required by applicable law or governmental requirement. 
  
 1.4 Insurance. Throughout the Term, MMA shall, at MMA’s expense, obtain and maintain with commercial carriers, through
captive insurance companies, through self-insurance, or some combination thereof, professional, casualty, and comprehensive general liability insurance covering MMA, its personnel, and all of its equipment in such amounts, on such basis, and
upon such terms and conditions as DPM deems appropriate. 
  
 1.5 Indemnification by MMA. MMA shall indemnify and hold DPM harmless from and against any and all liability losses, damages, claims, causes of action, and expenses, including, without limitation, reasonable
attorney’s fees and associated costs, associated with or resulting, directly or indirectly, from any act or omission of MMA, its employees, agents, or independent contractors in or about the Facility during the Term. To be entitled to
such indemnification, DPM shall give MMA prompt written 

  

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notice of the assertion by a third party of any claim with respect to which DPM might bring a claim for indemnification hereunder, and in all events
must provide such written notice to MMA within the applicable period for defense of such claim by MMA. MMA shall, at its own expense, have the right to defend and litigate any such third-party claim. 
  
 2.1 Organization and Existence. DPM is a Texas
corporation duly organized, validly existing and in good standing under the laws of the State of Texas and has all requisite legal and corporate power to carry on its business as now conducted and to enter into and perform this Agreement.

  
 2.2 Compliance with Laws. DPM is in
compliance in all material respects with all applicable foreign, federal, state, municipal and other political subdivision or governmental agency statutes, ordinances and regulations, including, without limitation, those imposing taxes, in every
applicable jurisdiction in respect of the ownership of DPM properties and conduct of DPM’s business. 
  
 2.3 Brokers. DPM in not a party to or in any way obligated under any contract or other agreement for, and there are no outstanding
claims against DPM for the payment of any broker’s or finder’s fee in connection with the origin, negotiation, execution or performance of this Agreement. 
  
 2.4 DPM’s Authority Relative to this Agreement. The execution, delivery and performance of this Agreement
by DPM has been duly authorized and approved by the Board of Directors and no further corporate action is necessary on the part of DPM to make this Agreement valid and binding upon DPM in accordance with its terms. Neither the
execution, delivery nor performance of this Agreement by DPM will result in a violation or breach of any term or provision under the Articles of Incorporation or Bylaws of DPM or constitute a default or breach of, or accelerate the
performance required under, any indenture, mortgage, deed of trust or other contract or agreement to which DPM is a party or by which it or any of its respective assets are bound, or, violate any order, writ, injunction or decree of any
court, administrative agency or governmental body. 
  
 3.1
Organization and Existence. MMA is a Texas corporation duly organized pursuant to the laws of Texas and in good standing, and has all requisite legal power to enter into and perform this Agreement. 
  
 3.2 Authority Relative to this Agreement. The execution,
delivery and performance of this Agreement has been duly authorized, and no further action is necessary on the part of MMA to make this Agreement valid and binding upon MMA in accordance of its terms. Neither the execution, delivery
nor performance of this Agreement by MMA will result in a violation or breach of any term or provision or constitute a default or breach of, or accelerate the performance required under any other contract or agreement to which MMA is a
party or by which it or its properties are bound, or violate any order, writ, injunction or decree of any court, administrative agency or governmental body. 
  

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 3.3 Brokers. MMA is not a party to or in any way obligated under any contract or
agreement for, and there are no outstanding claims against MMA for the payment of any broker’s or finder’s fee in connection with the origin, negotiation, execution, or performance of this agreement. 
  
 4.1 Confidential Information. MMA acknowledges that in
the course of the performance of this Agreement, it has had and will continue to have access to certain know-how, formulae, processes, data, proprietary information, supplier and patient records and information and other confidential knowledge and
trade secrets of DPM’s and VISTA’s business and operations. MMA understands that all such information is confidential and has been or will be conceived or learned by MMA in confidence, and agrees not to reveal
any such information to any third person for any reason or under any circumstances. MMA further agrees that it will at no time use any such information for the purpose of competing with or assisting others in competing with the business of
DPM or VISTA, or for any purpose which may be harmful or detrimental to the business or interests of DPM or VISTA. The restrictions in this section shall not apply and shall not prohibit the use or disclosure of such
confidential information (i) to the extent required by law or court order, or other administrative order in any litigation, arbitration, or similar proceeding; (ii) to the extent such information becomes publicly available other than through a
breach of this section; or (iii) to the extent such information would become necessary to support any claim arising between the parties; or (iv) with the written agreement of DPM and VISTA. The parties agrees that any remedy at law for
actual or threatened breach of the provisions of this section would be inadequate and that DPM or VISTA shall be entitled to specific performance thereof or injunctive relief by temporary or permanent injunction or such other
appropriate judicial remedy, writ or order as may be entered by a court of competent jurisdiction. Any such remedy shall be in addition to any damages which DPM or VISTA may be legally entitled to recover as a result of any breach by
the other party of the provisions of this section, and MMA hereby waives any requirement for the securing or posting of any bond in connection with obtaining any such injunctive or other equitable relief. 
  
 5.1 Initial and Renewal Terms. The term of this Agreement will
be for three (3) years commencing as of October 15, 2003, and expiring as of October 15 2006, unless and until terminated as provided hereinafter (“the Term”). DPM is hereby granted and shall, if not at the time in default under
this Agreement, have at its sole discretion, an option to extend the term of this Agreement for two (2) years under the same terms contained herein. This option shall be exercised only by DPM’s delivering to MMA before the
termination of the original Term written notice of DPM’s election to extend the Term of this Agreement as provided herein. 
  
 5.2 Termination by DPM. DPM may terminate this Agreement upon thirty (30) days written notice to MMA. 
  
 5.3 Termination by MMA. MMA may terminate this Agreement
upon the occurrence of the dissolution of DPM, or if DPM fails to pay MMA the advertising dollars as provided for in sec. 1.3 of this Agreement within thirty (30) days of the date such amounts are due. 
  

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 5.4 Termination by Agreement. In the event MMA and DPM shall mutually agree
in writing, this Agreement may be terminated on the date specified in such written agreement. 
  
 5.5 Bankruptcy. In the event that either party become insolvent, or if any petition under federal or state law pertaining to bankruptcy or insolvency or for a reorganization or arrangement or other
relief from creditors shall be filed by or against either party, or if any assignment, trust, mortgage, or other transfer shall be made of all or a substantial part of the property of either party, or if either party shall make or offer a
composition in its debts with its creditors, or if a receiver, trustee, or similar officer or creditor’s committee shall be appointed to take charge of any property of or to operate or wind up the affairs of either party, then the other party
may, by written notice, as specified herein, immediately terminate this Agreement. 
  
 5.6 Default. In the event either party shall give written notice to the other that such other party has substantially defaulted in the performance of any material duty or material obligation imposed upon
it by this Agreement, and such default shall not have been cured within thirty (30) days following the giving of such written notice, the party giving such written notice shall have the right to immediately terminate this Agreement unless the
defaulting party shall, within said thirty (30) day period, have made a good faith effort to initiate corrective action and it is contemplated that such corrective action will be completed within the following thirty (30) day period. 
  
 5.7 Effects of Termination. Upon termination of this Agreement,
as hereinabove provided, neither party shall have any further obligations hereunder except for (i) obligations accruing prior to the date of termination, and (ii) obligations, promises, or covenants set forth herein that are expressly made to extend
beyond the Term, including, without limitation, indemnities, and payment of accrued advertising dollars, if any. 
  
 6.1 Independent Relationship. It is mutually understood and agreed that MMA and DPM, in performing their respective duties and
obligations under this Agreement, are at all times acting and performing as independent contractors with respect to each other, and nothing in this Agreement is intended nor shall be construed to create an employer/employee relationship or a joint
venture relationship, or to allow DPM to exercise control or direction of any nature, kind, or description over the manner or method by which MMA performs its duties. 
  
 6.2. MMA Representative. Except as may be herein more specifically provided, MMA shall act with respect
to all matters hereunder through its managers. 
  
 6.3 DPM
Representative. Except as may be herein more specifically provided, DPM shall act with respect to all matters hereunder through its President. 
  
 6.4 Notices. Any notice, demand, or communication required, permitted, or desired to be given hereunder shall be deemed effectively given
when personally 

  

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delivered or mailed by prepaid certified mail, return receipt requested, addressed as follows: 
  

			
	If to MMA:	  	 Kevin Bailey
 1314 Texas Ave suite 1110
 Houston, Texas 77002
 Telephone: (713) 227-0042
 Telefax: (713) 227-7001

		
	If to DPM:	  	 Philip Chan
 4301A Vista
 Pasadena, Texas 77504
 Telephone: (713) 947-0891
 Telefax: (713) 944-3334

  
 or to such other address, or to the
attention of such other person or officer, as either party may by written notice designate. 
  
 6.5 Governing Law. This Agreement has been executed and delivered in, and shall be governed by, and construed and enforced in accordance with, the laws of the State of Texas. Venue for any legal actions
hereunder shall be in the State district courts of Harris County, Texas. 
  
 6.6 Assignment. This Agreement may not be assigned by any party hereto. 
  
 6.7 Waiver of Breach. The waiver by either party of any condition or covenant, or of any breach or violation of any provision of this
Agreement shall not operate as, or to be construed to constitute, a waiver of any subsequent breach of the same or another provision hereof. 
  
 6.8 Enforcement. In the event either party resort to legal action to enforce or interpret any provision of this Agreement, the prevailing
party shall be entitled to recover costs of such action so incurred, including, without limitation, reasonable attorney’s fees. 
  
 6.9 Gender and Number. Whenever the context of this Agreement requires, the gender of all words herein shall include the masculine,
feminine, and neuter, and the number of all words herein shall include the singular and plural. 
  
 6.10 Additional Assurance. Except as may be herein specifically provided to the contrary, the provisions of this Agreement shall be
self-operative and shall not require further agreement by the parties; provided, however, at the request of either party, the other party shall execute such additional instruments and take such additional acts as are reasonable and as the requesting
party may deem necessary to effectuate this Agreement. 
  
 6.11
Consents, Approvals, and Exercise of Discretion. Except as may be herein specifically provided to the contrary, whenever this Agreement requires any consent or approval to be given by either party, or either party must or may
exercise 

  

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discretion, the parties agree that such consent or approval shall not be unreasonably withheld or delayed, and such discretion shall be reasonably exercised.

  
 6.12 Force Majeure. Neither party shall be
liable or deemed to be in default for any delay or failure in performance under this Agreement or other interruption of service deemed to result, directly or indirectly, from acts of God, civil or military authority, acts of public enemy, war,
accidents, fires, explosions, earthquakes, floods, failure of transportation, strikes or other work interruptions by either party’s employees, or any other similar cause beyond the reasonable control of either party. 
  
 6.13 Severability. In the event any provision of this Agreement
is held to be invalid, illegal, or unenforceable for any reason and in any respect, such invalidity, illegality, or unenforceability shall not affect the remainder of this agreement, which shall be and remain in full force and effect, enforceable in
accordance with its terms. 
  
 6.14 Divisions and
Readings. The division of this Agreement into articles, sections, and subsections and the use of captions and headings in connection therewith are solely for convenience and shall not affect in any way the meaning or interpretation of this
Agreement. 
  
 6.15 Amendments and Agreement
Execution. This Agreement and amendments hereto shall be in writing and executed in multiple copies by the duly authorized officers of VISTA and Manager. Each multiple copy shall be deemed an original, but all multiple copies together
shall constitute one and the same instrument. 
  
 6.16
Entire Agreement. This Agreement supersedes all previous contracts and amendments and constitutes the entire agreement between the parties with respect to the subject matter of this Agreement. Neither party shall be entitled to
benefits other than those specified herein. No oral statements or prior written material not specifically incorporated herein shall be of any force and effect, and no changes in or additions to this Agreement shall be recognized unless incorporated
herein by amendment as provided herein, such amendment(s) to become effective on the date stipulated in such amendment(s). The parties specifically acknowledged that, in entering into and executing this Agreement, the parties rely solely upon the
representations and agreements contained in this Agreement and no others. 
  
 6.17 Specific Performance. Each party acknowledges that a remedy at law for any breach or attempted breach of the provisions of this Agreement will be inadequate, and agrees that each party shall be
entitled to specific performance and injunctive or other equitable relief in case of any such breach or attempted breach. 
  
 6.18 Successors Bound. Subject to the provisions of Section 7.5, this Agreement shall be binding upon and inure to the benefit of the
parties hereto and their respective heirs, personal legal representatives, and assigns. 
  
 6.19 Section and Paragraph Headings. The section and paragraph headings in this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement.
The word “this Agreement,” “this 

  

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instrument,” “herein,” “hereto,” “hereunder,” and words of similar import refer to this Agreement as a whole and not to a
particular article, section, paragraph, or other subdivision of this Agreement. Whenever the context requires, the gender of all words used in this Agreement shall include the masculine, feminine, and neuter, and the number of all words shall
include the singular and the plural. 
  
 6.20
Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of which shall constitute the same instrument. 
  
 6.21 Public Disclosure. The parties hereto agree that any disclosure or press release about the transactions
contemplated by this Agreement may only be made in the manner and at the time mutually determined by the Purchaser and the Seller. 
  
 6.22 Time. Time is of the essence hereof. If the time for performance of any obligations set forth in this Agreement falls on Saturday,
Sunday, or legal holiday, compliance with such obligation on the next business day following such Saturday, Sunday or legal holiday shall be deemed acceptable. For purposes of this Agreement, a “business day” is any day other than a
Saturday, Sunday, or legal holiday in Texas. 
  
 6.23
Attorney’s Fees. In the event of any action at law or in equity between the parties hereto to enforce any provision or right hereunder or in any way related hereto or arising herefrom, the unsuccessful party in such litigation
covenants and agrees to pay to the successful party all costs and expenses, including reasonable attorney’s fees, incurred therein by such successful party. If such successful party shall recover judgment in any such action or proceeding, such
costs and expenses shall be included as part of such judgment. 
  
 6.24 Language. The language of this Agreement shall be construed as a whole and in accordance with the fair meaning of the language used. The language of this Agreement shall not be strictly construed for or against either of
the parties hereto based upon who drafted or was principally responsible for drafting the Agreement or any specific term or condition hereof. This Agreement shall be deemed to have been drafted by each party hereto, and no party may urge otherwise.

  
 6.25 Knowledge. Any representation, warranty or
covenant herein which is limited to a party’s “knowledge” is made with the understanding that such party has examined whatever sources of information that are reasonably accessible to such party in order to verify the truth and
accuracy of such representation, warranty or covenant. 
  
 6.26
Other Documents. The parties agree to execute all other documents or instruments necessary to effect the transfers of property set forth herein and otherwise to implement the provisions of this Agreement. 
  

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 IN WITNESS WHEREOF, MMA and DPM have executed this Agreement in multiple originals this
15th day of October, 2003. 
  

									
	 MMA:
	 	 	 	 Medical Multimedia Advertising, Inc.

					
	 	 	 	 	 	 	By:	 	/s/    Kevin Bailey        
	 	 	 	 	 	 	 	 	Kevin Bailey, President

  

									
	 DPM:
	 	 	 	 Doctors Practice Management, Inc.

					
	 	 	 	 	 	 	By:	 	/s/    Philip Chan        
	 	 	 	 	 	 	 	 	Philip Chan, President

  

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 ADDENDUM 
  

MANAGEMENT SUPPORT AND MARKETING AGREEMENT 
  
 The addendum to the MANAGEMENT SUPPORT AND MARKETING AGREEMENT (“Agreement”) entered into and effective as of the 15th day of October, 2003 by and between DOCTORS PRACTICE MANAGEMENT, INC., a Texas business corporation
(“DPM”) and MEDICAL MULTIMEDIA ADVERTISING, INC. (“MMA”) is offered to correct the reference effective date from the erroneous date of September 1, 2002 to the correct date of October 15, 2003. 
  
 All other recitations contained in the Agreement are correct and remain in
full force and effect. 
  
 IN WITNESS WHEREOF, MMA and
DPM have executed the Agreement in multiple originals this 28th day of July, 2004 
  

					
	   MMA:
	 	 	 	 Medical Multimedia Advertising, Inc.

			
	  	 	 	 	/s/    Kevin Bailey        
	 	 	 	 	Kevin Bailey, President
			
	   DPM:
	 	 	 	 Doctors Practice Management, Inc.

			
	  	 	 	 	/s/    Philip Chan        
	 	 	 	 	Philip Chan, PresidentCash Sale Agreement

 Exhibit 10.13 
  
 CASH SALE BY VISTA HOLDINGS, L.L.C. 
 TO HEALTHGROUP PARTNERS, LLC 
  
 BE IT KNOWN THAT,
on the dates hereinafter set forth, before the undersigned Notaries Public, duly commissioned and qualified in and for the States and Parishes or Counties hereinafter set forth, and in the presence of the undersigned competent witnesses, 

 
 PERSONALLY CAME AND APPEARED: 
  
 VISTA HOLDINGS, L.L.C., a Louisiana limited liability company, whose
permanent mailing address is 4301 Vista Road, Pasadena, Texas 77504, and whose U.S. taxpayer identification number is 76-0699801, represented herein by Philip S. Chan, its duly authorized representative, pursuant to Resolution of the members of
Vista Holdings, L.L.C., a copy of which is attached hereto 
  
 (hereinafter referred to as Seller) 
  
 who declared that Seller does by
these presents, grant, bargain, sell, convey, transfer, assign, set over, abandon and deliver with all legal warranties of title, but with no warranty as to condition, and with full substitution and subrogation in and to all the rights and actions
of warranty which Seller has or may have against all preceding owners and vendors unto: 
  
 HEALTHGROUP PARTNERS, LLC, a Nevada limited liability company, whose permanent mailing address is c/o Gwynne E. Old, Esq., Three Riverway, Suite 1800, Houston, Texas 77056-1969, and whose U. S. taxpayer
identification number is                     , herein represented by David J. Felt, its duly authorized representative, pursuant to Resolution
of the members of Healthgroup Partners, LLC, a copy of which is attached hereto 
  
 (hereinafter referred to as Purchaser) 
  
 here
present, accepting, and purchasing for Purchaser, Purchaser’s successors, heirs and assigns, and acknowledging due delivery and possession thereof, all and singular the following described property (the Property), to-wit: 
  
 ALL THAT CERTAIN LOT OR PARCEL OF LAND, together with all the buildings and
improvements thereon and all of the rights, ways, privileges, servitudes, appurtenances and advantages thereunto belonging or in anywise appertaining, situated in SECTIONS 11 and 12, TOWNSHIP 9 SOUTH, RANGE 14 EAST, ST. TAMMANY PARISH,
LOUISIANA, and being more fully described as follows, to-wit: 
  
 From the Northwest corner of the Southeast Quarter of the Southeast Quarter of Section 11, Township 9 South, Range 14 East, St. Tammany Parish, Louisiana, go South 89 degrees 48 minutes 16 seconds East 695.13 feet to the Point of Beginning.
From the Point of Beginning, go South 89 degrees 25 minutes 16 seconds East (Title South 89 degrees 48 minutes 16 seconds East) 112.10 feet (Title 111.87 feet); thence South 89 degrees 50 minutes 33 seconds East (Title North 89 degrees 40 minutes 46
seconds East) 511.20 feet (Title 513.0 feet); thence South 65 degrees 01 minutes 05 seconds East (Title South 62 

  

 
degrees 59 minutes 15 seconds East) 62.08 feet; thence South 18 degrees 00 minutes 30 seconds West (Title South 17 degrees 50 seconds West) 449.50 feet;
thence South 89 degrees 53 minutes 59 seconds West (Title South 89 degrees 40 minutes 46 seconds West) 540.61 feet (Title 542.51 feet); thence North 457.18 feet (Title 456.65 feet) back to the Point of Beginning. Said property contains 6.40 acres of
land, more or less. 
  
 All in accordance with a survey no. 2003
070 by John E. Bonneau & Associates, Inc., John E. Bonneau, Registered Land Surveyor, dated January 30, 2003, print of which is annexed to act passed before Roy E. Blossman, dated February 21, 2003, recorded at Conveyance Instrument No. 1351066.

  
 Being the same property acquired by Vista Holdings, L.L.C.
from Janice Seal Smith and the Succession of Johnny F. Smith as per act passed before Roy E. Blossman, Notary Public, dated February 21, 2003, recorded in the conveyance records of St. Tammany Parish, on February 26, 2003, at Instrument No. 1351066.

  
 To the extent any of the following may be applicable, this
act is made and accepted subject to the following: 
  

	 	1.	Right-of-way in favor of CLECO dated October 1, 1962, registered in COB 332, folio 363, St. Tammany Parish, Louisiana. 

  

	 	2.	Right-of-way in favor of AT&T dated September 22, 1927, registered at COB 103, folio 359, St. Tammany Parish, Louisiana. 

  

	 	3.	Apparent servitude for gravel road and electric line as shown on survey by John E. Bonneau & Associates, dated January 30, 2003. 

  
 The parties hereto declare that they do not hereby intend, by the execution
of these presents, to interrupt, or suspend, the running of any prescription or preemption which has run or may run in connection with the foregoing, nor do the parties intend to revive, establish or initiate any one or more of the foregoing which
may not now or hereafter be binding upon the hereinabove described property and/or the parties hereto. 
  
 To have and to hold the Property unto the Purchaser, and Purchaser’s successors, heirs and assigns forever. 
  
 PURCHASER ACKNOWLEDGES AND AGREES THAT THE TRANSFER OF THE PROPERTY,
INCLUDING ANY BUILDINGS AND IMPROVEMENTS LOCATED ON THE PROPERTY, IS SOLD BY SELLER AND ACCEPTED BY PURCHASER IN ITS PRESENT “AS-IS, WHERE-IS” CONDITION WITH ALL FAULTS AND WITHOUT ANY WARRANTIES WHATSOEVER. 
  
 AS A MATERIAL AND INTEGRAL CONSIDERATION FOR THE EXECUTION OF THIS ACT OF
SALE BY SELLER, PURCHASER WAIVES AND RELEASES SELLER FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION TO WHICH PURCHASER MAY HAVE OR HEREAFTER MAY OTHERWISE BE ENTITLED, BASED ON VICES OR DEFECTS IN THE PROPERTY HEREIN 

  

 2 

 
SOLD, OR ANY IMPROVEMENTS OR COMPONENT PARTS THEREOF, WHETHER IN THE NATURE OF IMPLIED WARRANTY OF FITNESS OR MERCHANTABILITY, REDUCTION OF THE PURCHASE
PRICE, CONCEALMENT, OR ANY OTHER THEORY OF LAW. THE PURCHASER FURTHER ASSUMES THE RISK OF ALL VICES AND DEFECTS IN THE PROPERTY, AND ALL IMPROVEMENTS AND COMPONENT PARTS THEREOF, WHETHER THOSE VICES OR DEFECTS ARE LATENT OR NOT DISCOVERABLE UPON
SIMPLE INSPECTION, AND INCLUDING THOSE VICES OR DEFECTS, KNOWLEDGE OF WHICH WOULD DETER PURCHASER FROM MAKING THIS PURCHASE. 
  
 PURCHASER FURTHER ACKNOWLEDGES THAT PURCHASER (A) HAD AMPLE OPPORTUNITY TO FULLY INSPECT THE PROPERTY, INCLUDING, BUT NOT LIMITED TO THE ENVIRONMENTAL
CONDITION OF THE PROPERTY, (B) HAS INSPECTED THE PROPERTY TO THE EXTENT PURCHASER DEEMED NECESSARY, (C) DOES HEREBY PURCHASE THE PROPERTY IN ITS PRESENT CONDITION, AND (D) DOES HEREBY PURCHASE THE PROPERTY SUBJECT TO ANY PHYSICAL ENCROACHMENTS ON
THE PROPERTY AND ANY PHYSICAL ENCROACHMENTS ONTO ADJACENT PROPERTY BY IMPROVEMENTS LOCATED ON THE PROPERTY. 
  
 PURCHASER ACKNOWLEDGES THAT THE PROPERTY, OR A PORTION THEREOF, IS CONTAINED IN THE AREA DESIGNATED BY THE STATE OF LOUISIANA FOR CONSTRUCTION OF A
HIGHWAY AND RELATED IMPROVEMENTS AND, ACCORDINGLY, THE STATE OF LOUISIANA MAY EXPROPRIATE THE PROPERTY, OR A PORTION THEREOF, FOR HIGHWAY PURPOSES. 
  
 PURCHASER FURTHER ACKNOWLEDGES THAT ALL OF THE FOREGOING EXCLUSIONS, WAIVERS AND AGREEMENTS BY PURCHASER HAVE BEEN BROUGHT TO PURCHASER’S
ATTENTION AND READ AND EXPLAINED TO PURCHASER AND THAT THEY ARE A MATERIAL AND INTEGRAL CONSIDERATION FOR THIS ACT OF SALE. 
  
 This sale is made and accepted for and in consideration of the price and sum of TWO MILLION FIVE HUNDRED THOUSAND AND NO/100 ($2,500,000.00) Dollars,
cash, which Purchaser has well and truly paid, in ready and current money to Seller, who hereby acknowledges the receipt thereof and grants full acquittance and discharge therefor. 
  
 All taxes up to and including the taxes due and eligible in 2003 are paid. Taxes for the current year have been prorated
between Seller and Purchaser as of the date hereof, based on 2003 taxes. 
  
 Seller declares, represents and warrants that there are no judgments, general or particular, of record or otherwise against Seller, which may affect the Property, and there are no liens, 

  

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privileges, mortgages, pledges or other encumbrances of record or otherwise which may affect or burden the Property. 
  
 This Cash Sale may be executed by the parties thereto in several
counterparts, each of which when so executed shall be deemed to be an original, but all such counterparts shall together constitute but one and the same instrument. 
  
 [INTENTIONALLY LEFT BLANK] 
  

 4 

 THUS DONE AND PASSED in multiple originals, in Houston Parish/County of Harris, State of Texas, on the
23rd day of January, 2004, in the presence of the undersigned competent witnesses who have signed their names,
together with appearers and me, Notary. 
  

									
	 WITNESSES:
	 	 	 	 VISTA HOLDINGS, L.L.C.

					
	 	 	David Farley	 	 	 	BY:	 	Philip S. Chan
	 	 	 	 	 	 	 	 	PHILIP S. CHAN
	 	 	/s/    Laurie Knape	 	 	 	 	 	 Its: Duly Authorized Representative,
 Pursuant to Resolution Attached hereto

  

					
			
	 	 	     /s/    Sulema
Alanis            
	 	 
			
	 	 	  
 NOTARY PUBLIC
	 	  
 (SEAL)                    

	 	 	My Commission expires: 10/25/06	 	 

  

 5 

 THUS DONE AND PASSED in multiple originals, in Houston County of Harris, State of Texas, on the
23rd day of January, 2004, in the presence of the undersigned competent witnesses who have signed their names,
together with appearers and me, Notary. 
  

									
	 WITNESSES:
	 	 	 	 HEALTHGROUP PARTNERS, LLC

					
	 	 	/s/    Ruth Greenhart	 	 	 	BY:	 	/s/    David J. Felt        
	 	 	 	 	 	 	 	 	DAVID J. FELT
	 	 	/s/    Vanessa Reeves	 	 	 	 	 	 Its: Duly Authorized Representative,
 Pursuant to Resolution Attached hereto

  

					
			
	 	 	    /s/    Patty R. Barnes        	 	 
			
	 	 	  
 NOTARY PUBLIC
	 	  
 (SEAL)                    

	 	 	My Commission expires: 2/28/04	 	 

  

 6

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