Document:

EX-10.17

 Exhibit 10.17 

 
  
 LDR HOLDING CORPORATION 
 LDR SPINE USA, INC. 

LOAN AND SECURITY AGREEMENT 
  

 

 Exhibit 10.17 

This LOAN AND SECURITY AGREEMENT is entered into as of November 23, 2009, by and between COMERICA BANK (“Bank”) and LDR
HOLDING CORPORATION and LDR SPINE USA, INC. (each a “Borrower” and collectively, “Borrowers”). 
 RECITALS

 Borrowers wish to obtain credit from time to time from Bank, and Bank desires to extend credit to Borrowers. This
Agreement sets forth the terms on which Bank will advance credit to Borrowers, and Borrowers will repay the amounts owing to Bank. 
 AGREEMENT 
 The parties agree as follows: 

1. DEFINITIONS AND CONSTRUCTION. 
  

	 	1.1	Definitions. As used in this Agreement, the following terms shall have the following definitions: 

“Accounts” means all presently existing and hereafter arising accounts, contract rights, payment intangibles, and all other
forms of obligations owing to Borrowers arising out of the sale or lease of goods (including, without limitation, the licensing of software and other technology) or the rendering of services by Borrowers, whether or not earned by performance, and
any and all credit insurance, guaranties, and other security therefor, as well as all merchandise returned to or reclaimed by Borrowers and Borrowers’ Books relating to any of the foregoing. 

“Advance” or “Advances” means a cash advance or cash advances under the Revolving Line. 

“Affiliate” means, with respect to any Person, any Person that owns or controls directly or indirectly such Person, any Person
that controls or is controlled by or is under common control with such Person, and each of such Person’s senior executive officers, directors, and partners. For purposes of this definition, the term “control” means the possession,
directly or indirectly, of the power to direct or cause the direction of the management and policies of the entity referred to, whether through ownership of voting securities, by contract or otherwise, and the terms “controlling” and
“controls “ have meanings correlative to the foregoing. 
 “Bank Expenses” means all: reasonable costs or
expenses (including reasonable attorneys’ fees and expenses, whether generated in-house or by outside counsel) incurred in connection with the preparation, negotiation, administration, and enforcement of the Loan Documents; reasonable
Collateral audit fees; and Bank’s reasonable attorneys’ fees and expenses (whether generated in-house or by outside counsel) incurred in amending, enforcing or defending the Loan Documents (including fees and expenses of appeal), incurred
before, during and after an Insolvency Proceeding, whether or not suit is brought. 
 “Borrower State” means Delaware
the state under whose laws LDR HOLDING CORPORATION and LDR SPINE USA, INC., respectively, is organized. 
 “Borrower’s
Books” means all of each Borrower’s books and records including: ledgers; records concerning such Borrower’s assets or liabilities, the Collateral, business operations or financial condition; and all computer programs, or tape files,
and the equipment, containing such information. 
 “Borrowing Base” means an amount equal to (i) eighty percent
(80%) of Eligible Accounts; plus (ii) twenty percent (20%) of Eligible Inventory, all as determined by Bank with reference to the most recent Borrowing Base Certificate delivered by Borrowers; Notwithstanding the foregoing, Advances
made with respect to Eligible Inventory shall not exceed the lesser of Two Million Five Hundred Thousand Dollars ($2,500,000) or fifty percent (50%) of the aggregate Borrowing Base and provided, that Bank may change the foregoing advance rates
by giving LDR Spine thirty (30) days prior written notice based on the results of audits of the Collateral, the first such audit to occur within sixty (60) days of the Closing Date. 

  
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 “Business Day” means any day that is not a Saturday, Sunday, or other day on
which banks in the State of California are authorized or required to close. 
 “Capitalized Expenditures” means
current period cash expenditures that are amortized over a period of time in accordance with GAAP. 
 “Cash” means
unrestricted cash and cash equivalents. 
 “Change in Control” shall mean a transaction in which any
“person” or “group” (within the meaning of Section 13(d) and 14(d)(2) of the Securities Exchange Act of 1934) becomes the “beneficial owner” (as defined in Rule 13d-3 under the Securities Exchange Act of 1934),
directly or indirectly, of a sufficient number of shares of all classes of stock then outstanding of a Borrower ordinarily entitled to vote in the election of directors, empowering such “person” or “group” to elect a majority of
the Board of Directors of a Borrower, who did not have such power before such transaction. 
 “Chief Executive Office
State” means Texas where Borrowers’ chief executive office is located. 
 “Closing Date” means the date of
this Agreement. 
 “Code” means the California Uniform Commercial Code, as amended or supplemented from time to time.

 “Collateral” means the property described on Exhibit A attached hereto and all Negotiable Collateral to the extent
not described on Exhibit A, except to the extent any such property (i) is nonassignable by its terms without the consent of the licensor thereof or another party (but only to the extent such prohibition on transfer is enforceable under
applicable law, including, without limitation, Sections 9406 and 9408 of the Code), or (ii) the granting of a security interest therein is contrary to applicable law, provided that upon the cessation of any such restriction or prohibition, such
property shall automatically become part of the Collateral; provided that in no case shall the definition of “Collateral” exclude any Accounts, proceeds of the disposition of any property, or general intangibles consisting of rights to
payment. 
 “Collateral State” means the state or states where the Collateral is located, which isTexas. 

“Consolidated Net Income (or Deficit)” means the consolidated net income (or deficit) of any Person and its Subsidiaries, after
deduction of all expenses, taxes, and other proper charges, determined in accordance with GAAP, after eliminating therefrom all extraordinary nonrecurring items of income. 
 “Consolidated Total Interest Expense” means with respect to any Person for any period, the aggregate amount of interest required to be paid or accrued by a Person and its Subsidiaries during
such period on all Indebtedness of such Person and its Subsidiaries outstanding during all or any part of such period, whether such interest was or is required to be reflected as an item of expense or capitalized, including payments consisting of
interest in respect of any capitalized lease or any synthetic lease, and including commitment fees, agency fees, facility fees, balance deficiency fees and similar fees or expenses in connection with the borrowing of money. 

“Contingent Obligation” means, as applied to any Person, any direct or indirect liability, contingent or otherwise, of that
Person with respect to (i) any indebtedness, lease, dividend, letter of credit or other obligation of another, including, without limitation, any such obligation directly or indirectly guaranteed, endorsed, co-made or discounted or sold with
recourse by that Person, or in respect of which that Person is otherwise directly or indirectly liable; (ii) any obligations with respect to undrawn letters of credit, corporate credit cards, or merchant services issued for the account of that
Person; and (iii) all obligations arising under any interest rate, currency or commodity swap agreement, interest rate cap agreement, interest rate collar agreement, or other agreement or arrangement designated to protect a Person against
fluctuation in interest rates, currency exchange rates or commodity prices; provided, however, that the term “Contingent Obligation” shall not include endorsements for collection or deposit in the ordinary course of business. The amount of
any Contingent Obligation shall be deemed to be an amount equal to the stated or determined amount of the primary obligation in respect of which such Contingent Obligation is made or, if not stated or determinable, the maximum reasonably anticipated
liability in respect thereof as determined by such Person in good faith; provided, however, that such amount shall not in any event exceed the maximum amount of the obligations under the guarantee or other support arrangement. 

  
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 “Credit Extension” means each Advance or any other extension of credit by Bank to
or for the benefit of Borrowers hereunder. 
 “EBITDA” means with respect to any fiscal period an amount equal to the
sum of (a) Consolidated Net Income of the Borrowers and their Subsidiaries for such fiscal period, plus (b) in each case to the extent deducted in the calculation of the Borrowers’ Consolidated Net Income and without duplication,
(i) depreciation and amortization for such period, plus (ii) income tax expense for such period, plus (iii) Consolidated Total Interest Expense paid or accrued during such period, all as determined in accordance with GAAP. 

“Eligible Accounts” means those Accounts that arise in the ordinary course of LDR Spine’s business that comply with all of
Borrowers’ representations and warranties to Bank set forth in Section 5.3; provided, that Bank may change the standards of eligibility by giving LDR Spine thirty (30) days prior written notice based on the results of audits of the
Collateral, the first such audit to occur within sixty (60) days of the Closing Date. Unless otherwise agreed to by Bank, Eligible Accounts shall not include the following: 

(a) Accounts that the account debtor has not paid within 90 days of invoice date or, in the case of Eligible Hospital Accounts and or
Eligible Surgical Center Accounts, 120 days of invoice date; 
 (b) Credit balances over ninety (90) days; 

(c) Accounts with respect to an account debtor, twenty-five percent (25%) of whose Accounts the account debtor has failed to pay
within ninety (90) days (or, in the case of Eligible Hospital Accounts and or Eligible Surgical Center Accounts, 120 days) of invoice date; 
 (d) Accounts with respect to an account debtor, including Subsidiaries and Affiliates, whose total obligations to a Borrower exceed twenty five percent (25%) of all Accounts, to the extent such
obligations exceed the aforementioned percentage, except as approved in writing by Bank; 
 (e) Accounts with respect to which
the account debtor does not have its principal place of business in the United States, except for Eligible Foreign Accounts; 

(f) Accounts with respect to which the account debtor is the United States or any department, agency, or instrumentality of the United
States, except for Accounts of the United States if the payee has assigned its payment rights to Bank and the assignment has been acknowledged under the Assignment of Claims Act of 1940 (31 U.S.C. 3727); 

(g) Accounts with respect to which a Borrower is liable to the account debtor for goods sold or services rendered by the account debtor to
a Borrower, but only to the extent of any amounts owing to the account debtor against amounts owed to a Borrower; 
 (h) Accounts
with respect to which goods are placed on consignment, guaranteed sale, sale or return, sale on approval, bill and hold, demo or promotional, or other terms by reason of which the payment by the account debtor may be conditional; 

(i) Accounts with respect to which the account debtor is an officer, employee, agent or Affiliate of a Borrower; 

(j) Accounts that have not yet been billed to the account debtor or that relate to deposits (such as good faith deposits) or other
property of the account debtor held by a Borrower for the performance of services or delivery of goods which such Borrower has not yet performed or delivered; 

  
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 (k) Accounts with respect to which the account debtor disputes liability or makes any claim
with respect thereto as to which Bank believes, in its sole discretion, that there may be a basis for dispute (but only to the extent of the amount subject to such dispute or claim), or is subject to any Insolvency Proceeding, or becomes insolvent,
or goes out of business; 
 (l) Accounts the collection of which Bank reasonably determines after inquiry and consultation with
Parent to be doubtful; and 
 (m) Retentions and hold-backs. 

“Eligible Foreign Accounts” means Accounts with respect to which the account debtor does not have its principal place of
business in the United States and that are (i) supported by one or more letters of credit in an amount and of a tenor, and issued by a financial institution, acceptable to Bank, (ii) insured by the Export Import Bank of the United States,
or (iii) approved by Bank on a case-by-case basis. All Eligible Foreign Accounts must be calculated in U.S. Dollars. 

“Eligible Hospital Accounts” are accounts that would otherwise be Eligible Accounts where the account debtor is a hospital.

 “Eligible Inventory” means FDA approved finished goods inventory of LDR Spine in the possession of LDR Spine.

 “Eligible Surgical Center Accounts” are accounts that would otherwise be Eligible Accounts where the account debtor
is a surgical center. 
 “Environmental Laws” means all laws, rules, regulations, orders and the like issued by any
federal state, local foreign or other governmental or quasi-governmental authority or any agency pertaining to the environment or to any hazardous materials or wastes, toxic substances, flammable, explosive or radioactive materials, asbestos or
other similar materials. 
 “Equipment” means all present and future machinery, equipment, tenant improvements,
furniture, fixtures, vehicles, tools, parts and attachments in which a Borrower has any interest. 
 “ERISA” means the
Employee Retirement Income Security Act of 1974, as amended, and the regulations thereunder. 
 “Escalate” means
Escalate Capital I, L.P. 
 “Event of Default” has the meaning assigned in Article 8. 

“Foreign Share Pledge Documents” means, with respect to LDR Medical, SAS, the following: securities account pledge agreement;
statement of pledge; certificate of perfection of pledge; certificate related to pledged bank account; and such other instruments and/or agreements and/or amendments to existing documents as Bank may reasonably determine are necessary to perfect and
maintain the perfection of the Bank’s security interest in the Shares of LDR Medical, SAS. 
 “GAAP” means
generally accepted accounting principles, consistently applied, as in effect from time to time. 
 “Indebtedness”
means (a) all indebtedness for borrowed money or the deferred purchase price of property or services, including without limitation reimbursement and other obligations with respect to surety bonds and letters of credit which are or should be
shown on a balance sheet as debt in accordance with GAAP, (b) all obligations evidenced by notes, bonds, debentures or similar instruments which are or should be shown on a balance sheet as debt in accordance with GAAP, (c) all obligations
under leases which, in accordance with GAAP, are capital lease obligations, and (d) all Contingent Obligations. 

  
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 “Insolvency Proceeding” means any proceeding commenced by or against any Person or
entity under any provision of the United States Bankruptcy Code, as amended, or under any other bankruptcy or insolvency law, including assignments for the benefit of creditors, formal or informal moratoria, compositions, extension generally with
its creditors, or proceedings seeking reorganization, arrangement, or other relief. 
 “Intercreditor Agreement” means
that certain Intercreditor Agreement between Bank and Escalate dated as of the Closing Date. 
 “Inventory” means all
present and future inventory in which a Borrower has any interest. 
 “Investment” means any beneficial ownership
(including stock, partnership or limited liability company interest or other securities) of any Person, or any loan, advance or capital contribution to any Person. 
 “IRC” means the Internal Revenue Code of 1986, as amended, and the regulations thereunder. 
 “LDR Spine” means LDR SPINE USA, INC., a Delaware corporation. 

“Lien” means any mortgage, lien, deed of trust, charge, pledge, security interest or other encumbrance. 

“Loan Documents” means, collectively, this Agreement, any note or notes executed by a Borrower in connection herewith, and any
other document, instrument or agreement entered into in connection with this Agreement, all as amended or extended from time to time. 
 “Material Adverse Effect” means a material adverse effect on (i) the business operations or condition (financial or otherwise) of a Borrower and its Subsidiaries taken as a whole,
(ii) the ability of a Borrower to repay the Obligations or otherwise perform its obligations under the Loan Documents, or (iii) Borrowers’ interest in, or the value, perfection or priority of Bank’s security interest in the
Collateral. 
 “Negotiable Collateral” means all of a Borrower’s present and future letters of credit of which it
is a beneficiary, drafts, instruments (including promissory notes), securities, documents of title, and chattel paper, and Borrower’s Books relating to any of the foregoing. 

“Non-Formula Amount” means an amount available for Advances without regard to the Borrowing Base, such amount being equal to
(a) Three Million Dollars ($3,000,000) at all times from the Closing Date until December 31, 2010, (b) Two Million Dollars ($2,000,000) at all times from January 1, 2011 until June 30, 2011 and (c) One Million Dollars
($1,000,000) at all times from July 1, 2011 through the Revolving Maturity Date. 
 “Obligations” means all debt,
principal, interest, Bank Expenses and other amounts owed to Bank by Borrowers pursuant to this Agreement or any other agreement, whether absolute or contingent, due or to become due, now existing or hereafter arising, including any interest that
accrues after the commencement of an Insolvency Proceeding and including any debt, liability, or obligation owing from a Borrower to others that Bank may have obtained by assignment or otherwise. 

“Parent” means LDR HOLDING CORPORATION, a Delaware corporation. 

“Periodic Payments” means all installments or similar recurring payments that Borrowers may now or hereafter become obligated
to pay to Bank pursuant to the terms and provisions of any Loan Document now or hereafter in existence between Borrowers and Bank. 
 “Permitted Indebtedness” means: 
 (a) Indebtedness of Borrowers in favor
of Bank arising under this Agreement or any other Loan Document; 
 (b) Indebtedness existing on the Closing Date and disclosed
in the Schedule; 

  
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 (c) Indebtedness not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the
aggregate in any fiscal year of Borrowers secured by a lien described in clause (c) of the defined term “Permitted Liens;” provided such Indebtedness does not exceed the lesser of the cost or fair market value of the equipment
financed with such Indebtedness; 
 (d) Subordinated Debt; 

(e) Indebtedness to trade creditors incurred in the ordinary course of business; 

(f) Indebtedness arising as a result of the endorsement in the ordinary course of business of negotiable instruments in the course of
collection; 
 (g) Agreements entered into by the Borrower or any Subsidiary in anticipation of acquiring any Person or assets,
to the extent such acquisition is permitted by this Agreement; 
 (h) Indebtedness of any Subsidiary to the Borrower or any other
Subsidiary and Indebtedness of the Borrower to any Subsidiary; not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the aggregate at any time during the term hereof; 
 (i) Subject to Section 6.4 hereof, current and deferred taxes; 
 (j)
Indebtedness assumed or acquired in connection with Investments permitted under clause (d) or (j) of the definition of Permitted Investments; 
 (k) Other Indebtedness not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the aggregate at any one time outstanding; and 

(l) Extensions, refinancings, replacements and renewals of any items of Permitted Indebtedness, provided that the principal amount is not
increased (except for increases in an amount equal to a reasonable premium or other reasonable amount paid, as determined in the reasonable discretion of Bank, and fees and expenses reasonably incurred, in connection with such extension,
refinancing, replacement or renewal) or the terms modified to impose more burdensome terms upon the respective Borrower or its Subsidiary, as the case may be. 
 “Permitted Investment” means: 
 (a) Investments existing on the Closing
Date disclosed in the Schedule; and 
 (b) (i) Marketable direct obligations issued or unconditionally guaranteed by the
United States of America or any agency or any State thereof maturing within one (1) year from the date of acquisition thereof, (ii) commercial paper maturing no more than one (1) year from the date of creation thereof and currently
having rating of at least A-2 or P-2 from either Standard & Poor’s Corporation or Moody’s Investors Service, (iii) Bank’s certificates of deposit maturing no more than one (1) year from the date of investment
therein and (iv) Bank’s money market accounts; 
 (c) Repurchases of stock from former employees, directors or
consultants of a Borrower under the terms of applicable repurchase agreements (i) in an aggregate amount not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in any fiscal year, provided that no Event of Default has occurred, is
continuing or would exist after giving effect to the repurchases, or (ii) in any amount where the consideration for the repurchase is the cancellation of indebtedness owed by such former employees, directors or consultants to such Borrower
regardless of whether an Event of Default exists; 
 (d) Investments in connection with Permitted Transfers; 

  
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 (e) Investments of Subsidiaries in or to other Subsidiaries or a Borrower and Investments by
a Borrower in Subsidiaries not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the aggregate in any fiscal year; 

(f) Investments not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the aggregate in any fiscal year consisting of
(i) travel advances and employee relocation loans and other employee loans and advances in the ordinary course of business, and (ii) loans to employees, officers or directors relating to the purchase of equity securities of a Borrower or
its Subsidiaries pursuant to employee stock purchase plan agreements approved by such Borrower’s Board of Directors; 
 (g)
Investments (including debt obligations) received in connection with the bankruptcy or reorganization of customers or suppliers and in settlement of delinquent obligations of, and other disputes with, customers or suppliers arising in the ordinary
course of a Borrower’s business; 
 (h) Investments consisting of notes receivable of, or prepaid royalties and other credit
extensions, to customers and suppliers who are not Affiliates, in the ordinary course of business, provided that this subparagraph (h) shall not apply to Investments of a Borrower in any Subsidiary; 

(i) Investments in connection with transactions permitted pursuant to Section 7.3; 

(j) Other Investments having cost to a Borrower and its Subsidiaries not exceeding Two Hundred Fifty Thousand Dollars ($250,000) in the
aggregate at any time during the term of this Agreement; and 
 (k) Joint ventures or strategic alliances in the ordinary course
of a Borrower’s business consisting of the non-exclusive licensing of technology, the development of technology or the providing of technical support, provided that any cash Investments by Borrowers do not exceed Two Hundred Fifty Thousand
Dollars ($250,000) in the aggregate in any fiscal year. 
 “Permitted Liens” means the following: 

(a) Any Liens existing on the Closing Date and disclosed in the Schedule (excluding Liens to be satisfied with the proceeds of the
Advances) or arising under this Agreement or the other Loan Documents; 
 (b) Liens for taxes, fees, assessments or other
governmental charges or levies, either not delinquent or being contested in good faith by appropriate proceedings and for which the relevant Borrower maintains adequate reserves, provided the same have no priority over any of Bank’s security
interests; 
 (c) Liens not to exceed Two Hundred Fifty Thousand Dollars ($250,000) in the aggregate (i) upon or in any
Equipment acquired or held by a Borrower or any of its Subsidiaries to secure the purchase price of such Equipment or indebtedness incurred solely for the purpose of financing the acquisition or lease of such Equipment, or (ii) existing on such
Equipment at the time of its acquisition, provided that the Lien is confined solely to the property so acquired and improvements thereon, and the proceeds of such Equipment; 
 (d) Liens incurred in connection with the extension, renewal or refinancing of the indebtedness secured by Liens of the type described in clauses (a) through (c) above, provided that any
extension, renewal or replacement Lien shall be limited to the property encumbered by the existing Lien and the principal amount of the indebtedness being extended, renewed or refinanced does not increase; and 

(e) Deposits in the ordinary course of business under worker’s compensation, unemployment insurance, social security and other
similar laws, or to secure the performance of bids, tenders or contracts (other than for the repayment of borrowed money) or to secure indemnity, performance or other similar bonds for the performance of bids, tenders or contracts (other than for
the repayment of borrowed money) or to secure statutory obligations (other than liens arising under ERISA or environmental liens) or surety or appeal bonds, or to secure indemnity, performance or other similar bonds; 

  
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 (f) Liens of materialmen, mechanics, warehousemen, carriers, artisans or other similar Liens
arising in the ordinary course of Borrower’s business or by operation of law, which are not past due or which are being contested in good faith by appropriate proceedings and for which reserves have been established to the extent required in
accordance with GAAP; and 
 (g) Liens arising from judgments, decrees or attachments in circumstances not constituting an Event
of Default under Sections 8.5 or 8.9. 
 “Permitted Transfer” means the conveyance, sale, lease, transfer or
disposition by a Borrower or any Subsidiary of: 
 (a) Inventory in the ordinary course of business; 

(b) licenses and similar arrangements for the use of the property of a Borrower or its Subsidiaries in the ordinary course of business;

 (c) worn-out or obsolete Equipment; or 
 (d) other assets of Borrowers and their Subsidiaries that do not in the aggregate exceed Two Hundred Fifty Thousand Dollars ($250,000) during any fiscal year. 

“Person” means any individual, sole proprietorship, partnership, limited liability company, joint venture, trust,
unincorporated organization, association, corporation, institution, public benefit corporation, firm, joint stock company, estate, entity or governmental agency. 
 “Prime Rate” means the variable rate of interest, per annum, most recently announced by Bank, as its “prime rate,” whether or not such announced rate is the lowest rate available from
Bank. 
 “Responsible Officer” means each of the Chief Executive Officer, the Chief Operating Officer, the Chief
Financial Officer, and the Controller of a Borrower. 
 “Revolving Line” means a Credit Extension (or multiple credit
extensions) not to exceed Nine Million Dollars ($9,000,000) in the aggregate outstanding at any time. 
 “Revolving
Maturity Date” means November 23, 2011. 
 “Schedule” means the schedule of exceptions attached hereto and
approved by Bank, if any. 
 “Shares” means (i) sixty-five percent (65%) of the issued and outstanding
capital stock, membership units or other securities owned or held of record by a Borrower in any Subsidiary of such Borrower which is not an entity organized under the laws of the United States or any territory thereof, and (ii) one hundred
percent (100%) of the issued and outstanding capital stock, membership units or other securities owned or held of record by a Borrower in any Subsidiary of such Borrower which is an entity organized under the laws of the United States or any
territory thereof. 
 “SOS Reports” means the official reports from the Secretaries of State of each Collateral State,
Chief Executive Office State and Borrower State and other applicable federal, state or local government offices identifying all current security interests filed in the Collateral and Liens of record as of the date of such report. 

“Subordinated Debt” means any debt incurred by a Borrower that is subordinated in writing to the debt owing by such Borrower to
Bank on terms reasonably acceptable to Bank (and identified as being such by such Borrower and Bank). Without limiting the foregoing, provided that Bank and Escalate Capital I, L.P. have entered into a subordination agreement on terms reasonably
acceptable to Bank, the obligations of Borrower in favor of Escalate Capital identified in such subordination agreement shall be included within the meaning of Subordinated Debt irrespective of whether such obligations are included in the definition
of “Excluded Items,” as such term is used in such subordination agreement. 

  
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 “Subsidiary” means any corporation, partnership or limited liability company or
joint venture in which (i) any general partnership interest or (ii) more than fifty percent (50%) of the stock, limited liability company interest or joint venture of which by the terms thereof has the ordinary voting power to elect
the Board of Directors, managers or trustees of the entity, at the time as of which any determination is being made, is owned by a Borrower, either directly or through an Affiliate. 

1.2 Accounting Terms. Any accounting term not specifically defined herein shall be construed in accordance with GAAP and all
calculations shall be made in accordance with GAAP. The term “financial statements” shall include the accompanying notes and schedules. 
 2. LOAN AND TERMS OF PAYMENT. 
 2.1 Credit Extensions. 

(a) Promise to Pay. Borrowers promise to pay to Bank, in accordance with the terms of this Agreement and in lawful money of the
United States of America, the aggregate unpaid principal amount of all Credit Extensions made by Bank to Borrowers, together with interest on the unpaid principal amount of such Credit Extensions at rates in accordance with the terms hereof.

 (b) Advances Under Revolving Line. 
 (i) Amount. Subject to and upon the terms and conditions of this Agreement (1) Parent may request Advances in an aggregate amount outstanding at any time not to exceed the lesser of (A) the
Revolving Line or (B) the Borrowing Base plus the applicable Non-Formula Amount and (2) amounts borrowed pursuant to this Section 2.1(b) may be repaid and reborrowed at any time prior to the Revolving Maturity Date, at which time all
Advances under this Section 2.1(b) shall be immediately due and payable. Borrowers may prepay any Advances without penalty or premium. 
 (ii) Form of Request. Whenever Parent desires an Advance, Parent will notify Bank by facsimile transmission or telephone no later than 3:00 p.m. Central time (1:00 p.m. Central time for wire
transfers), on the Business Day that the Advance is to be made. Each such notification shall be promptly confirmed by a Payment/Advance Form in substantially the form of Exhibit B hereto. Bank is authorized to make Advances under this Agreement,
based upon instructions received from a Responsible Officer or a designee of a Responsible Officer, or without instructions if in Bank’s reasonable discretion such Advances are necessary to meet Obligations which have become due and remain
unpaid. Bank shall be entitled to rely on any telephonic notice given by a person who Bank reasonably believes to be a Responsible Officer or a designee thereof, and Borrowers shall indemnify and hold Bank harmless for any damages or loss suffered
by Bank as a result of such reliance. Bank will credit the amount of Advances made under this Section 2.1(b) to Parent’s deposit account. 
 2.2 Overadvances. If the aggregate amount of the outstanding Advances exceeds the lesser of (a) the Revolving Line or (b) the Borrowing Base plus the applicable Non-Formula Amount at any
time, Borrowers shall immediately pay to Bank, in cash, the amount of such excess. 
 2.3 Interest Rates, Payments, and
Calculations. 
 (a) Interest Rate for Advances. Except as set forth in Section 2.3(b), the Advances shall bear
interest, on the outstanding daily balance thereof, as set forth in the Prime Referenced Rate Addendum to Loan & Security Agreement attached as Exhibit E. 
 (b) Late Fee; Default Rate. If any payment is not made within ten (10) days after the date such payment is due, Borrowers shall pay Bank a late fee equal to the lesser of (i) five percent
(5%) of the amount of such unpaid amount or (ii) the maximum amount permitted to be charged under applicable law; provided that, if a 

  
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 Borrower has sufficient funds in its accounts with Bank to satisfy any such payment and Bank fails or
refuses to debit such accounts to satisfy such payment, no late fee shall be due or payable. All Obligations shall bear interest, from and after the occurrence and during the continuance of an Event of Default, at a rate equal to five
(5) percentage points above the interest rate applicable immediately prior to the occurrence of the Event of Default. 
 (c)
Payments. Interest hereunder shall be due and payable on the first Business Day of each month during the term hereof. Bank shall, at its option, charge such interest, all Bank Expenses, and all Periodic Payments against any of either
Borrower’s deposit accounts or against the Revolving Line, in which case those amounts shall thereafter accrue interest at the rate then applicable hereunder. Any interest not paid when due shall be compounded by becoming a part of the
Obligations, and such interest shall thereafter accrue interest at the rate then applicable hereunder. 
 (d) Computation.
In the event the Prime Rate is changed from time to time hereafter, the applicable rate of interest hereunder shall be increased or decreased, effective as of the day the Prime Rate is changed, by an amount equal to such change in the Prime Rate.
All interest chargeable under the Loan Documents shall be computed on the basis of a three hundred sixty (360) day year for the actual number of days elapsed. 
 2.4 Crediting Payments. Prior to the occurrence of an Event of Default, Bank shall credit a wire transfer of funds, check or other item of payment to such deposit account or Obligation as Parent
specifies. After the occurrence and during the occurrence of an Event of Default, Bank shall have the right, in its sole discretion, to immediately apply any wire transfer of funds, check, or other item of payment Bank may receive to conditionally
reduce Obligations, but such applications of funds shall not be considered a payment on account unless such payment is of immediately available federal funds or unless and until such check or other item of payment is honored when presented for
payment. Notwithstanding anything to the contrary contained herein, any wire transfer or payment received by Bank after 12:00 noon Central time shall be deemed to have been received by Bank as of the opening of business on the immediately following
Business Day. Whenever any payment to Bank under the Loan Documents would otherwise be due (except by reason of acceleration) on a date that is not a Business Day, such payment shall instead be due on the next Business Day, and additional fees or
interest, as the case may be, shall accrue and be payable for the period of such extension. 
 2.5 Fees. Borrowers shall
pay to Bank the following: 
 (a) Facility Fee. On the Closing Date, a fee equal to Eleven Thousand Two Hundred Fifty
Thousand Dollars ($11,250), which shall be nonrefundable; 
 (b) Unused Fee. A fee equal to one quarter of one percent
(0.25%) per annum of the difference between the amount then available under the Revolving Line and the average daily balance outstanding thereunder during the term hereof, paid quarterly in arrears, which shall be nonrefundable; 

(c) Bank Expenses. On the Closing Date, all Bank Expenses incurred through the Closing Date, and, after the Closing Date, all Bank
Expenses as and when they become due. 
 2.6 Term. This Agreement shall become effective on the Closing Date and, subject
to Section 14.7, shall continue in full force and effect for so long as any Obligations remain outstanding or Bank has any obligation to make Credit Extensions under this Agreement. Notwithstanding the foregoing, Bank shall have the right to
terminate its obligation to make Credit Extensions under this Agreement immediately and without notice upon the occurrence and during the continuance of an Event of Default. 
 3. CONDITIONS OF LOANS. 
 3.1 Conditions Precedent to Initial Credit
Extension. The obligation of Bank to make the initial Credit Extension is subject to the condition precedent that Bank shall have received, in form and substance reasonably satisfactory to Bank, the following: 

(a) this Agreement; 

  
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 (b) an officer’s certificate of each Borrower with respect to incumbency and
resolutions authorizing the execution and delivery of this Agreement substantially in the same form attached hereto; 
 (c) UCC
National Form Financing Statement; 
 (d) a warrant to purchase stock; 

(e) if the Shares are certificated, the certificate(s) for the Shares, together with Assignment(s) Separate from Certificate, duly
executed by in blank; 
 (f) current SOS Reports indicating that except for Permitted Liens, there are no other security
interests or Liens of record in the Collateral; 
 (g) the Intercreditor Agreement duly executed by Escalate; 

(h) agreement to furnish insurance in substantially the form attached hereto; 

(i) payment of the fees and Bank Expenses then due specified in Section 2.5 hereof; 

(j) current financial statements, including audited statements for Borrowers’ most recently ended fiscal year, together with an
unqualified opinion, company prepared consolidated and consolidating balance sheets and income statements for the most recently ended month in accordance with Section 6.2, and such other updated financial information as Bank may reasonably
request; 
 (k) current Compliance Certificate in accordance with Section 6.2; 

(l) a Collateral Information Certificate; and 
 (m) such other documents or certificates, and completion of such other matters, as Bank may reasonably deem necessary or appropriate. 

3.2 Conditions Precedent to all Credit Extensions. The obligation of Bank to make each Credit Extension, including the initial
Credit Extension, is further subject to the following conditions: 
 (a) timely receipt by Bank of the Payment/Advance Form as
provided in Section 2.1; and 
 (b) the representations and warranties contained in Section 5 shall be true and correct
in all material respects on and as of the date of such Payment/Advance Form and on the effective date of each Credit Extension as though made at and as of each such date, and no Event of Default shall have occurred and be continuing, or would exist
after giving effect to such Credit Extension (provided, however, that those representations and warranties expressly referring to another date shall be true, correct and complete in all material respects as of such date). The making of each Credit
Extension shall be deemed to be a representation and warranty by Borrowers on the date of such Credit Extension as to the accuracy of the facts referred to in this Section 3.2. 
 4. CREATION OF SECURITY INTEREST. 
 4.1 Grant of Security Interest.
Each Borrower grants and pledges to Bank a continuing security interest in the Collateral to secure prompt repayment of any and all Obligations and to secure prompt performance by Borrowers of each of its covenants and duties under the Loan
Documents. Except as set forth in the Schedule, such security interest constitutes a valid, first priority security interest in the presently existing Collateral, and will constitute a valid, first priority security interest in later-acquired
Collateral, except to the extent such security interests are not perfected or do not have first priority status as a result of any action or inaction by Bank occurring after the execution and delivery of the Loan Documents. Notwithstanding any
termination, Bank’s Lien on the Collateral shall remain in effect for so long as any Obligations are outstanding. Promptly following the satisfaction in full of all Obligations, upon Borrower’s written request therefore and at
Borrower’s sole expense, Bank will cooperate with Borrower to release Bank’s Lien on the Collateral and will execute any reasonable documents reasonably requested by Borrower including, without limitation, UCC termination statements,
evidencing such release. 

  
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 4.2 Perfection of Security Interest. Each Borrower authorizes Bank to file at any
time financing statements, continuation statements, and amendments thereto that (i) either specifically describe the Collateral or describe the Collateral as all assets of such Borrower of the kind pledged hereunder, and (ii) contain any
other information required by the Code for the sufficiency of filing office acceptance of any financing statement, continuation statement, or amendment, including whether such Borrower is an organization, the type of organization and any
organizational identification number issued to such Borrower, if applicable. Any such financing statements may be signed by Bank on behalf of Borrowers, as provided in the Code, and may be filed at any time in any jurisdiction whether or not Revised
Article 9 of the Code is then in effect in that jurisdiction. Each Borrower shall from time to time endorse and deliver to Bank, at the request of Bank, all Negotiable Collateral and other documents that Bank may reasonably request, in form
satisfactory to Bank, to perfect and continue perfected Bank’s security interests in the Collateral and in order to fully consummate all of the transactions contemplated under the Loan Documents. Each Borrower shall have possession of the
Collateral, except where expressly otherwise provided in this Agreement or where Bank reasonably determines to perfect its security interest by possession in addition to the filing of a financing statement. Where Collateral is in possession of a
third party bailee, each Borrower shall take such steps as Bank reasonably requests for Bank to (i) obtain an acknowledgment, in form and substance satisfactory to Bank, of the bailee that the bailee holds such Collateral for the benefit of
Bank, (ii) obtain “control” of any Collateral consisting of investment property, deposit accounts, letter-of-credit rights or electronic chattel paper (as such items and the term “control” are defined in Revised Article 9 of
the Code) by causing the securities intermediary or depositary institution or issuing bank to execute a control agreement in form and substance satisfactory to Bank. No Borrower will create any chattel paper without placing a legend on the chattel
paper acceptable to Bank indicating that Bank has a security interest in the chattel paper. Each Borrower from time to time may deposit with Bank specific cash collateral to secure specific Obligations; each Borrower authorizes Bank to hold such
specific balances in pledge and to decline to honor any drafts thereon or any request by a Borrower or any other Person to pay or otherwise transfer any part of such balances for so long as the specific Obligations are outstanding. 

4.3 Right to Inspect. Bank (through any of its officers, employees, or agents) shall have the right, upon reasonable prior notice,
from time to time during a Borrower’s usual business hours but no more than twice a year (unless an Event of Default has occurred and is continuing), to inspect such Borrower’s Books and to make copies thereof and to check, test, and
appraise the Collateral in order to verify such Borrower’s financial condition or the amount, condition of, or any other matter relating to, the Collateral; provided that Bank will use reasonable efforts to not interfere with Borrower’s
conduct of business in connection with any such inspections, checks, tests or appraisals. 
 4.4 Pledge of Collateral.
Each Borrower hereby pledges, assigns and grants to Bank a security interest in all the Shares, together with all proceeds and substitutions thereof, all cash, stock and other moneys and property paid thereon, all rights to subscribe for securities
declared or granted in connection therewith, and all other cash and noncash proceeds of the foregoing, as security for the performance of the Obligations. On the Closing Date, with respect to certificated shares (and within ten (10) days of the
certification of any Shares not certificated as of the Closing Date), the certificate or certificates for the Shares will be delivered to Bank, accompanied by an instrument of assignment duly executed in blank by the appropriate Borrower. To the
extent required by the terms and conditions governing the Shares, the relevant Borrower shall cause the books of each entity whose Shares are part of the Collateral and any transfer agent to reflect the pledge of the Shares. Upon the occurrence and
during the continuance of an Event of Default hereunder, Bank may effect the transfer of any securities included in the Collateral (including but not limited to the Shares) into the name of Bank and cause new certificates representing such
securities to be issued in the name of Bank or its transferee. Each Borrower will execute and deliver such documents, and take or cause to be taken such actions, as Bank may reasonably request to perfect or continue the perfection of Bank’s
security interest in the Shares. Unless an Event of Default shall have occurred and be continuing, each Borrower shall be entitled to exercise any voting rights with respect to the relevant Shares and to give consents, waivers and ratifications in
respect thereof, provided that no vote shall be cast or consent, waiver or ratification given or action taken which would be inconsistent with any of the terms of this Agreement or which would constitute or create any violation of any of such terms.
All such rights to vote and give consents, waivers and ratifications shall terminate upon the occurrence and during the continuance of an Event of Default. 

  
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 4.5 Lock Box Account 

(a) Borrowers shall direct all customers to mail or deliver all checks or other forms of payment for amounts owing to Borrowers to a post
office box designated by Bank (the “Lockbox”), over which Bank shall have exclusive and unrestricted access. As of the date no later than sixty (60) days after the Closing Date, Borrowers shall open the Lockbox, and thereafter
Borrowers shall at all times maintain the Lockbox in accordance with the terms hereof. All funds received by a Borrower from any source shall immediately be directed to the Lockbox. Bank shall collect the mail delivered to the Lockbox, open such
mail, and endorse and credit all items to the Collections Account (as defined below). Borrowers shall hold in trust for Bank all amounts that Borrowers receive despite the directions to make payments to the Lockbox, and immediately deliver such
payments to Bank in their original form as received from the customer, with proper endorsements for processing through the Lockbox and/or the Collections Account. Each Borrower irrevocably authorizes Bank to transfer to the Lockbox or the
Collections Account any funds that have been deposited into any other accounts or that Bank has received by wire transfer, check, cash, or otherwise. 
 (b) All funds flowing through the Lockbox shall automatically be transferred into a Collections Account at Bank in Borrowers’ name (the “Collections Account”). Borrowers shall direct all
customers or other persons owing money to Borrowers who make payments by electronic transfer of funds to wire such funds directly to the Collections Account. 
 (c) During the continuance of an Event of Default, (i) Bank may apply all or any part of the amounts in the Collections Account to the Obligations as Bank may determine in its sole discretion,
(ii) Bank shall have all right, title and interest in all of the items from time to time flowing through the Lockbox and/or held in the Collections Account and their proceeds and (iii) neither Borrower nor any Person claiming through a
Borrower shall have any right or control over the use of, or any right to withdraw any amount from, the Lockbox and/or the Collections Account, each of which shall be under the sole control of Bank. 

(d) Borrowers shall open an operating account or operating accounts at Bank (collectively, the “Operating Account”), and, so
long as no Event of Default has occurred which is continuing, any amounts in the Collections Account shall be transferred by Bank to the Operating Account. 
 5. REPRESENTATIONS AND WARRANTIES. 
 Each Borrower represents and warrants
as follows: 
 5.1 Due Organization and Qualification. Borrower and each Subsidiary is duly existing under the laws of the
state in which it is organized and qualified and licensed to do business in any state in which the conduct of its business or its ownership of property requires that it be so qualified, except where the failure to do so could not reasonably be
expected to cause a Material Adverse Effect. 
 5.2 Due Authorization; No Conflict. The execution, delivery, and
performance of the Loan Documents are within Borrower’s powers, have been duly authorized, and are not in conflict with nor constitute a breach of any provision contained in Borrower’s Certificate of Incorporation or Bylaws, nor will they
constitute an event of default under any material agreement by which Borrower is bound. Borrower is not in default under any agreement by which it is bound, except to the extent such default could not reasonably be expected to cause a Material
Adverse Effect. 
 5.3 Collateral. Borrower has rights in or the power to transfer the Collateral, and its title to the
Collateral is free and clear of Liens, adverse claims, and restrictions on transfer or pledge except for Permitted Liens. All Collateral is located solely in the Collateral States. The Eligible Accounts are bona fide existing obligations. The
property or services giving rise to such Eligible Accounts has been delivered or rendered to the account debtor or its agent for immediate shipment to and unconditional acceptance by the account debtor.

  
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Borrower has not received notice of actual or imminent Insolvency Proceeding of any account debtor whose accounts are included in any Borrowing Base Certificate as an Eligible Account. All
Inventory is in all material respects of good and merchantable quality, free from all material defects, except for Inventory for which adequate reserves have been made. Except as set forth in the Schedule, none of the Collateral is maintained or
invested with a Person other than Bank or Bank’s Affiliates. 
 5.4 Intellectual Property. Borrower is the sole owner
of its patents, trademarks, copyrights and other intellectual property, except for non-exclusive licenses granted by Borrower to its customers in the ordinary course of business. To the best of Borrower’s knowledge, each of Borrower’s
patents, trademarks and copyrights is valid and enforceable, and no part of its intellectual property has been judged invalid or unenforceable, in whole or in part, and no claim has been made to Borrower that any part of its intellectual property
violates the rights of any third party except to the extent such claim could not reasonably be expected to cause a Material Adverse Effect. 
 5.5 Name; Location of Chief Executive Office. Except as disclosed in the Schedule, Borrower has not done business under any name other than that specified on the signature page hereof, and its
exact legal name is as set forth in the first paragraph of this Agreement. The chief executive office of Borrower is located in the Chief Executive Office State at the address indicated in Section 10 hereof. 

5.6 Litigation. Except as set forth in the Schedule, there are no actions or proceedings pending by or against Borrower or any
Subsidiary before any court or administrative agency in which a likely adverse decision could reasonably be expected to have a Material Adverse Effect. 
 5.7 No Material Adverse Change in Financial Statements. All consolidated and consolidating financial statements related to Borrower and any Subsidiary that are delivered by Borrower to Bank fairly
present in all material respects Borrower’s consolidated and consolidating financial condition as of the date thereof and Borrower’s consolidated and consolidating results of operations for the period then ended. There has not been a
material adverse change in the consolidated or in the consolidating financial condition of Borrower since the date of the most recent of such financial statements submitted to Bank. 

5.8 Solvency, Payment of Debts. Borrower is able to pay its debts (including trade debts) as they mature; the fair saleable value
of Borrower’s assets (including goodwill minus disposition costs) exceeds the fair value of its liabilities; and Borrower is not left with unreasonably small capital after the transactions contemplated by this Agreement. 

5.9 Compliance with Laws and Regulations. Borrower and each Subsidiary have met the minimum funding requirements of ERISA with
respect to any employee benefit plans subject to ERISA. No event has occurred resulting from Borrower’s failure to comply with ERISA that is reasonably likely to result in Borrower’s incurring any liability that could have a Material
Adverse Effect. Borrower is not an “investment company” or a company “controlled” by an “investment company” within the meaning of the Investment Company Act of 1940. Borrower is not engaged principally, or as one of
the important activities, in the business of extending credit for the purpose of purchasing or carrying margin stock (within the meaning of Regulations T and U of the Board of Governors of the Federal Reserve System). Borrower has complied in all
material respects with all the provisions of the Federal Fair Labor Standards Act. To the best of Borrower’s knowledge, Borrower is in compliance with all applicable Environmental Laws, except where the failure to comply is not reasonably
likely to have a Material Adverse Effect. To the best of Borrower’s knowledge, Borrower has not violated any statutes, laws, ordinances or rules applicable to it, the violation of which could reasonably be expected to have a Material Adverse
Effect. Borrower and each Subsidiary have filed or caused to be filed all tax returns required to be filed, and have paid, or have made adequate provision for the payment of, all taxes reflected therein except those being contested in good faith
with adequate reserves under GAAP or where the failure to file such returns or pay such taxes could not reasonably be expected to have a Material Adverse Effect. 
 5.10 Subsidiaries. Borrower does not own any stock, partnership interest or other equity securities of any Person, except for Permitted Investments. 

5.11 Government Consents. Borrower and each Subsidiary have obtained all consents, approvals and authorizations of, made all
declarations or filings with, and given all notices to, all governmental authorities that are necessary for the continued operation of Borrower’s business as currently conducted, except where the failure to do so could not reasonably be
expected to cause a Material Adverse Effect. 

  
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 5.12 Inbound Licenses. Except as disclosed on the Schedule, Borrower is not a party
to, nor is bound by, any license or other agreement that prohibits or otherwise restricts Borrower from granting a security interest in Borrower’s interest in such license or agreement or any other property. 

5.13 Shares. Borrower has full power and authority to create a first lien on the Shares and no disability or contractual obligation
exists that would prohibit Borrower from pledging the Shares pursuant to this Agreement. To Borrower’s knowledge, there are no subscriptions, warrants, rights of first refusal or other restrictions on transfer relative to, or options
exercisable with respect to the Shares. The Shares have been and will be duly authorized and validly issued, and are fully paid and non-assessable. To Borrower’s knowledge, the Shares are not the subject of any present or threatened suit,
action, arbitration, administrative or other proceeding, and Borrower knows of no reasonable grounds for the institution of any such proceedings. 
 5.14 Full Disclosure. No representation, warranty or other statement made by Borrower in any certificate or written statement furnished to Bank taken together with all such certificates and written
statements furnished to Bank contains any untrue statement of a material fact or omits to state a material fact necessary in order to make the statements contained in such certificates or statements not misleading, it being recognized by Bank that
the projections and forecasts provided by Borrower in good faith and based upon reasonable assumptions are not to be viewed as facts and that actual results during the period or periods covered by any such projections and forecasts may differ from
the projected or forecasted results. 
 6. AFFIRMATIVE COVENANTS. 

Each Borrower covenants and agrees that, until payment in full of all outstanding Obligations, and for so long as Bank may have any
commitment to make a Credit Extension hereunder, such Borrower (except as otherwise indicated) shall do all of the following: 

6.1 Good Standing and Government Compliance. Borrower shall maintain its and each of its Subsidiaries’ corporate existence and
good standing in the Borrower State, shall maintain qualification and good standing in each other jurisdiction in which the failure to so qualify could reasonably be expected to have a Material Adverse Effect, and shall furnish to Bank the
organizational identification number issued to Borrower by the authorities of the state in which Borrower is organized, if applicable. Borrower shall meet, and shall cause each Subsidiary to meet, the minimum funding requirements of ERISA with
respect to any employee benefit plans subject to ERISA. Borrower shall comply in all material respects with all applicable Environmental Laws, except where the failure to do so could not reasonably be expected to have a Material Adverse Effect, and
maintain all material permits, licenses and approvals required thereunder where the failure to do so could reasonably be expected to have a Material Adverse Effect. Borrower shall comply, and shall cause each Subsidiary to comply, with all statutes,
laws, ordinances and government rules and regulations to which it is subject, and shall maintain, and shall cause each of its Subsidiaries to maintain, in force all licenses, approvals and agreements, the loss of which or failure to comply with
which could reasonably be expected to have a Material Adverse Effect. 
 6.2 Financial Statements, Reports, Certificates.
Borrowers shall deliver the following to Bank: (i) as soon as available, but in any event within thirty (30) days after the end of each calendar month, a company prepared consolidated and consolidating balance sheet, income statement and
statement of cash flows covering Borrowers’ operations during such period, in a form reasonably acceptable to Bank and certified by a Responsible Officer; (ii) as soon as available, but in any event within one hundred fifty (150) days
after the end of Parent’s fiscal year, audited consolidated and consolidating financial statements of Parent prepared in accordance with GAAP, consistently applied, together with an opinion which is unqualified or otherwise consented to in
writing by Bank on such financial statements of an independent certified public accounting firm reasonably acceptable to Bank; (iii) if applicable, copies of all statements, reports and notices sent or made available generally by a Borrower to
its security holders or to any holders of Subordinated Debt and all reports on Forms 10-K and 10-Q filed with the Securities and Exchange Commission; (iv) promptly upon receipt of notice thereof, a report of any legal actions pending or
threatened against a Borrower or any Subsidiary that could result in damages or costs to a Borrower or any Subsidiary of Two Hundred Fifty Thousand Dollars ($250,000) or more; (v) promptly upon receipt, each 

  
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 management letter prepared by a Borrower’s independent certified public accounting firm regarding such
Borrower’s management control systems; (vi) as soon as available, but in any event no later than January 31 of each year, board approved monthly financial projections of each Borrower acceptable to Bank including balance sheet, income
statement and cash flow statement; (vii) such other budgets, sales projections, operating plans or other financial information generally prepared by a Borrower in the ordinary course of business as Bank may reasonably request from time to time;
and (viii) upon written request of Bank, no later than thirty (30) days after the end of each calendar quarter, a report signed by Borrower, in form reasonably acceptable to Bank, listing any applications or registrations that Borrower has
made or filed in respect of any patents, copyrights or trademarks and the status of any outstanding applications or registrations, as well as any material change in Borrower’s intellectual property. 

(a) Within thirty (30) days after the last day of each month, LDR Spine shall deliver to Bank a Borrowing Base Certificate signed by
a Responsible Officer of LDR Spine in substantially the form of Exhibit C hereto, together with aged listings by invoice date of accounts receivable and accounts payable and an inventory summary. 

(b) Within thirty (30) days after the last day of each month, LDR Spine shall deliver to Bank with the monthly financial statements,
a Compliance Certificate certified as of the last day of the applicable month and signed by a Responsible Officer of LDR Spine in substantially the form of Exhibit D hereto. 
 (c) As soon as possible and in any event within three (3) calendar days after becoming aware of the occurrence or existence of an Event of Default hereunder, a written statement of a Responsible
Officer of Parent setting forth details of the Event of Default, and the action which Parent and the relevant Borrower (if other than Parent) has taken or proposes to take with respect thereto. 

(d) Bank shall have a right from time to time hereafter to audit each Borrower’s Accounts and appraise Collateral at Borrowers’
expense, provided that such audits will be conducted no more often than every six (6) months and the cost to Borrowers shall not be greater than Five Thousand Dollars ($5,000) per audit unless an Event of Default has occurred and is continuing.

 Parent and/or LDR Spine may deliver to Bank on an electronic basis any certificates, reports or information required pursuant
to this Section 6.2, and Bank shall be entitled to rely on the information contained in the electronic files, provided that Bank in good faith believes that the files were delivered by a Responsible Officer. If Parent and/or LDR Spine delivers
this information electronically, it shall also deliver to Bank by U.S. Mail, reputable overnight courier service, hand delivery, facsimile or .pdf file within five (5) Business Days of submission of the unsigned electronic copy the
certification of monthly financial statements, the intellectual property report, the Borrowing Base Certificate and the Compliance Certificate, each bearing the physical signature of the Responsible Officer. 

6.3 Inventory; Returns. Borrower shall keep all Inventory in good and merchantable condition, free from all material defects except
for Inventory for which adequate reserves have been made. Returns and allowances, if any, as between Borrower and its account debtors shall be on substantially the same basis and substantially in accordance with the usual customary practices of
Borrower, as they exist on the Closing Date. Borrower shall promptly notify Bank of all returns and recoveries and of all disputes and claims involving more than Five Hundred Thousand Dollars ($500,000). 

6.4 Taxes. Borrower shall make, and cause each Subsidiary to make, due and timely payment or deposit of all material federal,
state, and local taxes, assessments, or contributions required of it by law, including, but not limited to, those laws concerning income taxes, F.I.C.A., F.U.T.A. and state disability, and will execute and deliver to Bank, on demand, proof
reasonably satisfactory to Bank indicating that Borrower or a Subsidiary has made such payments or deposits and any appropriate certificates attesting to the payment or deposit thereof; provided that Borrower or a Subsidiary need not make any
payment if the amount or validity of such payment is contested in good faith by appropriate proceedings and is reserved against (to the extent required by GAAP) by Borrower. 

  
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 6.5 Insurance. 

(a) Borrower, at its expense, shall keep the Collateral insured against loss or damage by fire, theft, explosion, sprinklers, and all
other hazards and risks, and in such amounts, as ordinarily insured against by other owners in similar businesses conducted in the locations where Borrower’s business is conducted on the date hereof. Borrower shall also maintain liability and
other insurance in amounts and of a type that are customary to businesses similar to Borrower’s. 
 (b) All such policies of
insurance shall be in such form, with such companies, and in such amounts as reasonably satisfactory to Bank. All policies of property insurance shall contain a lender’s loss payable endorsement, in a form satisfactory to Bank, showing Bank as
an additional loss payee, and all liability insurance policies shall show Bank as an additional insured and specify that the insurer must give at least 20 days notice to Bank before canceling its policy for any reason. Upon Bank’s request,
Borrower shall deliver to Bank certified copies of the policies of insurance and evidence of all premium payments. If no Event of Default has occurred and is continuing, proceeds payable under any casualty policy will, at Borrower’s option, be
payable to Borrower to replace the property subject to the claim, provided that any such replacement property shall be deemed Collateral in which Bank has been granted a first priority security interest. If an Event of Default has occurred and is
continuing, all proceeds payable under any such policy shall, at Bank’s option, be payable to Bank to be applied on account of the Obligations. 
 6.6 Accounts. Borrower shall, within ninety (90) days from the Closing Date, maintain all its depository and operating accounts with Bank, and all its investment accounts with Bank or
Bank’s Affiliates. Any accounts maintained outside Bank shall be subject to control agreements in form and content reasonably acceptable to Bank. 
 6.7 Financial Covenants. Borrower shall at all times maintain the following financial ratios and covenants: 
 (a) Performance to Plan. Parent’s consolidated revenue, measured monthly on a trailing six (6) month basis, shall be at least eighty percent (80%) of the monthly projections that
have been approved by Parent’s Board of Directors and attached to the Schedule hereto. Parent shall deliver to Bank updated projections approved by Parent’s Board of Directors for the next fiscal year not later than January 31 of such
fiscal year. Notwithstanding the foregoing, for the months of May 2009 and June 2009, Parent’s actual consolidated revenue shall be used for determining compliance with the foregoing covenant. 

(b) EBITDA. Borrowers shall achieve consolidated EBITDA, measured on a trailing three (3) month basis, not less than
(i) One Million Dollars ($1,000,000) at all times from September 30, 2010 through February 28, 2011 (ii) One Million Eight Hundred Thousand Dollars ($1,800,000) at all times from March 31, 2011 through May 31, 2011 and
(iii) Two Million Dollars ($2,000,000) from June 30, 2011 and at all times thereafter. Notwithstanding the foregoing, if at any time, Borrowers’ determine that they will not be able to maintain the minimum EBITDA covenant above,
Borrowers may elect to immediately reduce the Non-Formula Amount to Zero Dollars ($0) by providing written notice of such election to Bank, and, thereafter, the minimum EBITDA covenant shall no longer be applicable. 

(c) Minimum Cash. Borrowers shall maintain a balance of Cash in a non-interest bearing account at Bank of not less than One Million
Dollars ($1,000,000) at all times. 
 Bank shall have the right to reset the foregoing financial covenants annually, based on
Borrowers’ board of director approved financial projections, beginning on February 28, 2011. 
 6.8 Consent of
Inbound Licensors. Prior to entering into or becoming bound by any license or agreement after the Closing Date, Borrower shall provide written notice to Bank of the material terms of such license or agreement with a description of its likely
impact on Borrower’s business or financial condition. 

  
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 6.9 Creation/Acquisition of Subsidiaries. In the event Borrower or any Subsidiary
creates or acquires any Subsidiary, Borrower and such Subsidiary shall promptly notify Bank of the creation or acquisition of such new Subsidiary and take all such action as may be reasonably required by Bank to cause any such Subsidiary which is a
domestic Subsidiary to guarantee the Obligations of Borrower under the Loan Documents and grant a continuing pledge and security interest in and to the collateral of such Subsidiary (substantially as described on Exhibit A hereto). With respect to
any such foreign or domestic Subsidiary, Borrower shall grant and pledge to Bank a perfected security interest in the stock, units or other evidence of ownership of such Subsidiary. 

6.10 Lessor’s Acknowledgment and Subordination; Foreign Share Pledge Documents. Borrowers shall cause to be executed and
delivered to Bank, within thirty (30) days of the Closing Date, (i) a Lessor’s Acknowledgment and Subordination (or similar) with respect to Borrowers’ leased locations; and (ii) the Foreign Share Pledge Documents; in each
case of (i) and (ii), in form and content reasonably acceptable to Bank. 
 6.11 Further Assurances. At any time and
from time to time Borrower shall execute and deliver such further instruments and take such further action as may reasonably be requested by Bank to effect the purposes of this Agreement. 
 7. NEGATIVE COVENANTS. 
 Each Borrower covenants and agrees that, so long as
any credit hereunder shall be available and until the outstanding Obligations are paid in full or for so long as Bank may have any commitment to make any Credit Extensions, such Borrower will not do any of the following without Bank’s prior
written consent, which shall not be unreasonably withheld: 
 7.1 Dispositions. Convey, sell, lease, license, transfer or
otherwise dispose of (collectively, to “Transfer”), or permit any of its Subsidiaries to Transfer, all or any part of its business or property, or move cash balances on deposit with Bank to accounts opened at another financial institution,
other than Permitted Transfers. 
 7.2 Change in Name, Location, Executive Office, or Executive Management; Change in
Business; Change in Fiscal Year; Change in Control. Change its name or the Borrower State or relocate its chief executive office without thirty (30) days prior written notification to Bank; replace its chief executive officer or chief
financial officer without thirty (30) days prior written notification to Bank; engage in any business, or permit any of its Subsidiaries to engage in any business, other than or reasonably related or incidental to the businesses currently
engaged in by Borrower; change its fiscal year end; suffer or permit a Change in Control. 
 7.3 Mergers or Acquisitions.
Merge or consolidate, or permit any of its Subsidiaries to merge or consolidate, with or into any other business organization (other than mergers or consolidations of a Subsidiary into another Subsidiary or into Borrower), or acquire, or permit any
of its Subsidiaries to acquire, all or substantially all of the capital stock or property of another Person except where (i) such transactions do not in the aggregate exceed Two Hundred Fifty Thousand Dollars ($250,000) during any fiscal year,
(ii) no Event of Default has occurred, is continuing or would exist after giving effect to such transactions, (iii) such transactions do not result in a Change in Control, and (iv) Borrower or the relevant Subsidiary is the surviving
entity. 
 7.4 Indebtedness. Create, incur, assume, guarantee or be or remain liable with respect to any Indebtedness, or
permit any Subsidiary so to do, other than Permitted Indebtedness, or prepay any Indebtedness or take any actions which impose on Borrower an obligation to prepay any Indebtedness, except Indebtedness to Bank. 

7.5 Encumbrances. Create, incur, assume or allow any Lien with respect to any of its property, or assign or otherwise convey any
right to receive income, including the sale of any Accounts, or permit any of its Subsidiaries so to do, except for Permitted Liens. Agree with any Person other than Bank not to grant a security interest in or otherwise encumber, any of its
property, or covenant to any other Person that Borrower in the future will refrain from creating, incurring, assuming or allowing any Lien with respect to any of Borrower’s property, or permit any Subsidiary to do so. 

  
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 7.6 Distributions. Pay any dividends or make any other distribution or payment on
account of or in redemption, retirement or purchase of any capital stock, except that Borrower may (i) repurchase the stock of former employees pursuant to stock repurchase agreements as long as an Event of Default does not exist prior to such
repurchase or would not exist after giving effect to such repurchase, and (ii) repurchase the stock of former employees pursuant to stock repurchase agreements by the cancellation of indebtedness owed by such former employees to Borrower
regardless of whether an Event of Default exists. 
 7.7 Investments. Directly or indirectly acquire or own, or make any
Investment in or to any Person, or permit any of its Subsidiaries so to do, other than Permitted Investments, or maintain or invest any of its property with a Person other than Bank or Bank’s Affiliates or permit any Subsidiary to do so unless
such Person has entered into a control agreement with Bank, in form and substance satisfactory to Bank, or suffer or permit any Subsidiary to be a party to, or be bound by, an agreement that restricts such Subsidiary from paying dividends or
otherwise distributing property to Borrower. 
 7.8 Transactions with Affiliates. Directly or indirectly enter into or
permit to exist any material transaction with any Affiliate of Borrower except for transactions that are in the ordinary course of Borrower’s business, upon fair and reasonable terms that are no less favorable to Borrower than would be obtained
in an arm’s length transaction with a non-affiliated Person. 
 7.9 Subordinated Debt. Make any payment in respect of
any Subordinated Debt, or permit any of its Subsidiaries to make any such payment, except in compliance with the terms of such Subordinated Debt, or amend any provision affecting Bank’s rights contained in any documentation relating to the
Subordinated Debt without Bank’s prior written consent, except to the extent amended in accordance with the terms of the subordination or intercreditor agreement governing such Subordinated Debt. 

7.10 Inventory and Equipment. Store the Inventory or the Equipment with a bailee, warehouseman, or similar third party unless the
third party has been notified of Bank’s security interest and Bank (a) has received an acknowledgment from the third party that it is holding or will hold the Inventory or Equipment for Bank’s benefit or (b) is in possession of
the warehouse receipt, where negotiable, covering such Inventory or Equipment. Except for Inventory sold in the ordinary course of business and except for such other locations as Bank may approve in writing, Borrower shall keep the Inventory and
Equipment only at the locations set forth in the Schedule and such other locations of which Borrower gives Bank prior written notice and as to which Bank files a financing statement, or takes other action, where needed to perfect its security
interest. 
 7.11 No Investment Company; Margin Regulation. Become or be controlled by an “investment company,”
within the meaning of the Investment Company Act of 1940, or become principally engaged in, or undertake as one of its important activities, the business of extending credit for the purpose of purchasing or carrying margin stock, or use the proceeds
of any Credit Extension for such purpose. 
 8. EVENTS OF DEFAULT. 

Any one or more of the following events shall constitute an Event of Default by Borrowers under this Agreement: 

8.1 Payment Default. If a Borrower fails to pay, when due, any of the Obligations; provided that it shall not be an Event of
Default if a Borrower has sufficient funds in its accounts with Bank to satisfy any such Obligations and Bank fails or refuses to debit such accounts to satisfy such Obligations; 

8.2 Covenant Default. 
 (a) If a Borrower fails to perform any obligation under Section 6.2, 6.4, 6.5, 6.6 or 6.7 or violates any of the covenants contained in Article 7 of this Agreement; or 

  
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 (b) If a Borrower fails or neglects to perform or observe any other material term,
provision, condition, covenant contained in this Agreement, in any of the Loan Documents, or in any other present or future agreement between a Borrower and Bank and as to any default under such other term, provision, condition or covenant that can
be cured, has failed to cure such default within ten (10) days after a Borrower receives notice thereof or any officer of a Borrower becomes aware thereof; provided, however, that if the default cannot by its nature be cured within the ten
(10) day period or cannot after diligent attempts by Borrowers be cured within such ten (10) day period, and such default is likely to be cured within a reasonable time, then Borrowers shall have an additional reasonable period (which
shall not in any case exceed thirty (30) days) to attempt to cure such default, and within such reasonable time period the failure to have cured such default shall not be deemed an Event of Default but no Credit Extensions will be made;

 8.3 Defective Perfection. If Bank shall receive at any time following the Closing Date an SOS Report indicating that
except for Permitted Liens, Bank’s security interest in the Collateral is not prior to all other security interests or Liens of record reflected in such SOS Report; 
 8.4 Material Adverse Effect. If there occurs any circumstance or circumstances that could reasonably be expected to have a Material Adverse Effect; 

8.5 Attachment. If any material portion of a Borrower’s assets is attached, seized, subjected to a writ or distress warrant,
or is levied upon, or comes into the possession of any trustee, receiver or person acting in a similar capacity and such attachment, seizure, writ or distress warrant or levy has not been removed, discharged or rescinded within ten (10) days,
or if a Borrower is enjoined, restrained, or in any way prevented by court order from continuing to conduct all or any material part of its business affairs, or if a judgment or other claim becomes a lien or encumbrance upon any material portion of
a Borrower’s assets, or if a notice of lien, levy, or assessment is filed of record with respect to any of a Borrower’s assets by the United States Government, or any department, agency, or instrumentality thereof, or by any state, county,
municipal, or governmental agency, and the same is not paid within ten (10) days after such Borrower receives notice thereof, provided that none of the foregoing shall constitute an Event of Default where such action or event is stayed or an
adequate bond has been posted pending a good faith contest by such Borrower (provided that no Credit Extensions will be required to be made during such cure period); 
 8.6 Insolvency. If a Borrower becomes insolvent, or if an Insolvency Proceeding is commenced by a Borrower, or if an Insolvency Proceeding is commenced against a Borrower and is not dismissed or
stayed within forty-five (45) days (provided that no Credit Extensions will be made prior to the dismissal of such Insolvency Proceeding); 
 8.7 Other Agreements. If there is a default or other failure to perform in any agreement to which a Borrower is a party with a third party or parties resulting in a right by such third party or
parties, whether or not exercised, to accelerate the maturity of any Indebtedness in an amount in excess of Two Hundred Fifty Thousand Dollars ($250,000) or that could have a Material Adverse Effect; 

8.8 Subordinated Debt. If a Borrower makes any payment on account of Subordinated Debt, except to the extent such payment is
allowed under any subordination agreement entered into with Bank; 
 8.9 Judgments. If a judgment or judgments for the
payment of money in an amount, individually or in the aggregate, of at least Two Hundred Fifty Thousand Dollars ($250,000) shall be rendered against a Borrower and shall remain unsatisfied and unstayed for a period of ten (10) days (provided
that no Credit Extensions will be made prior to the satisfaction or stay of such judgment); or 
 8.10 Misrepresentations.
If any material misrepresentation or material misstatement exists now or hereafter in any warranty or representation set forth herein or in any certificate delivered to Bank by any Responsible Officer pursuant to this Agreement or to induce Bank to
enter into this Agreement or any other Loan Document. 

  
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 9. BANK’S RIGHTS AND REMEDIES. 

9.1 Rights and Remedies. Upon the occurrence and during the continuance of an Event of Default, Bank may, at its election, without
notice of its election and without demand, do any one or more of the following, all of which are authorized by Borrowers: 
 (a)
Declare all Obligations, whether evidenced by this Agreement, by any of the other Loan Documents, or otherwise, immediately due and payable (provided that upon the occurrence of an Event of Default described in Section 8.6, all Obligations
shall become immediately due and payable without any action by Bank); 
 (b) Cease advancing money or extending credit to or for
the benefit of Borrowers under this Agreement or under any other agreement between a Borrower and Bank; 
 (c) Settle or adjust
disputes and claims directly with account debtors for amounts, upon terms and in whatever order that Bank reasonably considers advisable; 
 (d) Make such payments and do such acts as Bank considers necessary or reasonable to protect its security interest in the Collateral. Borrowers agree to assemble the Collateral if Bank so requires, and to
make the Collateral available to Bank as Bank may designate. Borrowers authorize Bank to enter the premises where the Collateral is located, to take and maintain possession of the Collateral, or any part of it, and to pay, purchase, contest, or
compromise any encumbrance, charge, or lien which in Bank’s determination appears to be prior or superior to its security interest and to pay all expenses incurred in connection therewith. With respect to any of a Borrower’s owned
premises, Borrowers hereby grant Bank a license to enter into possession of such premises and to occupy the same, without charge, in order to exercise any of Bank’s rights or remedies provided herein, at law, in equity, or otherwise;

 (e) Set off and apply to the Obligations any and all (i) balances and deposits of a Borrower held by Bank, and
(ii) indebtedness at any time owing to or for the credit or the account of a Borrower held by Bank; 
 (f) Ship, reclaim,
recover, store, finish, maintain, repair, prepare for sale, advertise for sale, and sell (in the manner provided for herein) the Collateral. Bank is hereby granted a license or other right, solely pursuant to the provisions of this Section 9.1,
to use, without charge, Borrowers’ labels, patents, copyrights, rights of use of any name, trade secrets, trade names, trademarks, service marks, and advertising matter, or any property of a similar nature, as it pertains to the Collateral, in
completing production of, advertising for sale, and selling any Collateral and, in connection with Bank’s exercise of its rights under this Section 9.1, each Borrower’s rights under all licenses and all franchise agreements shall
inure to Bank’s benefit; 
 (g) Sell the Collateral at either a public or private sale, or both, by way of one or more
contracts or transactions, for cash or on terms, in such manner and at such places (including Borrowers’ premises) as Bank determines is commercially reasonable, and apply any proceeds to the Obligations in whatever manner or order Bank deems
appropriate. Bank may sell the Collateral without giving any warranties as to the Collateral. Bank may specifically disclaim any warranties of title or the like. This procedure will not be considered adversely to affect the commercial reasonableness
of any sale of the Collateral. If Bank sells any of the Collateral upon credit, Borrowers will be credited only with payments actually made by the purchaser, received by Bank, and applied to the indebtedness of the purchaser. If the purchaser fails
to pay for the Collateral, Bank may resell the Collateral and Borrowers shall be credited with the proceeds of the sale; 
 (h)
Bank may credit bid and purchase at any public sale; 
 (i) Apply for the appointment of a receiver, trustee, liquidator or
conservator of the Collateral, without notice and without regard to the adequacy of the security for the Obligations and without regard to the solvency of any Borrower, any guarantor or any other Person liable for any of the Obligations; and

 (j) Any deficiency that exists after disposition of the Collateral as provided above will be paid immediately by Borrowers.

  
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 9.2 Power of Attorney. Effective only upon the occurrence and during the continuance
of an Event of Default, Borrowers hereby irrevocably appoint Bank (and any of Bank’s designated officers, or employees) as each Borrower’s true and lawful attorney to: (a) send requests for verification of Accounts or notify account
debtors of Bank’s security interest in the Accounts; (b) endorse each Borrower’s name on any checks or other forms of payment or security that may come into Bank’s possession; (c) sign each Borrower’s name on any
invoice or bill of lading relating to any Account, drafts against account debtors, schedules and assignments of Accounts, verifications of Accounts, and notices to account debtors; (d) dispose of any Collateral; (e) make, settle, and
adjust all claims under and decisions with respect to a Borrower’s policies of insurance; (f) settle and adjust disputes and claims respecting the accounts directly with account debtors, for amounts and upon terms which Bank determines to
be reasonable; and (g) to file, in its sole discretion, one or more financing or continuation statements and amendments thereto, relative to any of the Collateral without the signature of Borrower where permitted by law; provided Bank may
exercise such power of attorney to sign the name of Borrower on any of the documents described in clause (g) above, regardless of whether an Event of Default has occurred. The appointment of Bank as each Borrower’s attorney in fact, and
each and every one of Bank’s rights and powers, being coupled with an interest, is irrevocable until all of the Obligations have been fully repaid and performed and Bank’s obligation to provide Credit Extensions hereunder is terminated.

 9.3 Accounts Collection. At any time after the occurrence and during the continuance of an Event of Default, Bank may
notify any Person owing funds to a Borrower of Bank’s security interest in such funds and verify the amount of such Account. Borrowers shall collect all amounts owing to Borrowers for Bank, receive in trust all payments as Bank’s trustee,
and immediately deliver such payments to Bank in their original form as received from the account debtor, with proper endorsements for deposit. 
 9.4 Bank Expenses. If a Borrower fails to pay any amounts or furnish any required proof of payment due to third persons or entities, as required under the terms of this Agreement, then Bank may do
any or all of the following after reasonable notice to Borrowers: (a) make payment of the same or any part thereof; (b) set up such reserves under the Revolving Line as Bank deems necessary to protect Bank from the exposure created by such
failure; or (c) obtain and maintain insurance policies of the type discussed in Section 6.5 of this Agreement, and take any action with respect to such policies as Bank deems prudent. Any amounts so paid or deposited by Bank shall
constitute Bank Expenses, shall be immediately due and payable, and shall bear interest at the then applicable rate hereinabove provided, and shall be secured by the Collateral. Any payments made by Bank shall not constitute an agreement by Bank to
make similar payments in the future or a waiver by Bank of any Event of Default under this Agreement. 
 9.5 Bank’s
Liability for Collateral. Bank has no obligation to clean up or otherwise prepare the Collateral for sale. All risk of loss, damage or destruction of the Collateral shall be borne by Borrowers, except to the extent caused by the gross negligence
or willful misconduct of Bank or its agents or employees. 
 9.6 No Obligation to Pursue Others. Bank has no obligation to
attempt to satisfy the Obligations by collecting them from any other Person liable for them and Bank may release, modify or waive any collateral provided by any other Person to secure any of the Obligations, all without affecting Bank’s rights
against Borrowers. Each Borrower waives any right it may have to require Bank to pursue any other Person for any of the Obligations. 
 9.7 Remedies Cumulative. Bank’s rights and remedies under this Agreement, the Loan Documents, and all other agreements shall be cumulative. Bank shall have all other rights and remedies not
inconsistent herewith as provided under the Code, by law, or in equity. No exercise by Bank of one right or remedy shall be deemed an election, and no waiver by Bank of any Event of Default on a Borrower’s part shall be deemed a continuing
waiver. No delay by Bank shall constitute a waiver, election, or acquiescence by it. No waiver by Bank shall be effective unless made in a written document signed on behalf of Bank and then shall be effective only in the specific instance and for
the specific purpose for which it was given. Each Borrower expressly agrees that this Section may not be waived or modified by Bank by course of performance, conduct, estoppel or otherwise. 

9.8 Demand; Protest. Except as otherwise provided in this Agreement, each Borrower waives demand, protest, notice of protest,
notice of default or dishonor, notice of payment and nonpayment and any other notices relating to the Obligations. 

  
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 10. NOTICES. 
 Unless otherwise provided in this Agreement, all notices or demands by any party relating to this Agreement or any other agreement entered into in connection herewith shall be in writing and (except for
financial statements and other informational documents which may be sent by first-class mail, postage prepaid) shall be personally delivered or sent by a recognized overnight delivery service, certified mail, postage prepaid, return receipt
requested, or by telefacsimile to Borrowers or to Bank, as the case may be, at its addresses set forth below: 
  

			
	If to Borrowers:	  	LDR HOLDING CORPORATION
		  	LDR SPINE USA, INC.
		  	4030 West Braker Lane, Ste 360
		  	Austin, TX 78759
		  	Attn: Chief Financial Officer
		  	FAX: (512) 344-3350
		
	with a copy (which shall not constitute notice) to:	  	Andrews Kurth
		  	111 Congress Avenue, Suite 1700
		  	Austin TX 78701
		  	Attn: Carmelo Gordian
		  	FAX: (512) 542-5227
		
	If to Bank:	  	Comerica Bank
		  	39200 Six Mile Road, M/C 7578
		  	Livonia, Michigan 48152
		  	Attn: National Documentation Services
		
	with a copy to:	  	Comerica Bank
		  	300 West 6th Street, Suite 1300
		  	Austin TX 78701
		  	Attn: Donna Day, Vice President
		  	FAX: (512) 427-7178

 The parties hereto may change the address at which they are to receive notices hereunder, by notice in
writing in the foregoing manner given to the other. 
 11. CHOICE OF LAW AND VENUE; JURY TRIAL WAIVER. 

This Agreement shall be governed by, and construed in accordance with, the internal laws of the State of California, without regard to
principles of conflicts of law. Each of Borrower and Bank hereby submits to the exclusive jurisdiction of the state and Federal courts located in the State of California. THE UNDERSIGNED ACKNOWLEDGE THAT THE RIGHT TO TRIAL BY JURY IS A
CONSTITUTIONAL ONE, BUT THAT IT MAY BE WAIVED UNDER CERTAIN CIRCUMSTANCES. TO THE EXTENT PERMITTED BY LAW, EACH PARTY, AFTER CONSULTING (OR HAVING HAD THE OPPORTUNITY TO CONSULT) WITH COUNSEL OF ITS, HIS OR HER CHOICE, KNOWINGLY AND VOLUNTARILY, AND
FOR THE MUTUAL BENEFIT OF ALL PARTIES, WAIVES ANY RIGHT TO TRIAL BY JURY IN THE EVENT OF LITIGATION ARISING OUT OF OR RELATED TO THIS AGREEMENT OR ANY OTHER DOCUMENT, INSTRUMENT OR AGREEMENT BETWEEN THE UNDERSIGNED PARTIES. 

 

	12.	REFERENCE PROVISION. 

 In
the event the Jury Trial Waiver set forth above is not enforceable, the parties elect to proceed under this Judicial Reference Provision. 

  
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 12.1 Mechanics. 

(a) With the exception of the items specified in clause (b), below, any controversy, dispute or claim (each, a “Claim”) between
the parties arising out of or relating to this Agreement or any other document, instrument or agreement between the undersigned parties (collectively in this Section, the “Comerica Documents”), will be resolved by a reference proceeding in
California in accordance with the provisions of Sections 638 et seq. of the California Code of Civil Procedure (“CCP”), or their successor sections, which shall constitute the exclusive remedy for the resolution of any Claim, including
whether the Claim is subject to the reference proceeding. Except as otherwise provided in the Comerica Documents, venue for the reference proceeding will be in the state or federal court in the county or district where the real property involved in
the action, if any, is located or in the state or federal court in the county or district where venue is otherwise appropriate under applicable law (the “Court”). 
 (b) The matters that shall not be subject to a reference are the following: (i) foreclosure of any security interests in real or personal property, (ii) exercise of self-help remedies
(including, without limitation, set-off), (iii) appointment of a receiver and (iv) temporary, provisional or ancillary remedies (including, without limitation, writs of attachment, writs of possession, temporary restraining orders or
preliminary injunctions). This reference provision does not limit the right of any party to exercise or oppose any of the rights and remedies described in clauses (i) and (ii) or to seek or oppose from a court of competent jurisdiction any
of the items described in clauses (iii) and (iv). The exercise of, or opposition to, any of those items does not waive the right of any party to a reference pursuant to this reference provision as provided herein. 

(c) The referee shall be a retired judge or justice selected by mutual written agreement of the parties. If the parties do not agree
within ten (10) days of a written request to do so by any party, then, upon request of any party, the referee shall be selected by the Presiding Judge of the Court (or his or her representative). A request for appointment of a referee may be
heard on an ex parte or expedited basis, and the parties agree that irreparable harm would result if ex parte relief is not granted. Pursuant to CCP § 170.6, each party shall have one peremptory challenge to the referee selected by the
Presiding Judge of the Court (or his or her representative). 
 (d) The parties agree that time is of the essence in conducting
the reference proceedings. Accordingly, the referee shall be requested, subject to change in the time periods specified herein for good cause shown, to (i) set the matter for a status and trial-setting conference within fifteen (15) days
after the date of selection of the referee, (ii) if practicable, try all issues of law or fact within one hundred twenty (120) days after the date of the conference and (iii) report a statement of decision within twenty (20) days
after the matter has been submitted for decision. 
 (e) The referee will have power to expand or limit the amount and duration
of discovery. The referee may set or extend discovery deadlines or cutoffs for good cause, including a party’s failure to provide requested discovery for any reason whatsoever. Unless otherwise ordered based upon good cause shown, no party
shall be entitled to “priority” in conducting discovery, depositions may be taken by either party upon seven (7) days written notice, and all other discovery shall be responded to within fifteen (15) days after service. All
disputes relating to discovery which cannot be resolved by the parties shall be submitted to the referee whose decision shall be final and binding. 
 12.2 Procedures. Except as expressly set forth herein, the referee shall determine the manner in which the reference proceeding is conducted including the time and place of hearings, the order of
presentation of evidence, and all other questions that arise with respect to the course of the reference proceeding. All proceedings and hearings conducted before the referee, except for trial, shall be conducted without a court reporter, except
that when any party so requests, a court reporter will be used at any hearing conducted before the referee, and the referee will be provided a courtesy copy of the transcript. The party making such a request shall have the obligation to arrange for
and pay the court reporter. Subject to the referee’s power to award costs to the prevailing party, the parties will equally share the cost of the referee and the court reporter at trial. 

12.3 Application of Law. The referee shall be required to determine all issues in accordance with existing case law and the
statutory laws of the State of California. The rules of evidence applicable to proceedings at law in the State of California will be applicable to the reference proceeding. The referee shall be empowered to enter equitable as well as legal relief,
enter equitable orders that will be binding on the parties and rule on any motion 

  
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 which would be authorized in a court proceeding, including without limitation motions for summary judgment
or summary adjudication. The referee shall issue a decision at the close of the reference proceeding which disposes of all claims of the parties that are the subject of the reference. Pursuant to CCP § 644, such decision shall be entered by the
Court as a judgment or an order in the same manner as if the action had been tried by the Court and any such decision will be final, binding and conclusive. The parties reserve the right to appeal from the final judgment or order or from any
appealable decision or order entered by the referee. The parties reserve the right to findings of fact, conclusions of laws, a written statement of decision, and the right to move for a new trial or a different judgment, which new trial, if granted,
is also to be a reference proceeding under this provision. 
 12.4 Repeal. If the enabling legislation which provides for
appointment of a referee is repealed (and no successor statute is enacted), any dispute between the parties that would otherwise be determined by reference procedure will be resolved and determined by arbitration. The arbitration will be conducted
by a retired judge or justice, in accordance with the California Arbitration Act §1280 through §1294.2 of the CCP as amended from time to time. The limitations with respect to discovery set forth above shall apply to any such arbitration
proceeding. 
 12.5 THE PARTIES RECOGNIZE AND AGREE THAT ALL CONTROVERSIES, DISPUTES AND CLAIMS RESOLVED UNDER THIS REFERENCE
PROVISION WILL BE DECIDED BY A REFEREE AND NOT BY A JURY. AFTER CONSULTING (OR HAVING HAD THE OPPORTUNITY TO CONSULT) WITH COUNSEL OF ITS, HIS OR HER OWN CHOICE, EACH PARTY KNOWINGLY AND VOLUNTARILY, AND FOR THE MUTUAL BENEFIT OF ALL PARTIES, AGREES
THAT THIS REFERENCE PROVISION WILL APPLY TO ANY CONTROVERSY, DISPUTE OR CLAIM BETWEEN OR AMONG THEM ARISING OUT OF OR IN ANY WAY RELATED TO, THIS AGREEMENT OR THE OTHER COMERICA DOCUMENTS. 
 13. CO-BORROWERS. 
 13.1 Co-Borrowers. Borrowers are jointly and
severally liable for the Obligations and Bank may proceed against one Borrower to enforce the Obligations without waiving its right to proceed against the other Borrower. This Agreement and the Loan Documents are a primary and original obligation of
each Borrower and shall remain in effect notwithstanding future changes in conditions, including any change of law or any invalidity or irregularity in the creation or acquisition of any Obligations or in the execution or delivery of any agreement
between Bank and any Borrower. Each Borrower shall be liable for existing and future Obligations as fully as if all of the Credit Extensions were advanced to such Borrower. Bank may rely on any certificate or representation made by any Borrower as
made on behalf of, and binding on, all Borrowers, including without limitation Advance Request Forms, Borrowing Base Certificates and Compliance Certificates. Borrowers are jointly and severally liable for the Obligations and Bank may proceed
against one or more of the Borrowers to enforce the Obligations without waiving its right to proceed against any of the other Borrowers. Each Borrower appoints each other Borrower as its agent with all necessary power and authority to give and
receive notices, certificates or demands for and on behalf of both Borrowers, to act as disbursing agent for receipt of any Advances on behalf of each Borrower and to apply to Bank on behalf of each Borrower for Advances, any waivers and any
consents. This authorization cannot be revoked, and Bank need not inquire as to one Borrower’s authority to act for or on behalf of another Borrower. 
 13.2 Subrogation and Similar Rights. Notwithstanding any other provision of this Agreement or any other Loan Document, each Borrower irrevocably waives, until all Obligations are paid in full and
Bank has no further obligation to make Credit Extensions to Borrower, all rights that it may have at law or in equity (including, without limitation, any law subrogating the Borrower to the rights of Bank under the Loan Documents) to seek
contribution, indemnification, or any other form of reimbursement from any other Borrower, or any other Person now or hereafter primarily or secondarily liable for any of the Obligations, for any payment made by the Borrower with respect to the
Obligations in connection with the Loan Documents or otherwise and all rights that it might have to benefit from, or to participate in, any security for the Obligations as a result of any payment made by the Borrower with respect to the Obligations
in connection with the Loan Documents or otherwise. Any agreement providing for indemnification, reimbursement or any other arrangement prohibited under this Section shall be null and void. If any payment is made to a Borrower in contravention of
this Section, such Borrower shall hold such payment in trust for Bank and such payment shall be promptly delivered to Bank for application to the Obligations, whether matured or unmatured. 

  
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 13.3 Waivers of Notice. Each Borrower waives, to the extent permitted by law, notice
of acceptance hereof; notice of the existence, creation or acquisition of any of the Obligations; notice of an Event of Default except as set forth herein; notice of the amount of the Obligations outstanding at any time; notice of any adverse change
in the financial condition of any other Borrower or of any other fact that might increase the Borrower’s risk; presentment for payment; demand; protest and notice thereof as to any instrument; and all other notices and demands to which the
Borrower would otherwise be entitled by virtue of being a co-borrower or a surety. Each Borrower waives any defense arising from any defense of any other Borrower, or by reason of the cessation from any cause whatsoever of the liability of any other
Borrower. Bank’s failure at any time to require strict performance by any Borrower of any provision of the Loan Documents shall not waive, alter or diminish any right of Bank thereafter to demand strict compliance and performance therewith.
Each Borrower also waives any defense arising from any act or omission of Bank that changes the scope of the Borrower’s risks hereunder. Each Borrower hereby waives any right to assert against Bank any defense (legal or equitable), setoff,
counterclaim, or claims that such Borrower individually may now or hereafter have against another Borrower or any other Person liable to Bank with respect to the Obligations in any manner or whatsoever. 

13.4 Subrogation Defenses. Until all Obligations are paid in full and Bank has no further obligation to make Credit Extensions to
Borrower, each Borrower hereby waives any defense based on impairment or destruction of its subrogation or other rights against any other Borrower and waives all benefits which might otherwise be available to it under California Civil Code Sections
2809, 2810, 2819, 2839, 2845, 2848, 2849, 2850, 2899, and 3433 and California Code of Civil Procedure Sections 580a, 580b, 580d and 726, as those statutory provisions are now in effect and hereafter amended, and under any other similar statutes now
and hereafter in effect. 
 13.5 Right to Settle, Release. 

13.5.1 The liability of Borrowers hereunder shall not be diminished by (i) any agreement, understanding or representation that any of
the Obligations is or was to be guaranteed by another Person or secured by other property, or (ii) any release or unenforceability, whether partial or total, of rights, if any, which Bank may now or hereafter have against any other Person,
including another Borrower, or property with respect to any of the Obligations. 
 13.5.2 Without notice to any Borrower and
without affecting the liability of any Borrower hereunder, Bank may (i) compromise, settle, renew, extend the time for payment, change the manner or terms of payment, discharge the performance of, decline to enforce, or release all or any of
the Obligations with respect to a Borrower, (ii) grant other indulgences to a Borrower in respect of the Obligations, (iii) modify in any manner any documents relating to the Obligations with respect to a Borrower, (iv) release,
surrender or exchange any deposits or other property securing the Obligations, whether pledged by a Borrower or any other Person, or (v) compromise, settle, renew, or extend the time for payment, discharge the performance of, decline to
enforce, or release all or any obligations of any guarantor, endorser or other Person who is now or may hereafter be liable with respect to any of the Obligations. 
 13.6 Subordination. All indebtedness of a Borrower now or hereafter arising held by another Borrower is subordinated to the Obligations and the Borrower holding the indebtedness shall take all
actions reasonably requested by Bank to effect, to enforce and to give notice of such subordination. 
 14. GENERAL PROVISIONS.

 14.1 Successors and Assigns. This Agreement shall bind and inure to the benefit of the respective successors and
permitted assigns of each of the parties and shall bind all Persons who become bound as a debtor to this Agreement; provided, however, that neither this Agreement nor any rights hereunder may be assigned by a Borrower without Bank’s prior
written consent, which consent may be granted or withheld in Bank’s sole discretion. Bank shall have the right without the consent of or notice to a Borrower to sell, transfer, negotiate, or grant participation in all or any part of, or any
interest in, Bank’s obligations, rights and benefits hereunder. 
 14.2 Indemnification. Each Borrower shall defend,
indemnify and hold harmless Bank and its officers, employees, and agents against: (a) all obligations, demands, claims, and liabilities claimed or asserted by any other party in connection with the transactions contemplated by this Agreement;
and (b) all losses or Bank Expenses in 

  
 - 26 -

 
any way suffered, incurred, or paid by Bank, its officers, employees and agents as a result of or in any way arising out of, following, or consequential to transactions between Bank and a
Borrower whether under this Agreement, or otherwise (including without limitation reasonable attorneys’ fees and expenses), except for losses caused by Bank’s gross negligence or willful misconduct. 

14.3 Time of Essence. Time is of the essence for the performance of all obligations set forth in this Agreement. 

14.4 Severability of Provisions. Each provision of this Agreement shall be severable from every other provision of this Agreement
for the purpose of determining the legal enforceability of any specific provision. 
 14.5 Amendments in Writing,
Integration. All amendments to or terminations of this Agreement or the other Loan Documents must be in writing. All prior agreements, understandings, representations, warranties, and negotiations between the parties hereto with respect to the
subject matter of this Agreement and the other Loan Documents, if any, are merged into this Agreement and the Loan Documents. 

14.6 Counterparts. This Agreement may be executed in any number of counterparts and by different parties on separate counterparts,
each of which, when executed and delivered, shall be deemed to be an original, and all of which, when taken together, shall constitute but one and the same Agreement. 
 14.7 Survival. All covenants, representations and warranties made in this Agreement shall continue in full force and effect so long as any Obligations remain outstanding or Bank has any obligation
to make any Credit Extension to a Borrower. The obligations of Borrowers to indemnify Bank with respect to the expenses, damages, losses, costs and liabilities described in Section 14.2 shall survive until all applicable statute of limitations
periods with respect to actions that may be brought against Bank have run. 
 [Balance of Page Intentionally Left
Blank] 

  
 - 27 -

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

			
	LDR HOLDING CORPORATION
		
	By:	 	 
		
	Title:	 	 
	
	LDR SPINE USA, INC.
		
	By:	 	 
		
	Title:	 	 
	
	COMERICA BANK
		
	By:	 	 
		
	Title:	 	 

 [Signature Page to Loan and Security Agreement] 

			
	DEBTOR	  	LDR HOLDING CORPORATION
		
	SECURED PARTY:	  	COMERICA BANK

 EXHIBIT A 
 COLLATERAL DESCRIPTION ATTACHMENT 
 TO LOAN AND SECURITY AGREEMENT 

All personal property of Borrower (herein referred to as “Borrower” or “Debtor”) whether presently existing or
hereafter created or acquired, and wherever located, including, but not limited to: 
 (a) all accounts (including
health-care-insurance receivables), chattel paper (including tangible and electronic chattel paper), deposit accounts, documents (including negotiable documents), equipment (including all accessions and additions thereto), general intangibles
(including payment intangibles and software), goods (including fixtures), instruments (including promissory notes), inventory (including all goods held for sale or lease or to be furnished under a contract of service, and including returns and
repossessions), investment property (including securities and securities entitlements), letter of credit rights, money, and all of Debtor’s books and records with respect to any of the foregoing, and the computers and equipment containing said
books and records; and 
 (b) any and all cash proceeds and/or noncash proceeds of any of the foregoing, including, without
limitation, insurance proceeds, and all supporting obligations and the security therefor or for any right to payment. All terms above have the meanings given to them in the California Uniform Commercial Code, as amended or supplemented from time to
time, including revised Division 9 of the Uniform Commercial Code-Secured Transactions, added by Stats. 1999, c.991 (S.B. 45), Section 35, operative July 1, 2001. 
 Notwithstanding the foregoing, the Collateral shall not include any copyrights, patents, trademarks, servicemarks and applications therefor, now owned or hereafter acquired, or any claims for damages by
way of any past, present and future infringement of any of the foregoing (collectively, the “Intellectual Property”); provided, however, that the Collateral shall include all accounts and general intangibles that consist of rights to
payment and proceeds from the sale, licensing or disposition of all or any part, or rights in, the foregoing (the “Rights to Payment”). Notwithstanding the foregoing, if a judicial authority (including a U.S. Bankruptcy Court) holds that a
security interest in the underlying Intellectual Property is necessary to have a security interest in the Rights to Payment, then the Collateral shall automatically, and effective as of November 23, 2009, include the Intellectual Property to
the extent necessary to permit perfection of Bank’s security interest in the Rights to Payment. 

			
	DEBTOR	  	LDR SPINE USA, INC.
		
	SECURED PARTY:	  	COMERICA BANK

 EXHIBIT A 
 COLLATERAL DESCRIPTION ATTACHMENT 
 TO LOAN AND SECURITY AGREEMENT 

All personal property of Borrower (herein referred to as “Borrower” or “Debtor”) whether presently existing or
hereafter created or acquired, and wherever located, including, but not limited to: 
 (c) all accounts (including
health-care-insurance receivables), chattel paper (including tangible and electronic chattel paper), deposit accounts, documents (including negotiable documents), equipment (including all accessions and additions thereto), general intangibles
(including payment intangibles and software), goods (including fixtures), instruments (including promissory notes), inventory (including all goods held for sale or lease or to be furnished under a contract of service, and including returns and
repossessions), investment property (including securities and securities entitlements), letter of credit rights, money, and all of Debtor’s books and records with respect to any of the foregoing, and the computers and equipment containing said
books and records; and 
 (d) any and all cash proceeds and/or noncash proceeds of any of the foregoing, including, without
limitation, insurance proceeds, and all supporting obligations and the security therefor or for any right to payment. All terms above have the meanings given to them in the California Uniform Commercial Code, as amended or supplemented from time to
time, including revised Division 9 of the Uniform Commercial Code-Secured Transactions, added by Stats. 1999, c.991 (S.B. 45), Section 35, operative July 1, 2001. 
 Notwithstanding the foregoing, the Collateral shall not include any copyrights, patents, trademarks, servicemarks and applications therefor, now owned or hereafter acquired, or any claims for damages by
way of any past, present and future infringement of any of the foregoing (collectively, the “Intellectual Property”); provided, however, that the Collateral shall include all accounts and general intangibles that consist of rights to
payment and proceeds from the sale, licensing or disposition of all or any part, or rights in, the foregoing (the “Rights to Payment”). Notwithstanding the foregoing, if a judicial authority (including a U.S. Bankruptcy Court) holds that a
security interest in the underlying Intellectual Property is necessary to have a security interest in the Rights to Payment, then the Collateral shall automatically, and effective as of November 23, 2009, include the Intellectual Property to
the extent necessary to permit perfection of Bank’s security interest in the Rights to Payment. 

 EXHIBIT B 
 TECHNOLOGY & LIFE SCIENCES DIVISION 
 LOAN ANALYSIS

 LOAN ADVANCE/PAYDOWN REQUEST FORM 
 DEADLINE FOR SAME DAY PROCESSING IS [3:00* P.M., Central Time/ 3:00 P.M. Eastern Time] 
 DEADLINE FOR NEXT DAY PROCESSING IS [3:00* P.M., Central Time/ 3:00 P.M. Eastern Time] 
 DEADLINE FOR WIRE TRANSFERS IS [1:30 P.M., Central Time/ 3:30 P.M. Eastern Time] 

[*At month end and the day before a holiday, the cut off time is 1:30 P.M., Central Time] 

 

					
	To: Loan Analysis	  	DATE: _______________	 	TIME: ______________
	FAX #: (512) 427-7178	  		 	

							
	FROM:	 	LDR SPINE USA, INC.	  	 	 	TELEPHONE REQUEST (For Bank Use Only):
	 	 	Borrower’s Name	  	 	 	 
	FROM:	 	  
 Authorized Signer’s Name
	  	 	 	 The following person is authorized to request the loan
payment
 transfer/loan advance on the designated account and is known to me.

	 	 		  	 
	FROM:	 	  
	  	 	 	  

	 	 	Authorized Signer’s Name	  	 	 	Authorized Request & Phone #
	PHONE #:	 	  
	  	 	 	  

	 	 		  	 	 	Received by (Bank) & Phone #
	FROM ACCOUNT#:	 		  	 	 	 
	(please include Note number, if applicable)	  	 	 	 
	TO ACCOUNT #:	 		  	 	 	Authorized Signature (Bank)
	(please include Note number, if applicable)	  	 	 	 

					
	  
 REQUESTED TRANSACTION TYPE
	  	  

REQUESTED DOLLAR AMOUNT
	  	  

For Bank Use Only

	 	  	 	  	 
	PRINCIPAL INCREASE* (ADVANCE)	  	$ ___________________________________	  	Date Rec’d:
	PRINCIPAL PAYMENT (ONLY)	  	$ ___________________________________	  	Time:
	 	  	 	  	Comp. Status:      YES        NO
	OTHER INSTRUCTIONS:	  	 	  	Status Date:
	 	  	 	  	Time:
	 	  	 	  	Approval:

 All representations and warranties of Borrowers stated in the Loan Agreement are true, correct and complete in all
material respects as of the date of the telephone request for and advance confirmed by this Borrowing Certificate; provided, however, that those representations and warranties the date expressly referring to another date shall be true, correct and
complete in all material respects as of such date. 
 *IS THERE A WIRE REQUEST TIED TO THIS LOAN ADVANCE? (PLEASE CIRCLE ONE
              YES               NO 

If YES, the Outgoing Wire Transfer Instructions must be completed below. 

 

							
	OUTGOING WIRE TRANSFER INSTRUCTIONS	  	 	  	
Fed Reference Number  
  
	  	
Bank Transfer Number
  

	
The items marked with an asterisk (*) are required to be completed.

 
  

	*Beneficiary Name	  	 
	*Beneficiary Account Number	  	 
	*Beneficiary Address	  	 
	  Currency Type	  	US DOLLARS ONLY
	*ABA Routing Number (9 Digits)	  	 
	*Receiving Institution Name	  	 
	*Receiving Institution Address	  	 
	*Wire Account	  	$

 EXHIBIT C 
 BORROWING BASE CERTIFICATE 
 Borrowers: LDR HOLDING CORPORATION and LDR SPINE USA, INC. Lender:
Comerica Bank 
 Commitment Amount: $9,000,000 
  

									
	 ACCOUNTS RECEIVABLE
	  				  			
	 1.   Accounts Receivable Book Value as of
	  				  	$	_______	  
	 2.   Additions (please explain on reverse)
	  				  	$	_______	  
	 3.   TOTAL ACCOUNTS RECEIVABLE
	  				  	$	_______	  
	 ACCOUNTS RECEIVABLE DEDUCTIONS (without duplication)
	  				  			
	 4    Amounts over 90 days due (non-Hospital/Surgical Center Accounts)
	  	$	_______	  	  			
	 5    Balance of 25% over 90 day accounts (non-Hospital/Surgical Center Accounts)
	  	$	_______	  	  			
	 6.   Concentration Limits
	  	$	_______	  	  			
	 7.   Foreign Accounts
	  	$	_______	  	  			
	 8.   Governmental Accounts
	  	$	_______	  	  			
	 9.   Contra Accounts
	  	$	_______	  	  			
	 10. Demo Accounts
	  	$	_______	  	  			
	 11. Intercompany/Employee Accounts
	  	$	_______	  	  			
	 12  [Reserved.]
	  	$	_______	  	  			
	 13. Other (please explain on reverse)
	  	$	_______	  	  			
	 14. TOTAL ACCOUNTS RECEIVABLE DEDUCTIONS
	  				  	$	_______	  
	 15. Eligible Accounts (#3 minus #14)
	  				  	$	_______	  
	 16. LOAN VALUE OF ACCOUNTS (80% of #15)
	  				  	$	_______	  
	 17. HOSPITAL/SURGICAL CENTER ACCOUNTS
	  				  	$	_______	  
	 18. Amounts over 120 days due
	  	$	_______	  	  			
	 19. Balance of 25% over 120 days
	  	$	_______	  	  			
	 20. LOAN VALUE OF HOSPITAL/SURGICAL CENTER ACCOUNTS (80% of #18 plus #19)
	  				  	$	_______	  
	 FDA APPROVED FINISHED GOODS INVENTORY
	  				  			
	 21. FDA Approved Finished Goods Inventory in the possession of LDR Spine as of
            
	  				  	$	_______	  
	 22. LOAN VALUE OF INVENTORY (least of 20% of #17 or (ii) 50% of the Borrowing Base or (iii) $2,500,000)
	  				  	$	_______	  
	 BALANCES
	  				  			
	 23. Maximum Loan Amount
	  				  	$	9,000,000	  
	 24. Total Funds Available [Lesser of #23 or #16 + # 20 + # 22]
	  				  	$	_______	  
	 25. Present balance owing on Line of Credit
	  				  	$	_______	  
	 26. RESERVE POSITION (#24 minus #25)
	  				  	$	_______	  

 The undersigned represents and warrants that the foregoing is true, complete and correct, and that the information
reflected in this Borrowing Base Certificate complies with the representations and warranties set forth in the Loan and Security Agreement between the undersigned and Comerica Bank. 

 

			
	LDR SPINE USA, INC., for itself and on behalf of all Borrowers
		
	 By:
	 	 
		 	     Authorized Signer

 EXHIBIT D 
 COMPLIANCE CERTIFICATE 
  

			
	Please send all Required Reporting to:	  	Comerica Bank
		  	Technology & Life Sciences Division
		  	Loan Analysis Department
		  	Five Palo Alto Square, Suite 800
		  	3000 El Camino Real
		  	Palo Alto, CA 94306
		  	Phone: (650) 846-6820
		  	Fax: (650) 846-6840
	
	FROM:     LDR SPINE USA, INC., for itself and on behalf of all Borrowers

 The undersigned authorized Officer of LDR SPINE USA, INC., for itself and on behalf of all
Borrowers, hereby certifies that in accordance with the terms and conditions of the Loan and Security Agreement between Borrowers and Bank (the “Agreement”), (i) each Borrower is in complete compliance for the period ending
                             with all required covenants except as noted below and (ii) all
representations and warranties of each Borrower stated in the Agreement are true and correct in all material respects as of the date hereof. Attached herewith are the required documents supporting the above certification. The Officer further
certifies that these are prepared in accordance with Generally Accepted Accounting Principles (GAAP) and are consistently applied from one period to the next except as explained in an accompanying letter or footnotes. The Officer further
acknowledges that at any time a Borrower is not in compliance with all the terms set forth in the Agreement, including, without limitation, the financial covenants, reporting covenants and limitations on Indebtedness, Investments, Liens and
Transfers, no Credit Extensions will be made 
 Please indicate compliance status by circling Yes/No under “Complies”
or “Applicable” column. 
  

							
	 REPORTING COVENANTS
	  	 REQUIRED
	  	COMPLIES
	 Company Prepared Monthly F/S
	  	Monthly, within 30 days	  	YES	  	NO
	 Compliance Certificate
	  	Monthly, within 30 days	  	YES	  	NO
	 CPA Audited, Unqualified F/S
	  	Annually, within 150 days of FYE	  	YES	  	NO
	 Borrowing Base Cert., A/R & A/P Agings
	  	Monthly, within 30 days	  	YES	  	NO
	 Annual Board Approved Projections
	  	By 1/31	  	YES	  	NO
	 Collateral Audit
	  	Within 60 days of closing and Semi-annual	  	YES	  	NO
	 If Public:
	  		  		  	
	 10-Q
	  	Quarterly, within 5 days of SEC filing (50 days)	  	YES	  	NO
	 10-K
	  	Annually, within 5 days of SEC filing (95 days)	  	YES	  	NO
	 Total amount of Borrower’s cash and investments
	  	Amount: $ ___________________	  	YES	  	NO
	 Total amount of Borrower’s cash and investments maintained with Bank
	  	Amount: $ ___________________	  	YES	  	NO

  

													
	 FINANCIAL
	  	REQUIRED	 	 	ACTUAL	 	 	COMPLIES
	 TO BE TESTED MONTHLY, UNLESS OTHERWISE NOTED:
	   
	 		  	
	 Minimum Trailing 6-month revenue
	  	 	80% of plan	  	 	 	__% of Plan	  	 	YES	  	NO
	 Minimum Trailing 3-month EBITDA
	  	 	*	  	 	$	________	  	 	YES	  	NO
	 Minimum Cash in non interest bearing account at Bank
	  	$	1,000,000	  	 	$	 ________	  	 	YES	  	NO

  

	*	(i) One Million Dollars ($1,000,000) at all times from September 30, 2010 through February 28, 2011 (ii) One Million Eight Hundred Thousand Dollars
($1,800,000) at all times from March 31, 2011 through May 31, 2011 and (iii) Two Million Dollars ($2,000,000) from June 30, 2011 and at all times thereafter. 

 Please Enter Below Comments Regarding Violations: 

The Officer further acknowledges that at any time a Borrower is not in compliance with all the terms set forth in the Agreement,
including, without limitation, the financial covenants, no credit extensions will be made. 
  

	
	 Very truly yours,
  

	 Authorized Signer
  

	 Name:

 

	Title:

 EXHIBIT E 
 PRIME REFERENCED RATE ADDENDUM TO LOAN AND SECURITY AGREEMENT 

[please see attached] 

 SCHEDULE OF EXCEPTIONS 
 Permitted Indebtedness (Section 1.1) 
 1. Indebtedness incurred pursuant to that certain
Loan and Security Agreement dated as of January 31, 2007 by and between Parent and Escalate Capital I, L.P., as amended from time to time (the “Escalate Debt”). 
 2. Up to up to an aggregate of US $6,300,000 in principal Indebtedness incurred by LDR Medical, SAS under agreements it has with certain lenders based on the exchange rate of US $1.40 per Euro.

 Permitted Investments (Section 1.1) 
 Parent has a beneficial ownership interest in the following Subsidiaries: LDR Spine USA, Inc., LDR Medical, SAS and LDR Brasil Comercio, Importacao e Exportacao Ltda. 

Permitted Liens (Section 1.1) 
 Liens
securing the Escalate Debt.  
 Prior Names (Section 5.5) 
 None. 
 Litigation (Section 5.6) 
 None. 
 Inbound Licenses (Section 5.12) 

None. 

 Corporation Resolutions and Incumbency Certification 

Authority to Procure Loans 

I certify that I am the duly elected and qualified Secretary of LDR HOLDING CORPORATION; that the following is a true and correct copy of resolutions
duly adopted by the Board of Directors of the Corporation in accordance with its bylaws and applicable statutes. 
 Copy of Resolutions:

 Be it Resolved, That: 
  

	1.	Any one (1) of the following                     (insert titles
only) of the Corporation are/is authorized, for, on behalf of, and in the name of the Corporation to: 

  

	 	(a)	Negotiate and procure loans, letters of credit and other credit or financial accommodations from Comerica Bank (“Bank”), a Texas banking association,
including, without limitation, that certain Loan and Security Agreement dated as of November 23, 2009, as may subsequently be amended from time to time. 

 

	 	(b)	Discount with the Bank, commercial or other business paper belonging to the Corporation made or drawn by or upon third parties, without limit as to amount;

  

	 	(c)	Purchase, sell, exchange, assign, endorse for transfer and/or deliver certificates and/or instruments representing stocks, bonds, evidences of Indebtedness or other
securities owned by the Corporation, whether or not registered in the name of the Corporation; 

  

	 	(d)	Give security for any liabilities of the Corporation to the Bank by grant, security interest, assignment, lien, deed of trust or mortgage upon any real or personal
property, tangible or intangible of the Corporation; 

  

	 	(e)	Issue a warrant or warrants to purchase the Corporation’s capital stock; and 

 

	 	(f)	Execute and deliver in form and content as may be required by the Bank any and all notes, evidences of Indebtedness, applications for letters of credit, guaranties,
subordination agreements, loan and security agreements, financing statements, assignments, liens, deeds of trust, mortgages, trust receipts and other agreements, instruments or documents to carry out the purposes of these Resolutions, any or all of
which may relate to all or to substantially all of the Corporation’s property and assets. 

  

	2.	Said Bank be and it is authorized and directed to pay the proceeds of any such loans or discounts as directed by the persons so authorized to sign, whether so payable
to the order of any of said persons in their individual capacities or not, and whether such proceeds are deposited to the individual credit of any of said persons or not; 

 

	3.	Any and all agreements, instruments and documents previously executed and acts and things previously done to carry out the purposes of these Resolutions are ratified,
confirmed and approved as the act or acts of the Corporation. 

  

	4.	These Resolutions shall continue in force, and the Bank may consider the holders of said offices and their signatures to be and continue to be as set forth in a
certified copy of these Resolutions delivered to the Bank, until notice to the contrary in writing is duly served on the Bank (such notice to have no effect on any action previously taken by the Bank in reliance on these Resolutions).

	5.	Any person, corporation or other legal entity dealing with the Bank may rely upon a certificate signed by an officer of the Bank to effect that these Resolutions and
any agreement, instrument or document executed pursuant to them are still in full force and effect and binding upon the Corporation. 

  

	6.	The Bank may consider the holders of the offices of the Corporation and their signatures, respectively, to be and continue to be as set forth in the Certificate of the
Secretary of the Corporation until notice to the contrary in writing is duly served on the Bank. 

 I further certify that the
above Resolutions are in full force and effect as of the date of this Certificate; that these Resolutions and any borrowings or financial accommodations under these Resolutions have been properly noted in the corporate books and records, and have
not been rescinded, annulled, revoked or modified; that neither the foregoing Resolutions nor any actions to be taken pursuant to them are or will be in contravention of any provision of the articles of incorporation or bylaws of the Corporation or
of any agreement, indenture or other instrument to which the Corporation is a party or by which it is bound; and that neither the articles of incorporation nor bylaws of the Corporation nor any agreement, indenture or other instrument to which the
Corporation is a party or by which it is bound require the vote or consent of shareholders of the Corporation to authorize any act, matter or thing described in the foregoing Resolutions. 
 I further certify that the following named persons have been duly elected to the offices set opposite their respective names, that they continue to hold these offices at the present time, and that the
signatures which appear below are the genuine, original signatures of each respectively: 
 (PLEASE SUPPLY GENUINE SIGNATURES
OF AUTHORIZED SIGNERS BELOW) 
  

					
	NAME (Type or Print)	  	TITLE	  	SIGNATURE
			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

 In Witness Whereof, I have affixed my name as Secretary and have caused the corporate seal (where available) of said
Corporation to be affixed on November 23, 2009. 
  

	
	  
	Secretary, LDR HOLDING CORPORATION

  

					
	 The Above Statements are Correct.
	 		  	 
		 		  	SIGNATURE OF OFFICER OR DIRECTOR OR, IF NONE. A SHAREHOLDER OTHER THAN SECRETARY WHEN SECRETARY IS AUTHORIZED TO SIGN ALONE.

 Failure to complete the above when the Secretary is authorized to sign alone shall constitute a certification by the
Secretary that the Secretary is the sole Shareholder, Director and Officer of the Corporation. 

 Corporation Resolutions and Incumbency Certification 

Authority to Procure Loans 

I certify that I am the duly elected and qualified Secretary of LDR SPINE USA, INC.; that the following is a true and correct copy of resolutions duly
adopted by the Board of Directors of the Corporation in accordance with its bylaws and applicable statutes. 
 Copy of Resolutions:

 Be it Resolved, That: 
  

	1.	Any one (1) of the following                     (insert titles
only) of the Corporation are/is authorized, for, on behalf of, and in the name of the Corporation to: 

  

	 	(a)	Negotiate and procure loans, letters of credit and other credit or financial accommodations from Comerica Bank (“Bank”), a Michigan banking corporation,
including, without limitation, that certain Loan and Security Agreement dated as of November 23, 2009, as may subsequently be amended from time to time. 

 

	 	(b)	Discount with the Bank, commercial or other business paper belonging to the Corporation made or drawn by or upon third parties, without limit as to amount;

  

	 	(c)	Purchase, sell, exchange, assign, endorse for transfer and/or deliver certificates and/or instruments representing stocks, bonds, evidences of Indebtedness or other
securities owned by the Corporation, whether or not registered in the name of the Corporation; 

  

	 	(d)	Give security for any liabilities of the Corporation to the Bank by grant, security interest, assignment, lien, deed of trust or mortgage upon any real or personal
property, tangible or intangible of the Corporation; and 

  

	 	(e)	Execute and deliver in form and content as may be required by the Bank any and all notes, evidences of Indebtedness, applications for letters of credit, guaranties,
subordination agreements, loan and security agreements, financing statements, assignments, liens, deeds of trust, mortgages, trust receipts and other agreements, instruments or documents to carry out the purposes of these Resolutions, any or all of
which may relate to all or to substantially all of the Corporation’s property and assets. 

  

	2.	Said Bank be and it is authorized and directed to pay the proceeds of any such loans or discounts as directed by the persons so authorized to sign, whether so payable
to the order of any of said persons in their individual capacities or not, and whether such proceeds are deposited to the individual credit of any of said persons or not; 

 

	3.	Any and all agreements, instruments and documents previously executed and acts and things previously done to carry out the purposes of these Resolutions are ratified,
confirmed and approved as the act or acts of the Corporation. 

  

	4.	These Resolutions shall continue in force, and the Bank may consider the holders of said offices and their signatures to be and continue to be as set forth in a
certified copy of these Resolutions delivered to the Bank, until notice to the contrary in writing is duly served on the Bank (such notice to have no effect on any action previously taken by the Bank in reliance on these Resolutions).

  

	5.	Any person, corporation or other legal entity dealing with the Bank may rely upon a certificate signed by an officer of the Bank to effect that these Resolutions and
any agreement, instrument or document executed pursuant to them are still in full force and effect and binding upon the Corporation. 

	6.	The Bank may consider the holders of the offices of the Corporation and their signatures, respectively, to be and continue to be as set forth in the Certificate of the
Secretary of the Corporation until notice to the contrary in writing is duly served on the Bank. 

 I further certify that the
above Resolutions are in full force and effect as of the date of this Certificate; that these Resolutions and any borrowings or financial accommodations under these Resolutions have been properly noted in the corporate books and records, and have
not been rescinded, annulled, revoked or modified; that neither the foregoing Resolutions nor any actions to be taken pursuant to them are or will be in contravention of any provision of the articles of incorporation or bylaws of the Corporation or
of any agreement, indenture or other instrument to which the Corporation is a party or by which it is bound; and that neither the articles of incorporation nor bylaws of the Corporation nor any agreement, indenture or other instrument to which the
Corporation is a party or by which it is bound require the vote or consent of shareholders of the Corporation to authorize any act, matter or thing described in the foregoing Resolutions. 
 I further certify that the following named persons have been duly elected to the offices set opposite their respective names, that they continue to hold these offices at the present time, and that the
signatures which appear below are the genuine, original signatures of each respectively: 
 (PLEASE SUPPLY GENUINE SIGNATURES
OF AUTHORIZED SIGNERS BELOW) 
  

					
	NAME (Type or Print)	  	TITLE	  	SIGNATURE
			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

			
		  		  	
	  
	  	  
	  	  

 In Witness Whereof, I have affixed my name as Secretary and have caused the corporate seal (where available) of said
Corporation to be affixed on November 23, 2009. 
  

	
	  
	Secretary, LDR SPINE USA, INC.

  

					
	 The Above Statements are Correct.
	 		  	 
		 		  	SIGNATURE OF OFFICER OR DIRECTOR OR, IF NONE. A SHAREHOLDER OTHER THAN SECRETARY WHEN SECRETARY IS AUTHORIZED TO SIGN ALONE.

 Failure to complete the above when the Secretary is authorized to sign alone shall constitute a certification by the
Secretary that the Secretary is the sole Shareholder, Director and Officer of the Corporation. 

 ATTN: LDR HOLDING CORPORATION AND LDR SPINE USA, INC. 

USA PATRIOT ACT 
 NOTICE 
 OF 

CUSTOMER IDENTIFICATION 
 IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT 
 To help the
government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. 

WHAT THIS MEANS FOR YOU: when you open an account, we will ask your name, address, date of birth, and other information that will allow
us to identify you. We may also ask to see your driver’s license or other identifying documents. 

 COMERICA BANK 
 Member FDIC 
 ITEMIZATION OF AMOUNT FINANCED 

DISBURSEMENT INSTRUCTIONS 
 (Revolver) 
  

			
	Name(s): LDR HOLDING CORPORATION and LDR SPINE USA, INC.	  	Date: November 23, 2009

  

			
	    $	  	credited to deposit account No.             when Advances are requested by LDR HOLDING CORPORATION or LDR SPINE USA,
INC.
	
	 Amounts paid to others on your behalf:

		
	    $	  	to Comerica Bank for Loan Fee
		
	    $	  	to Comerica Bank for Document Fee
		
	    $	  	to Comerica Bank for accounts receivable audit (estimate)
		
	    $	  	to Bank counsel fees and expenses
		
	    $	  	to                 
		
	    $	  	to                 
		
	    $	  	TOTAL (AMOUNT FINANCED)

 Upon consummation of this transaction, this document will also serve as the authorization for Comerica Bank to disburse
the loan proceeds as stated above. 
  

							
	 	 		 		 	 
	Signature	 		 		 	Signature

  
 

 
 Agreement to Furnish Insurance 
 (Herein called “Bank”) 
 Borrower(s): LDR HOLDING CORPORATION or LDR SPINE USA, INC.

 I understand that the Security Agreement or Deed of Trust which I executed in connection with this transaction requires me to provide a
physical damage insurance policy including a Lenders Loss Payable Endorsement in favor of the Bank as shown below, within ten (10) days from the date of this agreement. 
 The following minimum insurance must be provided according to the terms of the security documents. 
  

			
	
 ̈      AUTOMOBILES, TRUCKS,
RECREATIONAL VEHICLES
 Comprehensive & Collision

Lender’s Loss Payable Endorsement
	  	
 ̈      MACHINERY &
EQUIPMENT: MISCELLANEOUS PERSONAL PROPERTY
 Fire & Extended Coverage 

Lender’s Loss Payable Endorsement
  ̈ Breach of Warranty Endorsement

		
	
 ̈      BOATS

All Risk Hull Insurance
 Lender’s Loss Payable Endorsement

 ̈ Breach of Warranty Endorsement
	  	
 ̈      AIRCRAFT

All Risk Ground & Flight Insurance 
 Lender’s Loss Payable Endorsement

 ̈ Breach of Warranty Endorsement

		
	  ̈      MOBILE
HOMES
 Fire, Theft & Combined Additional Coverage

Lender’s Loss Payable Endorsement
  ̈ Earthquake
	  	  ̈      REAL
PROPERTY
 Fire & Extended Coverage 

Lender’s Loss Payable Endorsement
  ̈ All Risk Coverage
  ̈ Special Form Risk Coverage

 ̈
  ̈ Earthquake

	  ̈      INVENTORY
	  	  ̈ Other

  

			
	  ̈      Other
	  	 
		
		  	 
		
		  	 

 I may obtain the required insurance from any company that is acceptable to the Bank, and will deliver proof of such
coverage with an effective date of November 23, 2009 or earlier. 
 I understand and agree that if I fail to deliver proof of insurance to
the Bank at the address below, or upon the lapse or cancellation of such insurance, the Bank may procure Lender’s Single Interest Insurance or other similar coverage on the property. If the Bank procures insurance to protect its interest in the
property described in the security documents, the cost for the insurance will be added to my indebtedness as provided in the security documents. Lender’s Single Interest Insurance shall cover only the Bank’s interest as a secured party,
and shall become effective at the earlier of the funding date of this transaction or the date my insurance was canceled or expired. I UNDERSTAND THAT LENDER’S SINGLE INTEREST INSURANCE WILL PROVIDE ME WITH ONLY LIMITED PROTECTION AGAINST
PHYSICAL DAMAGE TO THE COLLATERAL, UP TO THE BALANCE OF THE LOAN, HOWEVER, MY EQUITY IN THE PROPERTY WILL NOT BE INSURED. FURTHER, THE INSURANCE WILL NOT PROVIDE MINIMUM PUBLIC LIABILITY OR PROPERTY DAMAGE INDEMNIFICATION AND DOES NOT MEET THE
REQUIREMENTS OF THE FINANCIAL RESPONSIBILITY LAW. 
 CALIFORNIA CIVIL CODE SECTION 2955.5. HAZARD INSURANCE DISCLOSURE: No lender shall require
a borrower, as a condition of receiving or maintaining a loan secured by real property, to provide hazard insurance coverage against risks to the improvements on that real property in an amount exceeding the replacement value of the improvements on
the property. 
  

	
	 Bank Address for Insurance
Documents:
  
 Comerica Bank –Attn: Insurance Review,
Mail Code 6514
 1508 W Mockingbird Lane

Dallas, Texas 75235

 I acknowledge having read the provisions of this agreement, and agree to its terms. I authorize the Bank to
provide to any person (including any insurance agent or company) any information necessary to obtain the insurance coverage required. 
  

			
	OWNER(S) OF COLLATERAL:	    	DATED:                            
                                         
                           
		
	  
	    	  

	  
	    	  

  

													
	INSURANCE VERIFICATION	    		    		  		  		  		  	
							
	Date
                                        
	    		    		  	Phone	  	 	  	 	  	 
	Agents Name
                                         
                   	    		  	Person Talked To 	  	 

  

					
	Agents Address 	  	 	  	 

  

					
	Insurance Company 	  	 	  	 

  

					
	Policy Number(s) 	  	 	  	 

  

							
	Effective Dates: From                        
                                         
      	  	To:	  	 	  	 
	  

Deductible $                      
                                         
                          
	  	  
 Comments: 
	  	 
		  		  	

 

			
	COMERICA BANK	  	 
	 Member FDIC
	  	AUTOMATIC DEBIT AUTHORIZATION
	 	  	 

  

	
	
To: Comerica Bank
  

Re: Loan #
                                         
           
  

You are hereby authorized and instructed to charge account No.
                                in the name of LDR HOLDING CORPORATION or LDR
SPINE USA, INC.

	 for principal and interest payments due on above referenced loan
as set forth below and credit the loan referenced above.
  

x Debit each interest payment as it becomes due according to the terms of the Loan and
Security Agreement and any renewals or amendments thereof.
  
 x Debit each principal payment as it becomes due according to the terms of the Loan and Security Agreement and any renewals or amendments
thereof.
  

x Debit each payment for Bank Expenses as it becomes due according to the terms of the
Loan and Security Agreement and any renewals or amendments thereof.
  
 This Authorization is to remain in full force and effect until revoked in writing.
  

  

							
	 	 	 LDR SPINE USA, INC., for itself and on behalf of
all Borrowers
  
	 	 	  	 Date

 

	 	 		 		  	
November 23, 2009            

 

	 	 	 	 		  	 
	 	 		 		  	 
	 	 	 	 	 	  	
November 23, 2009            

 

	 	 	 	 		  	 
	 	 		 		  	 
	 	 	 	 
	 	 	 	 	 	  	 

  

			
	COMERICA BANK	  	 
	 Member FDIC
	  	AUTOMATIC DEBIT AUTHORIZATION
	 	  	 

  

	
	
To: Comerica Bank
  

Re: Loan #
                                         
           
  

You are hereby authorized and instructed to charge account No.
                                in the name of LDR HOLDING CORPORATION and LDR
SPINE USA, INC.

	 for principal and interest payments due on above referenced loan
as set forth below and credit the loan referenced above.
  

x Debit each interest payment as it becomes due according to the terms of the Loan and
Security Agreement and any renewals or amendments thereof.
  
 x Debit each principal payment as it becomes due according to the terms of the Loan and Security Agreement and any renewals or amendments
thereof.
  

x Debit each payment for Bank Expenses as it becomes due according to the terms of the
Loan and Security Agreement and any renewals or amendments thereof.
  
 This
Authorization is to remain in full force and effect until revoked in writing.
  

  

							
	 	 	 LDR SPINE USA, INC., for itself and on behalf of
all Borrowers
  
	 	 	  	 Date

 

	 	 		 		  	
November 23, 2009            

 

	 	 	 	 		  	 
	 	 		 		  	 
	 	 	 	 	 	  	 November 23,
2009            
  

	 	 	 	 		  	 
	 	 	 	 	 	  	 

					
	COMERICA BANK	  		  	
		  		  	COMERICA BANK
		  		  	CLIENT AUTHORIZATION
	Fax     (512) 427-7178	  		  	

 General Authorization 
 The undersigned, for LDR SPINE USA, INC. and on behalf of all Borrowers, hereby authorizes Comerica Bank to use Borrowers’ company names, logos, and information relating to our banking relationship
in its marketing and advertising campaigns which is intended for Comerica Bank’s customers, prospects and shareholders. 
 Comerica Bank
will forward any advertising or article including Borrowers for prior review and approval. 
  

			
	 Signature

 
	  	
	 Printed
Name                                         
       Title
  
	  	
	 Company

 
	  	
	 Mailing Address

 
	  	
	 City, State, Zip Code
  
	  	
	 Phone Number

 
	  	
	 Fax Number

 
	  	
	E-Mail	  	

 November 23, 2009 
 Date 

					
	DEBTOR:	  	LDR HOLDING CORPORATION	  	
			
	SECURED PARTY:	  	COMERICA BANK	  	

 EXHIBIT A 
 COLLATERAL DESCRIPTION ATTACHMENT 
 TO UCC NATIONAL FORM FINANCING STATEMENT

 All personal property of Borrower (herein referred to as “Borrower” or “Debtor”) whether presently
existing or hereafter created or acquired, and wherever located, including, but not limited to: 
 (a) all accounts (including
health-care-insurance receivables), chattel paper (including tangible and electronic chattel paper), deposit accounts, documents (including negotiable documents), equipment (including all accessions and additions thereto), general intangibles
(including payment intangibles and software), goods (including fixtures), instruments (including promissory notes), inventory (including all goods held for sale or lease or to be furnished under a contract of service, and including returns and
repossessions), investment property (including securities and securities entitlements), letter of credit rights, money, and all of Debtor’s books and records with respect to any of the foregoing, and the computers and equipment containing said
books and records; 
 (b) all common law and statutory copyrights and copyright registrations, applications for registration, now
existing or hereafter arising, in the United States of America or in any foreign jurisdiction, obtained or to be obtained on or in connection with any of the foregoing, or any parts thereof or any underlying or component elements of any of the
foregoing, together with the right to copyright and all rights to renew or extend such copyrights and the right (but not the obligation) of Secured Party to sue in its own name and/or in the name of the Debtor for past, present and future
infringements of copyright; 
 (c) all trademarks, service marks, trade names and service names and the goodwill associated
therewith, together with the right to trademark and all rights to renew or extend such trademarks and the right (but not the obligation) of Secured Party to sue in its own name and/or in the name of the Debtor for past, present and future
infringements of trademark; 
 (d) all (i) patents and patent applications filed in the United States Patent and Trademark Office
or any similar office of any foreign jurisdiction, and interests under patent license agreements, including, without limitation, the inventions and improvements described and claimed therein, (ii) licenses pertaining to any patent whether Debtor is
licensor or licensee, (iii) income, royalties, damages, payments, accounts and accounts receivable now or hereafter due and/or payable under and with respect thereto, including, without limitation, damages and payments for past, present or future
infringements thereof, (iv) right (but not the obligation) to sue in the name of Debtor and/or in the name of Secured Party for past, present and future infringements thereof, (v) rights corresponding thereto throughout the world in all
jurisdictions in which such patents have been issued or applied for, and (vi) reissues, divisions, continuations, renewals, extensions and continuations-in-part with respect to any of the foregoing; and 

(e) any and all cash proceeds and/or noncash proceeds of any of the foregoing, including, without limitation, insurance proceeds, and all
supporting obligations and the security therefor or for any right to payment. All terms above have the meanings given to them in the California Uniform Commercial Code, as amended or supplemented from time to time, including revised Division 9 of
the Uniform Commercial Code-Secured Transactions, added by Stats. 1999, c.991 (S.B. 45), Section 35, operative July 1, 2001. 
 Notwithstanding the foregoing, the Collateral shall not include any copyrights, patents, trademarks, servicemarks and applications therefor, now owned or hereafter acquired, or any claims for damages by
way of any past, present and future infringement of any of the foregoing (collectively, the “Intellectual Property”); provided, however, that the Collateral shall include all accounts and general intangibles that consist of rights to

 
payment and proceeds from the sale, licensing or disposition of all or any part, or rights in, the foregoing (the “Rights to Payment”). Notwithstanding the foregoing, if a judicial
authority (including a U.S. Bankruptcy Court) holds that a security interest in the underlying Intellectual Property is necessary to have a security interest in the Rights to Payment, then the Collateral shall automatically, and effective as of
November 23, 2009, include the Intellectual Property to the extent necessary to permit perfection of Bank’s security interest in the Rights to Payment. 

					
	DEBTOR	  	LDR SPINE USA, INC.	  	
			
	SECURED PARTY:	  	COMERICA BANK	  	

 EXHIBIT A 
 COLLATERAL DESCRIPTION ATTACHMENT 
 TO UCC NATIONAL FORM FINANCING STATEMENT

 All personal property of Borrower (herein referred to as “Borrower” or “Debtor”) whether
presently existing or hereafter created or acquired, and wherever located, including, but not limited to: 
 (a) all accounts
(including health-care-insurance receivables), chattel paper (including tangible and electronic chattel paper), deposit accounts, documents (including negotiable documents), equipment (including all accessions and additions thereto), general
intangibles (including payment intangibles and software), goods (including fixtures), instruments (including promissory notes), inventory (including all goods held for sale or lease or to be furnished under a contract of service, and including
returns and repossessions), investment property (including securities and securities entitlements), letter of credit rights, money, and all of Debtor’s books and records with respect to any of the foregoing, and the computers and equipment
containing said books and records; 
 (b) all common law and statutory copyrights and copyright registrations, applications for
registration, now existing or hereafter arising, in the United States of America or in any foreign jurisdiction, obtained or to be obtained on or in connection with any of the foregoing, or any parts thereof or any underlying or component elements
of any of the foregoing, together with the right to copyright and all rights to renew or extend such copyrights and the right (but not the obligation) of Secured Party to sue in its own name and/or in the name of the Debtor for past, present and
future infringements of copyright; 
 (c) all trademarks, service marks, trade names and service names and the goodwill
associated therewith, together with the right to trademark and all rights to renew or extend such trademarks and the right (but not the obligation) of Secured Party to sue in its own name and/or in the name of the Debtor for past, present and future
infringements of trademark; 
 (d) all (i) patents and patent applications filed in the United States Patent and Trademark Office
or any similar office of any foreign jurisdiction, and interests under patent license agreements, including, without limitation, the inventions and improvements described and claimed therein, (ii) licenses pertaining to any patent whether Debtor is
licensor or licensee, (iii) income, royalties, damages, payments, accounts and accounts receivable now or hereafter due and/or payable under and with respect thereto, including, without limitation, damages and payments for past, present or future
infringements thereof, (iv) right (but not the obligation) to sue in the name of Debtor and/or in the name of Secured Party for past, present and future infringements thereof, (v) rights corresponding thereto throughout the world in all
jurisdictions in which such patents have been issued or applied for, and (vi) reissues, divisions, continuations, renewals, extensions and continuations-in-part with respect to any of the foregoing; and 

(e) any and all cash proceeds and/or noncash proceeds of any of the foregoing, including, without limitation, insurance proceeds, and all
supporting obligations and the security therefor or for any right to payment. All terms above have the meanings given to them in the California Uniform Commercial Code, as amended or supplemented from time to time, including revised Division 9 of
the Uniform Commercial Code-Secured Transactions, added by Stats. 1999, c.991 (S.B. 45), Section 35, operative July 1, 2001. 
 Notwithstanding the foregoing, the Collateral shall not include any copyrights, patents, trademarks, servicemarks and applications therefor, now owned or hereafter acquired, or any claims for damages by
way of any past, present and future infringement of any of the foregoing (collectively, the “Intellectual Property”); provided, however, that the Collateral shall include all accounts and general intangibles that consist of rights to
payment and proceeds from the sale, licensing or disposition of all or any part, or rights in, the foregoing (the “Rights to Payment”). Notwithstanding the foregoing, if a judicial authority (including a U.S. Bankruptcy Court)

 
holds that a security interest in the underlying Intellectual Property is necessary to have a security interest in the Rights to Payment, then the Collateral shall automatically, and effective as
of November 23, 2009, include the Intellectual Property to the extent necessary to permit perfection of Bank’s security interest in the Rights to Payment.EX-10.18

 Exhibit 10.18 
 FIRST AMENDMENT TO LOAN AND SECURITY AGREEMENT 
 This First Amendment to
Loan and Security Agreement (this “Amendment”) is entered into as of June 30, 2010, by and between COMERICA BANK (“Bank”) and LDR HOLDING CORPORATION and LDR SPINE USA, INC. (each a “Borrower” and collectively,
“Borrowers”). 
 RECITALS 
 Borrowers and Bank are parties to that certain Loan and Security Agreement dated as of November 23, 2009, as amended from time to time (the “Agreement”). The parties desire to amend the
Agreement in accordance with the terms of this Amendment. 
 NOW, THEREFORE, the parties agree as follows: 

1. The Schedule attached to the Agreement hereby is replaced in its entirety with the Schedule attached hereto. 

2. No course of dealing on the part of Bank or its officers, nor any failure or delay in the exercise of any right by Bank, shall operate
as a waiver thereof, and any single or partial exercise of any such right shall not preclude any later exercise of any such right. Bank’s failure at any time to require strict performance by Borrowers of any provision shall not affect any right
of Bank thereafter to demand strict compliance and performance. Any suspension or waiver of a right must be in writing signed by an officer of Bank. 
 3. Unless otherwise defined, all initially capitalized terms in this Amendment shall be as defined in the Agreement. The Agreement, as amended hereby, shall be and remain in full force and effect in
accordance with its respective terms and hereby is ratified and confirmed in all respects. Except as expressly set forth herein, the execution, delivery, and performance of this Amendment shall not operate as a waiver of, or as an amendment of any
right, power, or remedy of Bank under the Agreement, as in effect prior to the date hereof. 
 4. Each Borrower represents and
warrants that the Representations and Warranties contained in the Agreement are true and correct as of the date of this Amendment, and that no Event of Default has occurred and is continuing. 

5. As a condition to the effectiveness of this Amendment, Bank shall have received, in form and substance satisfactory to Bank, the
following: 
 (a) this Amendment, duly executed by Borrowers; 

(b) all reasonable Bank Expenses incurred through the date of this Amendment, which may be debited from any of Borrowers’ accounts;
and 
 (c) such other documents, and completion of such other matters, as Bank may reasonably deem necessary or appropriate.

 6. This Amendment may be executed in two or more counterparts, each of which shall be deemed an original, but all of which
together shall constitute one instrument. 

  
 -1-

 IN WITNESS WHEREOF, the undersigned have executed this Amendment as of the first date above
written. 
  

			
	LDR HOLDING CORPORATION
		
	By:	 	 

		
	Title:	 	CFO/Secretary
	
	LDR SPINE USA, INC.
		
	By:	 	 

		
	Title:	 	VP - Finance & Admin.
	
	COMERICA BANK
		
	By:	 	 

		
	Title:	 	Senior Vice President

 [Signature Page to First Amendment to Loan and Security Agreement] 

 SCHEDULE OF EXCEPTIONS 
 Permitted Indebtedness (Section 1.1) 
 1. Indebtedness incurred pursuant to that certain
Loan and Security Agreement dated as of January 31, 2007 by and between Parent and Escalate Capital I, L.P., as amended from time to time (the “Escalate Debt”). 
 2. Up to up to an aggregate of €6,500,000 in principal Indebtedness incurred by LDR Medical, SAS under agreements it has with certain lenders. 

Permitted Investments (Section 1.1) 

Parent has a beneficial ownership interest in the following Subsidiaries: LDR Spine USA, Inc., LDR Medical, SAS and LDR Brasil Comercio, Importacao e
Exportacao Ltda. 
 Permitted Liens (Section 1.1) 
 Liens securing the Escalate Debt. 
 Prior Names (Section 5.5) 

None. 
 Litigation (Section 5.6)

 None. 
 Inbound Licenses
(Section 5.12) 
 None.

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