Document:

Lease Agreement,dated as of March 11,2004

 Exhibit 10.30 
 STANDARD OFFICE LEASE AGREEMENT (NET) 
 THIS LEASE AGREEMENT (hereafter called the
“Lease Agreement”) made as of the 11th day of March, 2004, by and between Midwest Holding Corp. #9, Inc., a Minnesota corporation, c/o United Properties having offices at Suite 200, 3500 West 80th Street, Bloomington, Minnesota,
55431 (hereafter called the “Landlord”), and Virtual Radiologic Consultants, LLC, a Delaware limited liability company having offices at 5995 Opus Parkway, Minnetonka, Minnesota (hereafter called the “Tenant”).

 WITNESSETH 
 FOR AND IN CONSIDERATION of the sum of One Dollar ($1.00) in hand paid by each of the parties to the other, and other good and valuable consideration, receipt and sufficiency of which is hereby acknowledged, the parties hereby agree
as follows: 
 ARTICLE 1 - PREMISES AND TERM 
 A. Landlord does hereby lease and let unto Tenant, and Tenant does hereby hire, lease and take from Landlord, that area outlined in red or otherwise described on Exhibit A-l attached hereto, and by this reference incorporated herein,
and described as Suite 200, containing approximately 14,555 rentable square feet, (hereafter called the “Premises”) at 5995 Opus Parkway (hereafter called the “Building”) in the City of Minnetonka, County of
Hennepin, State of Minnesota. The term Building as it is used herein shall consist of the land and building(s) set forth in Exhibit A-2 hereto. 
 B. To have and to hold said Premises for a term of sixty-six (66) months, commencing May 1, 2004 and terminating October 31, 2009 (hereafter called the “Term”) upon the rentals and
subject to the conditions set forth in this Lease Agreement, and the Exhibits attached hereto. The commencement and termination dates are specifically subject to the provisions of Article 5 hereof. 
 ARTICLE 2 - USE 
 The Premises shall be used by the
Tenant solely for the following purposes: General office use. 
 ARTICLE 3 - RENTALS 
 Tenant agrees to pay to Landlord as minimum rental (hereafter called “Minimum Rental”) for the Premises, without notice, set-off or
demand, the following amounts: 
  

									
	 Period
	  	No. of Months	  	Rent PSF	  	Monthly	  	Total for Period
	 May 1, 2004 to October 31, 2004
	  	6	  	0.00	  	0.00	  	0.00
	 November 1, 2004 to April 30, 2006
	  	18	  	10.00	  	12,129.17	  	218,325.00
	 May 1, 2006 to April 30, 2007
	  	12	  	11.00	  	13,342.08	  	160,105.00
	 May 1, 2007 to April 30, 2008
	  	12	  	12.00	  	14,555.00	  	174,660.00
	 May 1, 2008 to April 30, 2009
	  	12	  	13.00	  	15,767.92	  	189,215.00
	 May 1, 2009 to October 31, 2009
	  	6	  	14.00	  	16,980.83	  	101,885.00

 The monthly installments to be due and payable by Tenant in advance on the first day of each calendar month during
the Term, at the office of Landlord set forth in the preamble to this Lease Agreement or at such other place as Landlord may designate. In the event of any fractional calendar month, Tenant shall pay for each day in such partial month a rental equal
to 1/30 of the Minimum Rental. Tenant agrees to pay, as Additional Rental, which shall be collectible to the same extent as Minimum Rental, all amounts which may become due to Landlord hereunder and any tax, charge or fee that may be levied,
assessed or imposed upon or measured by the rents reserved hereunder by any governmental authority acting under any present or future law before any fine, penalty, interest or costs may be added thereto for non-payment. Pursuant to Article 6 hereof,
Landlord’s estimated Operating Expenses for 2004 are $2.73 per rentable square foot and estimated Real Estate Taxes payable in 2004 are $5.80 per rentable square foot. 
 ARTICLE 4 - CONSTRUCTION 
 Plans and/or a description for permanent improvements to the Premises are
attached hereto as Exhibit A-3 and by this reference incorporated herein (hereafter called the “Plans”). The Plans have been approved by each of Landlord and Tenant. The parties acknowledge that the Plans are to modify the
Premises to accommodate Tenant’s intended use. Landlord shall be responsible for constructing the improvements as shown on the Plans (hereafter called “Tenant Improvements”) for and on behalf of Tenant. Any improvements to the
Premises, other than as shown on the Plans, and the furnishing of the Premises, shall be made by Tenant at the sole cost and expense of Tenant, subject to all other provisions of this Lease Agreement, including compliance with all applicable
governmental laws, ordinances and regulations. If the Tenant Improvements cannot be 

  

 1 

 
substantially completed prior to the commencement of the Term, then the provisions of Article 5 shall apply. Landlord agrees that Tenant shall be allowed to
make minor modifications to the Plans, such as adjusting the specific location of walls, at no additional cost or expense to Tenant, so long as such modifications do not increase the cost of the Tenant Improvements. 
 ARTICLE 5 - POSSESSION 
 Except as otherwise provided,
Landlord shall deliver possession of the Premises on or before the date hereinabove specified for commencement of the Term, but delivery of possession prior to such commencement date shall not affect the expiration date of this Lease Agreement.
Failure of Landlord to deliver possession of the Premises by the date hereinabove provided, due to a holding over by a prior tenant, or any other cause beyond Landlord’s control, or time required for construction delays due to labor or material
shortages, strikes, or acts of God, shall automatically postpone the date of commencement of the Term and shall extend the termination date by periods equal to those which shall have elapsed between and including the date hereinabove specified for
commencement of the Term hereof and the date on which possession of the Premises is delivered to the Tenant. Provided further, that if Landlord shall be delayed in delivery of the Premises to Tenant due to Tenant’s failure to agree to the
Plans, changes in or additions to the Plans or the Tenant Improvements made at the request of Tenant or any other delay caused by a party employed by or the agent of Tenant, then in such case Landlord shall notify Tenant of such delay the rental
shall be accelerated by the number of days of such delay, and the rentals shall commence the same as if occupancy had been taken by Tenant. Prior to the commencement of the Term, Landlord shall have no responsibility or liability for loss or damage
to fixtures, facilities or equipment installed or left on the Premises. By occupying the Premises as a Tenant, or to install fixtures, facilities or equipment, or to perform finishing work, Tenant shall be conclusively deemed to have accepted the
same and to have acknowledged that the Premises are in the condition required by this Lease Agreement, except items which are not in compliance with Exhibit A-3 and for which Tenant has given Landlord a written “punch list” within
thirty (30) days of Tenant’s first occupancy of the Premises, except for latent defects. Should the commencement of the rental obligations of Tenant under this Lease Agreement occur for any reason on a day other than the first day of a
calendar month, then in that event solely for the purposes of computing the Term of this Lease Agreement, the commencement date of the Term shall become and be the first day of the first full calendar month following the date when Tenant’s
rental obligation commences, or the first day of the first full calendar month following the commencement date set out in Article 1 (if such is other than the first date of a calendar month), whichever date is later, and the termination date shall
be adjusted accordingly; provided however, that the termination date shall be the last day of a calendar month, which date shall in no event be earlier than the termination date set out in Article 1. Immediately after Tenant’s occupancy of the
Premises the Landlord and Tenant shall execute a ratification agreement which shall set forth the final commencement and termination dates for the Term and shall acknowledge the Minimum Rental, the rentable square footage of the Premises, and
delivery of the Premises in the condition required by this Lease Agreement. Tenant shall at all reasonable times from and after the date that is 14 days prior to the commencement date of the Term have access to the Premises, at Tenant’s own
risk, expense and responsibility, for purposes of installing Tenant’s furniture, trade fixtures and equipment. In connection with such access prior to the commencement date of the Term, Tenant shall abide by the terms and conditions of this
Lease including carrying the insurance specified by the Lease, as if the Term had already commenced, except that Tenant shall have no obligation to pay the Minimum Rental, Real Estate Taxes or Operating Expenses until the earlier of (i) the
date Tenant occupies the Premises and begins conducting business therefrom or (ii) the commencement date of the Term. Tenant shall also pay the charges for all utilities furnished to the Premises during Tenant’s early-access period, as
reasonably estimated by Landlord. Any other provision herein to the contrary notwithstanding, (a) Landlord shall allow access to the Premises to Tenant and its contractors for Tenant fit-up work by not later than April 15, 2004 and
Landlord and Tenant shall use reasonable and diligent efforts to cause said contractors to cooperate and not interfere with each other’s work; and (b) all provisions of this Lease shall be in full force and effect during this early
occupancy period, except Tenant’s obligation to pay rent. 
 ARTICLE 6 - TENANT’S PRO RATA SHARE OF REAL ESTATE TAXES AND OPERATING EXPENSES

 A. During each full or partial calendar year during the Term, but not commencing until November 1, 2004, Tenant shall pay to
Landlord, as Additional Rental, an amount equal to the Real Estate Taxes and Operating Expenses (both as hereafter defined) per square foot of rentable area in the Building multiplied by the number of square feet of rentable area in the Premises
prorated for the period that Tenant occupied the Premises. In the event that during all or any portion of any calendar year, the Building is not fully rented and occupied Landlord may make any appropriate adjustment in occupancy-related Operating
Expenses for such year for the purpose of avoiding distortion of the amount of such Operating Expenses to be attributed to Tenant by reason of variation in total occupancy of the Building, by determining on a commercially reasonable basis the
Operating Expenses that would have been paid or incurred by Landlord had the Building been ninety-five percent (95%) rented and occupied, and the amount so determined shall be deemed to have been Operating Expenses for such year. Only Occupancy
Expenses that vary directly with occupancy may be so adjusted. 
 B. Landlord shall, each year during the Term, give Tenant an estimate of
Operating Expenses and Real Estate Taxes payable per square foot of rentable area for the coming calendar year. Tenant shall pay, as Additional Rental, along with its monthly Minimum Rental payments required hereunder, one-twelfth (1/12) of
such estimated Operating Expenses and Real Estate Taxes and such Additional Rental shall be payable until subsequently adjusted for the following year pursuant to this Article. 
  

 2 

 C. As soon as possible after the expiration of each calendar year, Landlord shall determine and certify
to Tenant the actual Operating Expenses and Real Estate Taxes for the previous year per square foot of rentable area in the Building and the amount applicable to the Premises. If such statement shows that Tenant’s share of Operating Expenses
and Real Estate Taxes exceeds Tenant’s estimated monthly payments for the previous calendar year, then Tenant shall, within twenty (20) days after receiving Landlord’s certification, pay such deficiency to Landlord. In the event of an
overpayment by Tenant, such overpayment shall be refunded to Tenant, at the time of certification, in the form of an adjustment in the Additional Rental next coming due, or if at the end of the Term by a refund. Landlord shall maintain accurate
records of operating costs. Tenant shall have the right to inspect and audit all records of Landlord with respect to additional rent. Tenant may, at reasonable times and upon reasonable notice to Landlord, have access to Landlord’s books and
records relating to Operating Expenses and Real Estate Taxes for the purpose of photocopying the same at Tenant’s sole expense. If the amount of additional rent indicated on any statement is overstated by more than three percent (3%), Landlord
shall reimburse Tenant for the reasonable cost of the audit and inspection. Landlord shall reimburse Tenant for any amount paid by Tenant which should not have been paid. 
 D. For the purposes of this Article, the term “Real Estate Taxes” means the total of all taxes, fees, charges and assessments, general and special, ordinary and extraordinary, foreseen or unforeseen,
which become due or payable against or upon the Building, the parcel(s) of land upon which it is located or Landlord. All costs and expenses incurred by Landlord during negotiations for or contests of the amount of Real Estate Taxes, up to the
amount of the reduction obtained, shall be included within the term “Real Estate Taxes.” Without limitation, Landlord shall be obligated to refund to Tenant Tenant’s prorata share of the amount of any refund, rebate or the like of
taxes and/or assessments that were paid by Tenant (directly or as additional rent). Notwithstanding any other provision herein, (i) in the case of a general or special assessment levied against the Premises and/or Building, regardless of
whether Landlord elects to pay the assessment in installments, Tenant’s proportionate share of such assessment shall be computed as if Landlord had elected to pay the same in installments over the longest period allowed by applicable law and
only those installments (or partial installments) attributable to installment periods (or partial periods) falling within the term of this Lease shall be included; and (ii) no special assessments attributable to the initial development or
construction of the Premises or Building shall be included as additional rent or otherwise passed on to Tenant. For purposes of this Article, the term “Operating Expenses” shall be deemed to mean all costs and expenses directly
related to the Building incurred by Landlord in the repair, operation, management and maintenance of the Building including interior and exterior and common area maintenance, management fees, cleaning expenses, energy expenses, insurance premiums,
and the amortization of capital investments made to reduce operating costs, up to the amount of the reduction obtained, that are necessary due to governmental requirements or that are required by the insurer under any insurance policy carried on the
Building by Landlord, all as determined on a commercially reasonable basis by Landlord. Any other provision herein to the contrary notwithstanding, Operating Expenses shall exclude the Operating Expense Exclusions set forth on Exhibit B
attached hereto and made a part hereof. 
 E. Landlord may at any time designate a fiscal year in lieu of a calendar year and in such event,
at the time of such a change, there may be a billing for the fiscal year which is less than 12 calendar months. 
 F. Landlord reserves, and
Tenant hereby assigns to Landlord, the sole and exclusive right to contest, protest, petition for review, or otherwise seek a reduction in the Real Estate Taxes. 
 G. Any other provision herein to the contrary notwithstanding, Tenant shall have no obligation to pay Minimum Rental or any Real Estate Taxes or Operating Expenses applicable to the first six (6) full calendar
months of the Term. 
 ARTICLE 7 - UTILITIES AND SERVICE 
 A. Landlord agrees to furnish water, electricity, elevator service, and janitorial service. In the event Tenant’s requirements and/or usage of such utilities and services is substantially greater than is
customarily supplied to a typical tenant in the Building, Landlord or Tenant may request that the difference in such requirement and/or usage be determined and that appropriate adjustments be made in the Minimum Rental provided for in Article 3 of
this Lease Agreement. 
 B. Landlord agrees to furnish heat during the usual heating season and air conditioning during the usual air
conditioning season, all during normal business hours as defined in this Lease Agreement; provided, however, that heating and air conditioning services shall be provided to the call center area of the Premises at all times during the Term (24 hours
per day, seven days per week), unless otherwise requested by Tenant; provided that all heating and cooling of the Premises outside of normal business hours shall be at Tenant’s sole cost and expense. 
 C. No temporary interruption or failure of such services incidental to the making of repairs, alterations or improvements, or due to accidents or strike
or conditions or events not under Landlord’s control, shall be deemed as an eviction of the Tenant or relieve the Tenant from any of the Tenant’s obligations hereunder; however, if any such interruption or failure of services continues for
more than five (5) business days, then all rent hereunder shall abate until the services are fully restored. 
  

 3 

 D. For the purposes of this Article 7, normal business hours shall be deemed to mean the period of time
between 8:00 a.m. and 5:00 p.m., Monday through Friday, and specifically excluding Saturdays, Sundays and legal holidays. 
 ARTICLE 8 - NON-LIABILITY OF
LANDLORD 
 Except in the event of negligence of Landlord, its agents, employees or contractors, Landlord shall not be liable for any loss
or damage for failure to furnish heat, air conditioning, electricity, elevator service, water, sprinkler system or janitorial service. Landlord shall not be liable for personal injury, death or any damage from any cause about the Premises or the
Building except if caused by Landlord’s negligence. 
 ARTICLE 9 - CARE OF PREMISES 
 A. Tenant agrees: 
 1. To keep
the Premises in as good condition and repair as they were in at the time Tenant took possession of same, reasonable wear and tear and damage from fire and other casualty for which insurance is normally procured excepted; 
 2. To keep the Premises in a clean and sanitary condition; 
 3. Not to commit any nuisance or waste on the Premises, overload the Premises or the electrical, water and/or plumbing facilities in the
Premises or Building, throw foreign substances in plumbing facilities, or waste any of the utilities furnished by Landlord; 
 4. To abide by such rules and regulations as may from time to time be reasonably promulgated by Landlord, so long as they are consistent with this Lease; 
 5. To obtain Landlord’s prior approval of the interior design of any portion of the Premises visible from the common areas or from
the outside of the Building, which approval Landlord shall not unreasonably withhold, condition or delay. “Interior design” as used in the preceding sentence shall include but not be limited to floor and wall coverings, furniture, office
design, artwork and color scheme. 
 B. If Tenant shall fail to keep and preserve the Premises in the state of condition required by the
provisions of this Article 9, the Landlord may at its option, after not less than ten (10) days notice and opportunity to cure to Tenant, put or cause the same to be put into the condition and state of repair agreed upon, and in such case the
Tenant, on demand, shall pay the cost thereof. 
 ARTICLE 10 - NON-PERMITTED USE 
 Tenant agrees to use the Premises only for the purposes set forth in Article 2 hereof. Tenant further agrees not to commit or knowingly permit any act to
be performed on the Premises or any omission to occur which shall be in violation of any statute, regulation or ordinance of any governmental body or which will increase the insurance rates on the Building or which will be in violation of any
insurance policy carried on the Building by the Landlord. Tenant, at its expense, shall comply with all applicable governmental laws, ordinances, rules and regulations applicable to the use of the Premises and its occupancy and shall promptly comply
with all applicable governmental orders, rulings and directives for the correction, prevention and abatement of any violation upon, or in connection with the Premises or Tenant’s use or occupancy of the Premises, including the making of any
alterations or improvements to the Premises, all at Tenant’s sole cost and expense. The Tenant shall not disturb other occupants of the Building by making any undue or unseemly noise or otherwise and shall not do or permit to be done in or
about the Premises anything which will be dangerous to life or limb. Landlord represents and warrants that as of the commencement of the Term, the Premises shall comply with all applicable governmental laws, ordinances, rules and regulations;
provided that Tenant shall be solely responsible for compliance with laws, ordinances, rules and regulations that are applicable to the Premises because of Tenant’s particular use thereof. 
 ARTICLE 11 - INSPECTION 
 The Landlord or its
employees or agents shall have the right without any diminution of rent or other charges payable hereunder by Tenant to enter the Premises at all reasonable times during normal business hours, upon reasonable prior notice (not less than twenty-four
(24) hours) for the purpose of exhibiting the Premises to prospective tenants or purchasers or existing or prospective mortgagees of the Building (“Mortgagees”), inspection, cleaning, repairing, testing, altering or improving
the same or said Building, but nothing contained in this Article shall be construed so as to impose any obligation on the Landlord to make any repairs, alterations or improvements. Notwithstanding the foregoing, Landlord has no obligation to give
notice prior to entering the Premises in cases of emergency. 
  

 4 

 ARTICLE 12 - ALTERATIONS 
 Tenant will not make any alterations, repairs, additions or improvements in or to the Premises (for purposes of this Article 12, any of the foregoing being referred to as the “Work”) or add, disturb
or in any way change any plumbing, wiring, life/safety or mechanical systems, locks, or structural portions of the Building without the prior written consent of the Landlord as to the character of the Work, the manner of doing the Work, and the
contractor(s) doing the Work. Such consent shall not be unreasonably withheld or delayed. As a condition to Landlord’s consent to Work proposed by Tenant, Landlord may impose such conditions with respect thereto as Landlord deems appropriate,
including, without limitation, requiring Tenant to furnish surety performance and/or payment bonds or other security for the payment of all costs incurred in connection with such Work, insurance against liabilities that may arise out of such Work,
plans and specifications approved by Landlord and permits necessary for such Work. If such Work is performed by contractor(s) not retained by Landlord, Tenant shall upon completion of such Work, (i) deliver to Landlord evidence that payment for
all such Work has been made by Tenant, contractors’ affidavits and full and final mechanic’s lien waivers; and (ii) pay to Landlord a construction supervision fee of five percent (5%) of the total cost of such Work, but in no
event less than $500.00 to reimburse Landlord for the costs incurred by its construction manager in inspecting and supervising such Work; provided, however, that Tenant shall have no obligation to pay Landlord any construction supervision fee for
changes costing $5,000.00 or less that do not affect any plumbing, wiring, life/safety or mechanical systems or the Building structure. All such Work shall be done in a good and workmanlike manner using quality materials and shall comply with all
applicable governmental laws, ordinances, rules and regulations. Tenant agrees to indemnify and hold Landlord free and harmless from any liability, loss, cost, damage or expense (including attorney’s fees) by reason of any of such Work. The
provisions of Article 27 of this Lease Agreement shall apply to all Work performed under this Article 12. 
 ARTICLE 13 - SIGNS 
 Tenant agrees that no signs or other advertising materials shall be erected, attached or affixed to any portion of the interior or exterior of the
Premises or the Building without the express prior written consent of Landlord, which Landlord shall not unreasonably withhold, condition or delay. 
 ARTICLE 14 - COMMON AREAS 
 A. Tenant agrees that the use of all corridors, passageways, elevators, toilet rooms, parking
areas and landscaped areas in and around said Building, by the Tenant or Tenant’s employees, visitors or invitees, shall be subject to such rules and regulations as may from time to time be made by Landlord for the safety, comfort and
convenience of the owners, occupants, tenants and invitees of said Building. Tenant agrees that no awnings, curtains, drapes or shades shall be used upon the Premises except as may be approved by Landlord. 
 B. In addition to the Premises, Tenant shall have the right of non-exclusive use, in common with others, of (a) all unrestricted automobile parking
areas, driveways and walkways, and (b) loading facilities, freight elevators and other facilities as may be constructed in the Building, all to be subject to the terms and conditions of this Lease Agreement and to reasonable rules and
regulations for the use thereof as prescribed from time to time by Landlord. 
 C. Landlord shall have the right to make changes or revisions
in the site plan and in the Building so as to provide additional leasing area. Landlord shall also have the right to construct additional buildings on the land described on Exhibit A-2 for such purposes as Landlord may deem appropriate. Landlord
also reserves all airspace rights above, below and to all sides of the Premises, including the right to make changes, alterations or provide additional leasing areas. 
 D. Landlord and Tenant agree that Landlord will not be responsible for any loss, theft or damage to vehicles, or the contents thereof, parked or left in the parking areas of the Building unless due to the negligence
or willful misconduct of Landlord and Tenant agrees to so advise its employees, visitors or invitees who may use such parking areas. The parking areas shall include those areas designated by Landlord, in its sole discretion, as either restricted or
unrestricted parking areas. Subject to Article 36 hereof, any restricted parking areas shall be leased only by separate license agreement with Landlord. Tenant further agrees not to use or permit its employees, visitors or invitees to use the
parking areas for overnight storage of vehicles. 
 ARTICLE 15 - ASSIGNMENT AND SUBLETTING 
 A. Tenant agrees not to assign, sublet, license, mortgage or encumber this Lease Agreement, the Premises, or any part thereof, whether by voluntary act,
operation of law, or otherwise, without the specific prior written consent of Landlord in each instance, which Landlord shall not unreasonably withhold, condition or delay. If Tenant is a corporation, partnership or other legal entity, transfer of a
controlling interest of Tenant shall be considered an assignment of this Lease Agreement for purposes of this Article, provided, however, an assignment or sublet to an affiliate will not require Landlord’s consent. Consent by Landlord in one
such instance shall not be a waiver of Landlord’s rights under this Article as to requiring consent for any subsequent instance. In connection with any assignment of this Lease Agreement or subletting of the Premises made or requested by
Tenant, Tenant shall pay Landlord (i) a processing fee of $500.00 and (ii) all out-of-pocket costs incurred by Landlord, including reasonable attorneys’ fees. In the event Tenant desires to sublet a part or all of the Premises, or
assign this Lease Agreement, Tenant shall give written notice to Landlord at least thirty (30) days prior to the proposed subletting or assignment, 

  

 5 

 
which notice shall state the name of the proposed subtenant or assignee, the terms of any sublease or assignment documents and copies of financial reports or
other relevant financial information of the proposed subtenant or assignee. If any Tenant default has occurred under this Lease, any and all payments by the proposed assignee or subtenant with respect to the assignment or sublease shall be paid
directly to Landlord. In any event no assignment or subletting shall release Tenant of its obligation to pay the rent and to perform all other obligations to be performed by Tenant hereunder for the Term of this Lease Agreement. The acceptance of
rent by Landlord from any other person shall not be deemed to be a waiver by Landlord of any provision hereof. At Landlord’s option, Landlord may terminate the Lease Agreement in lieu of giving its consent to any proposed assignment of this
Lease Agreement or subletting of the Premises (which termination may be contingent upon the execution of a new lease with the proposed assignee or subtenant); provided that this recapture right will only apply in instances of an assignment of Lease
or a sublease of the entire Premises for the entire remaining term. 
 B. Landlord’s right to assign this Lease Agreement is and shall
remain unqualified upon any sale or transfer of the Building and, providing the purchaser succeeds to the interests of Landlord under this Lease Agreement, Landlord shall thereupon be entirely freed of all obligations of the Landlord hereunder and
shall not be subject to any liability resulting from any act or omission or event occurring after such conveyance. 
 ARTICLE 16 - LOSS BY CASUALTY

 If the Building is damaged or destroyed by fire or other casualty and the estimated time for restoration and repair exceeds one hundred
eighty (180) days, the Landlord shall have the right to terminate this Lease Agreement, provided it gives written notice thereof to the Tenant within sixty (60) days after such damage or destruction. If a portion of the Premises is damaged
by fire or other casualty, and Landlord does not elect to terminate this Lease Agreement, the Landlord shall, at its expense, restore the Premises to as near the condition which existed immediately prior to such damage or destruction, as reasonably
possible, and the rentals shall abate during such period of time as the Premises are untenantable or unsuitable for Tenant’s use (so long as Tenant is not actually occupying the Premises or the portion thereof that has been rendered
untenantable or unsuitable), in the proportion that the untenantable or unsuitable portion of the Premises bears to the entire Premises. Any other provision in this Lease to the contrary notwithstanding, if the Premises, access to the Premises
and/or any part of the Building that provides essential services to the Premises is damaged in whole or in part from any cause and it is estimated that the time period to repair and restore the damage will be 180 days or more from the date of the
damage using standard working methods and procedures, then Tenant shall have the right to terminate this Lease by delivering written notice to that effect to Landlord within sixty (60) days after the date of the damage. Similarly, if any damage
to the Premises, access to the Premises and/or any part of the Building that provides essential services to the Premises is damaged in whole or in part from any cause and such damage is not in fact fully repaired and restored within 180 days from
the date of the damage (irrespective of any estimated time for completion of the repair and restoration, but notwithstanding any delays caused by force majeure, provided that Tenant has received prompt notice of any force majeure), then Tenant shall
have the right to terminate this Lease by delivery of written notice to that effect to Landlord within thirty (30) days after said one hundred eighty (180) day period has lapsed. 
 ARTICLE 17 - WAIVER OF SUBROGATION 
 If any other
terms or provisions of this Lease are contrary to or inconsistent with this Article 17, the terms of this Article 17 shall govern and control. Landlord and Tenant hereby release the other from any and all liability or responsibility to the other or
anyone claiming through or under them by way of subrogation or otherwise for any loss or damage to property caused by fire or any of the extended coverage or supplementary contract casualties, even if such fire or other casualty shall have been
caused by the fault or negligence of the other party, or anyone for whom such party may be responsible. 
 ARTICLE 18 - EMINENT DOMAIN 
 If the entire Building is taken by eminent domain, this Lease Agreement shall automatically terminate as of the date of taking. If a portion of the
Building is taken by eminent domain and the estimated time for restoration and repair exceeds one hundred eighty (180) days, the Landlord shall have the right to terminate this Lease Agreement, provided it gives written notice thereof to the
Tenant within sixty (60) days after the date of taking. If a portion of the Premises is taken by eminent domain and this Lease Agreement is not terminated by Landlord, the Landlord shall, at its expense, restore the Premises to as near the
condition which existed immediately prior to the date of taking as reasonably possible, and the rentals shall abate during such period of time as the Premises are untenantable or unsuitable for Tenant’s use (provided that the Premises or the
portion thereof that has been rendered untenantable or unsuitable are not actually occupied by Tenant), in the proportion that the untenantable or unsuitable portion of the Premises bears to the entire Premises. All damages awarded for such taking
under the power of eminent domain shall belong to and be the sole property of Landlord, irrespective of the basis upon which they are awarded, provided, however, that nothing contained herein shall prevent Tenant from making a separate claim to the
condemning authority for its moving expenses and trade fixtures. For purposes of this Article, a taking by eminent domain shall include Landlord’s giving of a deed under threat of condemnation. Any other provision herein to the contrary
notwithstanding Tenant may claim and recover from the condemning authority a separate award for Tenant’s moving expenses, business dislocation damages, goodwill, personal property, fixtures and leasehold improvements paid for by Tenant, and any
other award that would not reduce the award payable to Landlord. 
  

 6 

 ARTICLE 19 - SURRENDER 
 On the last day of the Term or on the sooner termination thereof in accordance with the terms hereof, Tenant shall peaceably surrender the Premises in good condition and repair consistent with Tenant’s duty to
make repairs as provided in Article 9 hereof. On or before said last day, Tenant shall at its expense remove all of its equipment from the Premises, repairing any damage caused thereby, and any property not removed shall be deemed abandoned. All
alterations, additions and fixtures other than Tenant’s trade fixtures, which have been made or installed by either Landlord or Tenant upon the Premises shall remain as Landlord’s property and shall be surrendered with the Premises as a
part thereof, or if originally installed by Tenant shall be removed by Tenant (unless otherwise agreed at the time of installation), at the option of Landlord, in which event Tenant shall at its expense repair any damage caused thereby. It is
specifically agreed that any and all telephonic, coaxial, ethernet, or other computer, wordprocessing, facsimile, or electronic wiring installed by Tenant within the Premises (hereafter “Wiring”) shall be removed at Tenant’s
cost at the expiration of the Term, unless Landlord has specifically requested in writing that said Wiring shall remain, whereupon said Wiring shall be surrendered with the Premises as Landlord’s property. If the Premises are not surrendered at
the end of the Term or the sooner termination thereof, Tenant shall indemnify Landlord against loss or liability resulting from delay by Tenant in so surrendering the Premises, including, without limitation, claims made by any succeeding tenant
founded on such delay. Tenant shall promptly surrender all keys for the Premises to Landlord at the place then fixed for payment of rental and shall inform Landlord of combinations on any locks and safes on the Premises. 
 ARTICLE 20 - NON-PAYMENT OF RENT, DEFAULTS 
 If any
one or more of the following occurs: (1) a rent payment or any other payment due from Tenant to Landlord shall be and remain unpaid in whole or in part for more than ten (10) days after same is due and payable; (2) Tenant shall
violate or default on any of the other covenants, agreements, stipulations or conditions herein, or in any parking agreement(s) or other agreements between Landlord and Tenant relating to the Premises, and such violation or default shall continue
for a period of thirty (30) days after written notice from Landlord of such violation or default or within such reasonable period of time thereafter as may be necessary to cure such default where such default is of such a character as to
reasonably require more than thirty (30) days to cure, but no more than ninety (90) days total; (3) if Tenant shall commence or have commenced against Tenant proceedings under a bankruptcy, receivership, insolvency or similar type of
action and not discharge or dismiss the same within ninety (90) days thereafter; then it shall be optional for Landlord, without further notice or demand, to cure such default or to declare this Lease Agreement forfeited and the said Term
ended, or to terminate only Tenant’s right to possession of the Premises, and to re-enter the Premises, with or without process of law, using such force as may be necessary to remove all persons or chattels therefrom, and Landlord shall not be
liable for damages by reason of such re-entry or forfeiture; but notwithstanding re-entry by Landlord or termination only of Tenant’s right to possession of the Premises, the liability of Tenant for the rent and all other sums provided herein
shall not be relinquished or extinguished for the balance of the Term of this Lease Agreement and Landlord shall be entitled to periodically sue Tenant for all sums due under this Lease Agreement or which become due prior to judgment, but such suit
shall not bar subsequent suits for any further sums coming due thereafter. Tenant shall be responsible for, in addition to the rentals and other sums agreed to be paid hereunder, the cost of any necessary maintenance, repair, restoration, reletting
(including related cost of removal or modification of tenant improvements) or cure as well as reasonable attorney’s fees incurred or awarded in any suit or action instituted by Landlord to enforce the provisions of this Lease Agreement, regain
possession of the Premises, or the collection of the rentals due Landlord hereunder. Tenant shall also be liable to Landlord for the payment of a late charge in the amount of five percent (5%) of the rental installment or other sum due Landlord
hereunder if said payment has not been received within ten (10) days from the date said payment becomes due and payable, or cleared by Landlord’s bank within three (3) business days after deposit. Tenant agrees to pay interest at the
rate of twelve percent (12%) per annum or the maximum permissible rate under the applicable usury statutes, whichever is less, on all rentals and other sums due Landlord hereunder not paid within ten (10) days from the date same become due
and payable. Each right or remedy of Landlord provided for in this Lease Agreement shall be cumulative and shall be in addition to every other right or remedy provided for in this Lease Agreement now or hereafter existing at law or in equity or by
statute or otherwise. Any other provision in this Lease to the contrary notwithstanding, Tenant shall remain entitled to any and all rights and remedies that may be available to it pursuant to Minnesota unlawful detainer, eviction, ejectment and
similar laws. 
 ARTICLE 21 - LANDLORD’S DEFAULT 
 Landlord shall not be deemed to be in default under this Lease Agreement until Tenant has given Landlord written notice specifying the nature of the default and Landlord does not cure such default within thirty
(30) days after receipt of such notice or within such reasonable time thereafter as may be necessary to cure such default where such default is of such a character as to reasonably require more than thirty (30) days to cure. In any event,
however, if said default or breach is not cured within ninety (90) days after notice thereof, then Tenant shall have the right (in addition to any and all other available rights and remedies) to cure the default or breach and shall have the
right to recover the costs thereby incurred from Landlord. If Landlord is in breach or default of this Lease, Landlord shall reimburse Tenant for reasonable attorney’s fees incurred or awarded in any suit or action instituted by Tenant to
enforce the provisions of this Lease Agreement. 
  

 7 

 ARTICLE 22 - HOLDING OVER 
 Tenant will, at the expiration of this Lease Agreement, whether by lapse of time or termination, give up immediate possession to Landlord. Unless otherwise agreed by Landlord, if Tenant fails to give up possession the
Landlord may, at its option, serve written notice upon Tenant that such holdover constitutes any one of (i) creation of a month-to-month tenancy, or (ii) creation of a tenancy at sufferance. If Landlord does not give said notice,
Tenant’s holdover shall create a tenancy at sufferance. In any such event the tenancy shall be upon the terms and conditions of this Lease Agreement, except that the Minimum Rental shall be one hundred fifty percent (150%) of the Minimum
Rental Tenant was obligated to pay Landlord under this Lease Agreement immediately prior to termination (in the case of tenancy at sufferance such Minimum Rental shall be prorated on the basis of a 365 day year for each day Tenant remains in
possession); excepting further that in the case of a tenancy at sufferance, no notices shall be required prior to commencement of any legal action to gain repossession of the Premises. In the case of a tenancy at sufferance, Tenant shall also pay to
Landlord all damages sustained by Landlord resulting from retention of possession by Tenant. The provisions of this Article shall not constitute a waiver by Landlord of any right of re-entry as otherwise available to Landlord; nor shall receipt of
any rent or any other act in apparent affirmance of the tenancy operate as a waiver of the right to terminate this Lease Agreement for a breach by Tenant hereof. 
 ARTICLE 23 - SUBORDINATION 
 Tenant agrees that this Lease Agreement shall be subordinate to any mortgage (s) that may
now or hereafter be placed upon the Building or any part thereof, and to any and all advances to be made thereunder, and to the interest thereon, and all renewals, replacements, and extensions thereof, provided the Mortgagee named in any such
mortgage shall agree to recognize this Lease Agreement and not disturb Tenant’s rights hereunder in the event of foreclosure provided the Tenant is not in default. This subordination and non-disturbance shall be self-operative and no further
certificate or instrument of subordination need be required by any such Mortgagee. In confirmation of such subordination and non-disturbance, however, Tenant shall promptly execute and deliver any instrument, in recordable form, as required by
Landlord’s Mortgagee. In the event of any Mortgagee electing to have the Lease Agreement a prior encumbrance to its mortgage, then and in such event upon such Mortgagee notifying Tenant to that effect, this Lease Agreement shall be deemed prior
in encumbrance to the said mortgage, whether this Lease Agreement is dated prior to or subsequent to the date of said mortgage. 
 ARTICLE 24 - INDEMNITY,
INSURANCE AND SECURITY 
 A. Tenant will keep in force at its own expense for so long as this Lease Agreement remains in effect public
liability insurance with respect to the Premises in which Landlord shall be named as an additional insured, in companies and in form acceptable to Landlord with a minimum combined limit of liability of Two Million Dollars ($2,000,000.00). This limit
shall apply per location. Said insurance shall also provide for contractual liability coverage by endorsement. Tenant shall further provide for business interruption insurance to cover a period of not less than six (6) months. Tenant will
further deposit with Landlord the policy or policies of such insurance or certificates thereof, or other acceptable evidence that such insurance is in effect, which evidence shall provide that Landlord shall be notified in writing thirty
(30) days prior to cancellation, material change, or failure to renew the insurance. Tenant further covenants and agrees to indemnify and hold Landlord and Landlord’s manager of the Building harmless for any claim, loss or damage,
including reasonable attorney’s fees, suffered by Landlord, Landlord’s manager or Landlord’s other tenants caused by: i) the negligence or willful misconduct of Tenant, Tenant’s employees or anyone claiming through or by Tenant
in, at, or around the Premises or the Building; or ii) Tenant’s failure to comply with any and all applicable governmental laws, rules, ordinances or regulations applicable to the use of the Premises and its occupancy. Tenant’s indemnity
obligations under this Article 24 shall survive the expiration or earlier termination of this Lease Agreement. If Tenant shall not comply with its covenants made in this Article 24, Landlord may, at its option, cause insurance as aforesaid to be
issued and in such event Tenant agrees to pay the premium for such insurance promptly upon Landlord’s demand. 
 Landlord covenants and
agrees to indemnify and hold Tenant harmless for any claim, loss or damage, including reasonable attorneys’ fees, suffered by Tenant caused by: i) the negligence or willful misconduct of Landlord, Landlord’s employees or anyone claiming
through or by Landlord in, at or around the Premises or the Building; or ii) Landlord’s failure to comply with any and all applicable governmental laws, rules, ordinances or regulations applicable to the Building (excluding compliance with such
laws, rules, ordinances or regulations within the Premises to the extent the obligation of Tenant hereunder). Landlord’s indemnity obligations under this Article 24 shall survive the expiration or earlier termination of this Lease Agreement.

 B. Tenant shall be responsible for the security and safeguarding of the Premises and all property kept, stored or maintained in the
Premises. Landlord will make available to Tenant, at Tenant’s request, the plans and specifications for construction of the Building and the Premises. Tenant acknowledges and agrees that except as otherwise expressly set forth or referred to in
this Lease, Landlord is not obligated to make alterations or improvements to the Premises or the Building. The placement and sufficiency of all safes, vaults, cash or security drawers, cabinets or the like placed upon the Premises by Tenant shall be
at the sole responsibility and risk of Tenant. Tenant shall maintain in force throughout the Term, insurance upon all contents of the Premises, including that owned by others and Tenant’s equipment and any alterations, additions, fixtures, or
improvements in the Premises acknowledged by Landlord to be the Tenant’s. 
  

 8 

 C. Landlord shall carry and cause to be in full force and effect a fire and extended coverage insurance
policy on the Building, but not contents owned, leased or otherwise in possession of Tenant. The cost of such insurance shall be an Operating Expense. 
 ARTICLE 25 - NOTICES, DEMANDS AND OTHER INSTRUMENTS 
 All notices, demands, requests, consents, approvals and other
instruments required or permitted to be given pursuant to the terms of this Lease Agreement shall be in writing and shall be deemed to have been properly given if (a) with respect to Tenant, sent by registered mail, postage prepaid, or sent by
telegram, overnight express courier, facsimile followed by overnight express delivery or delivered by hand, in each case addressed to Tenant at the address for the Premises, and (b) with respect to Landlord, sent by registered mail, postage
prepaid, or sent by telegram, overnight express courier, facsimile followed by overnight express delivery or delivered by hand in each case, addressed to Landlord at its address first above set forth along with a copy to any Mortgagee, if Tenant has
been advised of the address for such Mortgagee, delivered in the same manner; provided however that in no event shall Minimum Rental or Additional Rental be deemed to have been made, given or delivered until actually received by Landlord. Landlord
and Tenant shall each have the right from time to time to specify as its address for purposes of this Lease Agreement any other address in the United States of America upon fifteen (15) days’ written notice thereof, similarly given, to the
other party and any Mortgagee. 
 ARTICLE 26 - APPLICABLE LAW 
 This Lease Agreement shall be construed under the laws of the State of Minnesota. 
 ARTICLE 27 - MECHANICS’ LIEN

 In the event any mechanic’s lien shall at any time be filed against the Premises or any part of the Building by reason of work,
labor, services or materials performed or furnished to Tenant or to anyone holding the Premises through or under Tenant, Tenant shall forthwith cause the same to be discharged of record. If Tenant shall fail to cause such lien forthwith to be
discharged or provide a bond or other adequate security within ten (10) days after being notified of the filing thereof, then, in addition to any other right or remedy of Landlord, Landlord may, but shall not be obligated to, discharge the same
by paying the amount claimed to be due, or by bonding, and the amount so paid by Landlord and all costs and expenses, including reasonable attorney’s fees incurred by Landlord in procuring the discharge of such lien, shall be due and payable in
full by Tenant to Landlord on demand. 
 ARTICLE 28 - SECURITY INTEREST 
 Intentionally Deleted. 
 ARTICLE 29 - BROKERAGE 
 Each of the parties represents and warrants that except for United Properties and Welsh Companies, LLC, there are no claims for brokerage commissions or
finder’s fees (collectively “Leasing Commissions”) in connection with this Lease Agreement, and agrees to indemnify the other party against, and hold it harmless from all liabilities arising from any claim for Leasing
Commissions asserted by a broker, agent or other person or entity claiming through the indemnifying party, including without limitation, the cost of attorney’s fees in connection therewith. 
 ARTICLE 30 - SUBSTITUTION 
 Intentionally Deleted.

 ARTICLE 31 - ESTOPPEL CERTIFICATES AND FINANCIAL STATEMENTS 
 Each party hereto agrees that at any time, and from time to time during the Term (but not more often than twice in each calendar year), within ten (10) days after request by the other party hereto, it will
execute, acknowledge and deliver to such other party or to any prospective purchaser, assignee or mortgagee designated by such other party, an estoppel certificate in a reasonable and customary form. Tenant agrees to provide Landlord (but not more
often than twice in any calendar year), within ten (10) days of request, the then most current financial statements of Tenant and any guarantors of this Lease Agreement, which shall be certified by Tenant, and if Tenant otherwise has audited
financial statements prepared and available, shall be audited and certified by a certified public accountant. Landlord shall keep such financial statements confidential, except Landlord shall, in confidence, be entitled to disclose such financial
statements to existing or prospective Mortgagees or purchasers of the Building. 
 ARTICLE 32 - GENERAL 
 This Lease Agreement does not create the relationship of principal and agent or of partnership or of joint venture or of any association between Landlord
and Tenant, the sole relationship between Landlord and Tenant being that of landlord and tenant. No waiver of any default of either party hereunder shall be implied from any omission by the other party to take any action on account of such default
if such default persists or is repeated, and no express waiver shall affect any default other than the default specified in the express waiver and that only for the time and to the extent therein stated. The covenants of Tenant to 

  

 9 

 
pay the Minimum Rental and the Additional Rental are each independent of any other covenant, condition, or provision contained in this Lease Agreement. The
marginal or topical headings of the several Articles, paragraphs and clauses are for convenience only and do not define, limit or construe the contents of such Articles, paragraphs or clauses. All preliminary negotiations are merged into and
incorporated in this Lease Agreement. This Lease Agreement can only be modified or amended by an agreement in writing signed by the parties hereto. All provisions hereof shall be binding upon the heirs, successors and assigns of each party hereto.
If any term or provision of this Lease Agreement shall to any extent be held invalid or unenforceable, the remainder shall not be affected thereby, and each other term and provision of this Lease Agreement shall be valid and be enforced to the
fullest extent permitted by law. If Tenant is a legal entity, each individual executing this Lease Agreement on behalf of said entity represents and warrants that he is duly authorized to execute and deliver this Lease Agreement on behalf of said
entity in accordance with a duly adopted resolution of the governing body of said entity or in accordance with the organizational documents of said entity, and that this Lease Agreement is binding upon said entity in accordance with its terms. No
receipt or acceptance by Landlord from Tenant of less than the monthly rent herein stipulated shall be deemed to be other than a partial payment on account for any due and unpaid stipulated rent; no endorsement or statement of any check or any
letter or other writing accompanying any check or payment of rent to Landlord shall be deemed an accord and satisfaction, and Landlord may accept and negotiate such check or payment without prejudice to Landlord’s rights to (i) recover the
remaining balance of such unpaid rent or (ii) pursue any other remedy provided in this Lease Agreement. Neither party shall record this Lease Agreement or any memorandum thereof, and any such recordation shall be a breach of this Lease
Agreement void, and without effect. Time is of the essence with respect to the due performance of the terms, covenants and conditions herein contained. Submission of this instrument for examination does not constitute a reservation of or option for
the Premises, and this Lease Agreement shall become effective only upon execution and delivery thereof by Landlord and Tenant. 
 ARTICLE 33 - SECURITY
DEPOSIT 
 Upon the execution hereof, Tenant agrees to pay Landlord the sum of $67,426.00 (the “Security Deposit”) to
guarantee the payment of rent and the performance by Tenant of all the terms of this Lease Agreement. Such amount held as a Security Deposit shall bear no interest. Provided that Tenant has not defaulted under this Lease, the Security Deposit will
be decreased to $44,951 on November 1, 2005 and to $22,476 on May 1, 2007 and the amount of $22,475 will be refunded to Tenant on such dates. Upon the occurrence of any default hereunder by Tenant, Landlord may use said Security Deposit to
the extent necessary to cure such default, whether rent or otherwise. Any remaining balance of said Security Deposit shall be returned to Tenant upon compliance with the terms hereof and acceptance of the vacated Premises by Landlord. Tenant
understands that its potential liability under this Lease Agreement is not limited to the amount of the Security Deposit. Use of such Security Deposit by Landlord shall not constitute a waiver, but is in addition to other remedies available to
Landlord under this Lease Agreement and under law. Upon the use of all or any part of the Security Deposit to cure any default of Tenant, Tenant shall forthwith deposit with Landlord the amount of Security Deposit so used. 
 ARTICLE 34 - EXCULPATION 
 Tenant agrees to look
solely to Landlord’s interest in the Building, including income from rents, for the recovery of any judgment from Landlord, it being agreed that Landlord and Landlord’s partners, whether general or limited (if Landlord is a partnership) or
its directors, governors, officers, managers, members or shareholders (if Landlord is a limited liability company or corporation), shall never be personally liable for any such judgment. 
 ARTICLE 35 - SUBMISSION 
 Submission of this Lease Agreement by Landlord to Tenant for examination
and/or execution shall not in any manner bind either party and no obligations on either party shall arise under this Lease Agreement unless and until this Lease Agreement is fully signed and delivered by Landlord and Tenant. 
 ARTICLE 36 - PARKING 
 Landlord will provide to Tenant
two parking stalls in the Parking Garage at a cost of $75 per stall per month in accordance with the Parking Agreement attached hereto as Exhibit A-4. In addition, Landlord will provide to Tenant two reserved parking stalls in the covered
portion of the general parking area at no cost to Tenant. 
 ARTICLE 37 - CONSENT AND APPROVAL 
 At any time that Landlord’s or Tenant’s consent, approval or discretion is required or is to be implemented, a reasonableness standard shall be
deemed to apply, and neither party shall unreasonably withhold, condition or delay its consent or approval, nor exercise discretion in an unreasonable manner. 
  

 10 

 IN WITNESS WHEREOF this Lease Agreement has been duly executed by the parties hereto as of the day
and year indicated above. 
  

													
	TENANT: Virtual Radiologic Consultants, LLC	 		 	LANDLORD: Midwest Holding Corp. #9, Inc.
					
	By:	 	/s/ Mark Marlow	 		 	By:	 	/s/ Dennis Keyes
		 	Its:	 	Chief Financial Officer	 		 		 	Its:	 	 Dennis Keyes
 Vice President

					
	By:	 	  	 		 		 	
		 	Its:	 		 		 		 		 	
					
	Date:	 	3-11-2004	 		 	Date:	 	3/15/04

 LIST OF EXHIBITS 
  

					
		  	Exhibit A-1 — Premises	  	
		  	Exhibit A-2 — Land	  	
		  	Exhibit A-3 — Tenant Improvements	  	
		  	Exhibit A-4 — Parking Agreement	  	
		  	Exhibit B — Operating Expense Exclusions	  	

  

 11First Amendment to Lease Agreement,dated August 12,2004

 Exhibit 10.31 
 FIRST AMENDMENT TO LEASE 
 THIS FIRST AMENDMENT TO LEASE (this “First Amendment”) is entered into this 12th day of August,
2004, by and between MIDWEST HOLDING CORP. #9, INC., a Minnesota corporation, c/o United Properties, as landlord (“Landlord”), and VIRTUAL RADIOLOGIC CONSULTANTS, LLC, a Delaware limited liability company, as tenant (“Tenant”).

 RECITALS 
 A. Landlord and Tenant entered into
that certain Standard Office Lease Agreement (Net), dated March 15, 2004 (the “Lease”), for those certain premises commonly known as 5995 Opus Parkway, Minnetonka, Minnesota, as more fully described in the Lease (the
“Premises”). 
 B. Landlord and Tenant now wish to expand the Premises, extend the term of the Lease, and amend the Lease in certain other
respects in accordance with the terms and conditions set forth below. 
 AGREEMENT 
 NOW, THEREFORE, in consideration of the mutual covenants set forth below, and other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, Landlord and Tenant agree as follows: 
 1. Effective Date. This First Amendment shall be effective in two stages, with
respect to two portions of the Expansion Premises (as defined below). This First Amendment shall be effective with respect to the First Expansion Premises (as defined below) on that date when Landlord has delivered possession of the First Expansion
Premises with the Expansion Improvements (as defined below) therein substantially completed, which date is estimated to be December 1, 2004 (the “First Effective Date”). 
 This First Amendment shall be effective with respect to the Second Expansion Premises (as herein after defined) on that date when Landlord has delivered possession
of the Second Expansion Premises with the Expansion Improvements therein substantially completed, which date is estimated to be February 1, 2005 (the “Second Effective Date”). 
 2. Expansion of Premises. As of the First Effective Date, that portion of the Expansion Premises depicted on Exhibit A attached hereto and
incorporated herein by reference and comprised of approximately 5,088 rentable square feet (the “First Expansion Premises”) shall be added to the Premises, as such term is defined in the Lease. As of the Second Effective Date, that portion
of the Expansion Premises depicted on Exhibit B attached hereto and incorporated herein by reference and comprised of approximately 9,927 rentable square feet (the “Second Expansion Premises”) shall be added to the Premises, as such
term is defined in the Lease. 
 The First Expansion Premises and the Second Expansion Premises are collectively referred to herein as the
“Expansion Premises”, which Expansion Premises are depicted on Exhibit C attached hereto and incorporated herein by reference. 
 3.
Term. The term of the First Expansion Premises shall begin on the First Effective Date, and expire on June 30, 2010. The term of the Second Expansion Premises shall begin on the Second Effective Date, and expire on June 30, 2010. As
of the First Effective Date, the Term of the original Premises shall be extended to expire on June 30, 2010. 
 4. Early Occupancy. Tenant
shall have access to the First Expansion Premises and the Second Expansion Premises as soon as the Expansion Improvements have been substantially completed in either the First Expansion Premises or the Second Expansion Premises, as the case may be,
for the purpose of installing equipment and furnishings therein. Such early occupancy shall be at no additional cost to Tenant; provided that all provisions of the Lease (except the obligation to pay rent) shall apply to Tenant and any portion of
the Expansion Premises on and after the date Tenant initially takes occupancy of any portion of the Expansion Premises for the purposes of such installation or otherwise. 

 5. Rent  
 a. Free Rent. Absent an Event of Default under the Lease, Tenant will receive free rent for the First Expansion Premises and the Second Expansion Premises as follows: 
  

															
	Premises	 	  	  	Period	 	  	  	No. of Months	  	  	  	Total Rent for
Period	 	  
	 First Expansion Premises
	 	 	  	 First Effective Date through
 May 31, 2005
	 	 	  	6	  	 	  	$0.00	 	 
	Second Expansion Premises	 	 	  	 Second Effective Date
 through
July 31, 2005
	 	 	  	6	  	 	  	$0.00	 	 

 The dates set forth above are subject to adjustment pursuant to Section 8, below. 
 b. Base Rent. In addition to the Minimum Rental set forth in the Lease, base rent is payable for the First Expansion Premises and the Second
Expansion Premises in accordance with the following chart: 
  

																						
	Period	  	  	  	No. of
Months	  	  	  	Rent PSF	  	  	  	Total Monthly
Rent	  	  	  	Total for Period	  	 
	 June 1, 2005 to
July 31, 2005
 (First Expansion Premises only)
	  	 	  	  2	  	 	  	$	10.00	  	 	  	$	4,240.00	  	 	  	$	8,480.00	  	 
	 August 1, 2005 to April 30, 2006
	  	 	  	  9	  	 	  	$	10.00	  	 	  	$	12,512.50	  	 	  	$	112,612.50	  	 
	 May 1, 2006 to April 30, 2007
	  	 	  	12	  	 	  	$	11.00	  	 	  	$	13,763.75	  	 	  	$	165,165.00	  	 
	 May 1, 2007 to April 30, 2008
	  	 	  	12	  	 	  	$	12.00	  	 	  	$	15,015.00	  	 	  	$	180,180.00	  	 
	 May 1, 2008 to April 30, 2009
	  	 	  	12	  	 	  	$	13.00	  	 	  	$	16,266.25	  	 	  	$	195,195.00	  	 
	 May 1, 2009 to June 30, 2010
	  	 	  	14	  	 	  	$	14.00	  	 	  	$	17,517.50	  	 	  	$	245,245.00	  	 

 In addition to the Minimum Rental set forth in the Lease, base rent is payable for the extended term of the
original Premises in accordance with the following chart: 
  

																						
	Period	  	  	  	No. of
Months	  	  	  	Rent PSF	  	  	  	Monthly Rent	  	  	  	Total for Period	  	 
	 November 1, 2009 to June 30, 2010
	  	 	  	8	  	 	  	$	14.00	  	 	  	$	16,980.83	  	 	  	$	135,846.67	  	 

 c. Additional Rent. Notwithstanding anything to the contrary in the Lease, Tenant
shall not pay any Real Estate Taxes or Operating Expenses applicable to the First Expansion Premises for the first six months after the First Effective Date, and Tenant shall not pay any Real Estate Taxes or Operating Expenses applicable to the
Second Expansion Premises for the first six months after the Second Effective Date. After such respective six month periods have expired, Tenant shall pay all Real Estate Taxes and Operating Expenses applicable to the First Expansion Premises and
the Second Expansion Premises as and when required by the Lease. 
 6. Security Deposit. In addition to the Security Deposit held by Landlord
under the Lease, Tenant will deposit with Landlord an additional deposit in the total amount of $23,185.65 as security for Tenant’s full and faithful performance under the Lease, as hereby amended (the “Additional Deposit”). The
Additional Deposit will be paid by Tenant as follows. When the First Expansion Premises is vacated by the third party currently in occupancy thereof, Landlord will provide notice to Tenant that the First Expansion Premises has been vacated. Within
ten (10) days after such notice, Tenant will pay to Landlord a portion of the Additional Deposit equal to $7,728.55. When the Second Expansion Premises is vacated, Landlord will provide notice thereof to Tenant, and Tenant shall pay to Landlord
the remaining portion of the Additional Deposit equal to $15,457.10 within ten (10) days after such notice. Provided that Tenant has not defaulted under the Lease as hereby amended, the Additional Deposit shall be reduced to $15,457.10 on
November 1, 2005, and to $7,728.55 on May 1, 2007. Landlord shall hold the remaining $7,728.55 for the remainder of the Term. The Additional Deposit will be held in the same manner that Landlord will hold the Security Deposit pursuant to
Article 33 of the Lease. 
  

 2 

 7. Expansion Premises Improvements. Upon full execution of this First Amendment, Landlord shall cause a
qualified architect or other design professional to prepare plans, including a full set of construction drawings (the “Plans”) and submit such Plans to Tenant for its review and approval. Tenant will not unreasonably withhold or delay its
approval of the Plans. Upon approval of the Plans by Tenant and any required governmental approvals, Landlord shall construct the improvements in accordance with the Plans for and on behalf of Tenant (the “Expansion Improvements”).
Landlord and Tenant have agreed that the costs of such Expansion Improvements shall be paid by Tenant, although Landlord shall provide Tenant an allowance of up to $75,075.00 to be utilized toward the cost of the Expansion Improvements (the
“Allowance”). The Allowance shall be used exclusively for the payment of costs relating to the construction of the Expansion Improvements, including the cost of preparing the Plans and a construction management fee payable to
Landlord’s construction manager for profit and overhead in the total amount of eight percent (8%) of the total cost of the Expansion Improvements, which costs Landlord shall pay directly out of the Allowance for the credit of Tenant, and
in no event shall any part of the Allowance be payable to or paid to Tenant. Any costs of the Expansion Improvements which exceed the Allowance, shall by paid by Tenant to Landlord without further demand within thirty (30) days after the date
of submission by Landlord to Tenant of a statement of said costs. Any improvements to the Expansion Premises, other than as shown on the Plans, and the furnishing of the Expansion Premises, shall be made by Tenant at the sole cost and expense of
Tenant, subject to all other provisions of this First Amendment. Tenant’s occupancy of the First Expansion Premises, or the Second Expansion Premises, upon substantial completion of each, shall be conclusive evidence of Tenant’s acceptance
of the First Expansion Premises or the Second Expansion Premises, as the case may be. 
 8. Contingency. This First Amendment is contingent upon
the vacation of the First Expansion Premises by a third party on or before October 31, 2004, and of the Second Expansion Premises on or before December 31, 2004, unless otherwise agreed by Landlord and Tenant. In the event the First
Expansion Premises are not timely vacated, the First Effective Date may be postponed by the number of days of such delay. In the event the Second Expansion Premises are not timely vacated, the Second Effective Date may be postponed by the number of
days of such delay. Regardless of any such delay, Tenant shall receive free rent for a full six month period for both the First Expansion Premises and the Second Expansion Premises. 
 9. Capitalized Terms. Capitalized terms not defined herein have the meanings given them in the Lease. 
 10. Ratification. The Lease, except as expressly amended hereby, is fully ratified and confirmed and continues in full force and effect. 
  

 3 

 IN WITNESS WHEREOF, the parties have caused this First Amendment to be executed as of the day and year first above
written. 
  

					
	MIDWEST HOLDING CORP. #9, INC.
		
	By:	 	/s/     DENNIS KEYES        
		 	Dennis Keyes
		 	Its:	 	Vice President      
	
	VIRTUAL RADIOLOGIC CONSULTANTS, LLC
		
	By:	 	/s/     MARK MARLOW        
		 	Mark Marlow
		 	Its:	 	Chief Financial Officer      
		 		 	

  

 4

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00110-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00110-of-00352.parquet"}]]