SECOND AMENDMENT TO NOTE PURCHASE AGREEMENT $150,000,000 Principal Amount 4.60% Senior Notes due 2008Ims Health Incorporated • December 21st, 2006 • Ims Health Inc • Services-computer processing & data preparation
Reference is made to the Note Purchase Agreement, dated as of January 15, 2003 as amended as of August 26, 2005 and as further amended (the “Note Agreement”) among IMS Health Incorporated, a Delaware corporation (the “Company”), and each of the Purchasers named in Schedule A thereto pursuant to which the Company issued $150,000,000 aggregate principal amount of its 4.60% Senior Notes due 2008 (the “Notes”). You are referred to herein individually as a “Holder” and collectively as the “Holders”. Capitalized terms used and not otherwise defined herein shall have the meanings ascribed to them in the Note Agreement.
