0001104659-11-028754 Sample Contracts

MANAGEMENT AGREEMENT FOR HOME PLACE OF BURLINGTON BURLINGTON, NORTH CAROLINA MAY 12, 2011
Management Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Massachusetts

THIS MANAGEMENT AGREEMENT (“Agreement”) is entered into as of May 12, 2011, by and between FVE Managers, Inc., a Maryland corporation (“Manager”), and SNH SE Burlington Tenant LLC, a Delaware limited liability company (“SNH TRS”).

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PURCHASE AND SALE AGREEMENT BY AND AMONG FIVE STAR QUALITY CARE, INC., AS PURCHASER, AND RESIDENTIAL CARE VII, L.L.C., AND RIVERWALK GARDEN HOMES, L.L.C. JOINTLY AND SEVERALLY, AS SELLERS MARCH 18, 2011 Riverwalk Commons and Garden Homes 7235...
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Indiana

THIS PURCHASE AND SALE AGREEMENT is made and entered into as of March 18, 2011 (the “Effective Date”) by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE VII, L.L.C., an Indiana limited liability company, and RIVERWALK GARDEN HOMES, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

BRIDGE LOAN AGREEMENT Dated as of May 12, 2011 among FIVE STAR QUALITY CARE, INC., MORNINGSIDE HOLDINGS OF CONCORD, LLC, MORNINGSIDE OF CONCORD, LLC, MORNINGSIDE HOLDINGS OF RALEIGH, LLC, MORNINGSIDE OF RALEIGH, LLC, MORNINGSIDE HOLDINGS OF GASTONIA,...
Bridge Loan Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Massachusetts

This BRIDGE LOAN AGREEMENT, dated as of May 12, 2011, among FIVE STAR QUALITY CARE, INC., a Maryland corporation (“FVE”), MORNINGSIDE HOLDINGS OF CONCORD, LLC, a Delaware limited liability company, MORNINGSIDE OF CONCORD, LLC, a Delaware limited liability company, MORNINGSIDE HOLDINGS OF RALEIGH, LLC, a Delaware limited liability company, MORNINGSIDE OF RALEIGH, LLC, a Delaware limited liability company, MORNINGSIDE HOLDINGS OF GASTONIA, LLC, a Delaware limited liability company, MORNINGSIDE OF GASTONIA, LLC, a Delaware limited liability company, MORNINGSIDE HOLDINGS OF GREENSBORO, LLC, a Delaware limited liability company, MORNINGSIDE OF GREENSBORO, LLC, a Delaware limited liability company, and FIVE STAR QUALITY CARE — OBX OPERATOR, LLC, a Maryland limited liability company (together with FVE, each a “Borrower” and collectively, the “Borrowers”), and SENIOR HOUSING PROPERTIES TRUST, a Maryland real estate investment trust (the “Lender”).

POOLING AGREEMENT
Pooling Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Massachusetts

THIS POOLING AGREEMENT (this “Agreement”) is made as of May 12, 2011, by and among FVE Managers, Inc. (“Manager”) and the parties listed on Schedule A (each a “TRS” and collectively, “TRSes”).

THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 11, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE OF FT. WAYNE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

PURCHASE AND SALE AGREEMENT BY AND AMONG FIVE STAR QUALITY CARE, INC., AS PURCHASER, AND RESIDENTIAL CARE II, L.L.C., RESIDENTIAL CARE IV, L.L.C., RESIDENTIAL CARE VI, L.L.C., E&F REALTY CO., L.L.P. AMERICAN SENIOR HOME CARE, L.L.C. AND AMERICAN...
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Indiana

THIS PURCHASE AND SALE AGREEMENT is made and entered into as of March 18, 2011 (the “Effective Date”) by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company and AMERICAN SENIOR HOME CARE OF FT. WAYNE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 11, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE VII, L.L.C., an Indiana limited liability company, and RIVERWALK GARDEN HOMES, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of April 27, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE VII, L.L.C., an Indiana limited liability company, and RIVERWALK GARDEN HOMES, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 9, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE OF FT. WAYNE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 9, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE I, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE III, INC., an Indiana corporation, CLEARWATER GARDEN HOMES, L.L.C., an Indiana limited liability company, ROSEWALK GARDEN HOMES, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of April 27, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE I, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE III, INC., an Indiana corporation, CLEARWATER GARDEN HOMES, L.L.C., an Indiana limited liability company, ROSEWALK GARDEN HOMES, L.L.C., an Indiana limited liability company and AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of April 27, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company and AMERICAN SENIOR HOME CARE OF FT. WAYNE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 12, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE I, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE III, INC., an Indiana corporation, CLEARWATER GARDEN HOMES, L.L.C., an Indiana limited liability company, ROSEWALK GARDEN HOMES, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS THIRD AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 11, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE I, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE III, INC., an Indiana corporation, CLEARWATER GARDEN HOMES, L.L.C., an Indiana limited liability company, ROSEWALK GARDEN HOMES, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 12, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE II, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE IV, L.L.C., an Indiana limited liability company, RESIDENTIAL CARE VI, L.L.C., an Indiana limited liability company, E&F REALTY CO., L.L.P., an Indiana limited liability partnership, AMERICAN SENIOR HOME CARE, L.L.C., an Indiana limited liability company, and AMERICAN SENIOR HOME CARE OF FT. WAYNE, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FIRST AMENDMENT TO AMENDED AND RESTATED BUSINESS MANAGEMENT AND SHARED SERVICES AGREEMENT
Management and Shared Services Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Massachusetts

THIS FIRST AMENDMENT TO AMENDED AND RESTATED BUSINESS MANAGEMENT AND SHARED SERVICES AGREEMENT (this “Amendment”), dated as of May 12, 2011, by and between Five Star Quality Care, Inc., a Maryland corporation (the “Company”), and Reit Management & Research LLC, a Delaware limited liability company (“RMR”).

SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 9, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE VII, L.L.C., an Indiana limited liability company, and RIVERWALK GARDEN HOMES, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT
Purchase and Sale Agreement • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities

THIS FOURTH AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is made and entered into as of May 12, 2011, by and among FIVE STAR QUALITY CARE, INC., a Maryland corporation, as purchaser (the “Purchaser”), and RESIDENTIAL CARE VII, L.L.C., an Indiana limited liability company, and RIVERWALK GARDEN HOMES, L.L.C., an Indiana limited liability company (each individually, a “Seller” and, jointly and severally, the “Sellers”).

LEASE BY AND BETWEEN 400 CENTRE STREET LLC and FIVE STAR QUALITY CARE, INC.
Lease • May 13th, 2011 • Five Star Quality Care Inc • Services-skilled nursing care facilities • Massachusetts

This lease (this “Lease”) is entered into by and between 400 CENTRE STREET LLC, a Massachusetts limited liability company (“Landlord”), and FIVE STAR QUALITY CARE, INC., a Maryland corporation (“Tenant”).

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