Medtronic Trading NL BV. Postbus 2542 6401 DA Heerlen Tel: 045-5668800 MI’OIÌEC « Fax: 045-5668276 Heerlen, 10 March 2015 Leids Universitair Medisch Centrum For the attention of _ PO Box 9600 2300 RC Leiden Dear _ At our request you have kindly agreed to participate in the CRS Symposium which will be held in Figi Zeist— The Netherlands on 19-20 March 2015 and to give a presentation on Friday February 20th. As compensation for the above we will pay you en honorarium of EUR 800,00 which will be transferred to your bank account following the meeting and upon receipt of a copy of your presentation. in accordance with Medtronic's expense reimbursement policies, we shall cover the following costs for your participation in the above event: - Travel costs - Lodging (maxi night) - Meals (forthe duration ofthe event) lf not directly paid by Medtronic, such expenses wii! be reimbursed upon your submission of the original re_ceipts. Please note that any additional hotel costs, such as minibar, telephone, ' expenses for accompanying persons (double occupancy) or for an extension of your stay cannot be organized orreimbursed by Medtronic. You shall own all copyrights to materials created by you and which are distributed or otherwise presented during the meeting. However, you agree that you will grant to Medtronic an unlimited, perpetual, Worldwide and royalty free license to use, copy and distribute such copyrighted materials in any medium. Medtronic a rees to include the toiiowing legend in any reprints: Reprinted with the permission of— in addition, you agree that Medtronic wishes to receive the infonnation presented by you on a non—confidential basis so we can use your advice and suggestions in our process of developing and improving our products. We ask that you do not disclose to Medtronic any ideas that you consider confidential or proprietary. Accordingiy, we are free to use your comments and suggestions in our products. Should you wish to disclose an idea to Medtronic in confidence, it must be the subject of a separate agreement. —age i of 4 €. @ rornic A ikvlarlng RrIn-Rmorlngfflflrlr ‘£-:lurdmg Life We would like to receive your feedback on a non—confidential basis so we can use your advice and suggestions in our process of developing and improving our products. We ask that you do not disclose to Medtronic any ideas that you consider confidential or proprietary. Accordingly, We are free to use your comments and suggestions in our products. Should you wish to disclose an idea to Medtronic in confidence, it must be the subject of a separate agreement. You agree that you will not disclose Medtronic information Which is identified as confidential to any third party or use the information for any purpose other than your work-with Medtronic. Of course, this does not apply to any information to the extent it becomes publicly available through no fault of yours, is released to the public by Medtronic in writing‚is lawfully received by you from a third party, or is information you previously knew or developed independent of receipt of the information from Medtronic. You shall take all necessary steps to oover your liability arising from the performance of your duties under this Agreement, which shall include but not be limited to the following: 1) any insurance/indemnity granted by your own employer; 2) your own professional liability insurance; 3) any insurance/indemnity granted by the medical institution where the duties under thisAgreement will be performed. You shall be liable for your own negligence and mistakes while performing the duties under this Agreement and shall indemnify and hold harmless Medtronic, its directors, officers, employees, agents and representatives, from all claims and proceedings, including any costs thereof, brought by any third party against Medtronic and any of its affiliates arising out of and to the extent caused by your negligence or mistake. lf you agree tothe above mentioned arrangement, may we ask you to please sign this letter in the space provided below, to submit it to your medical institution administration or employer for signature, and return a signed original to our office. We would like to state that this Agreement does not create any obligation or expectation for you or your medical institution to use, promote or purchase Medtronic products. We greatly appreciate your willingness to share with us your insights and the benefit of your experience. Only by partnering with and learning from eXperts like you can Medtronic design and develop medical devices, which continually improve our patients’ quality of life. Yours sincerely, PHYSICÌAN MEDTRONICÏRADING Date: 42» 05? “30/1 5/ Dois: & ”ê7b ' 7ÁDJ/ " 'ä _ Page 201“ 4 ronic .Jikvíarlng Puiuv Rulorlngìleallb£wendlng £ijè MEDICAL iNSTITUTION/EMPLOYER Leids Universitair Medisch Centrum has reviewed, and hereby approves and authorizes, each and all of the terms anc! provisions of this Agreement. The individuai signing below represents and agrees that he/she is authorized to sign this Agreement as a representative of, and on behalf of Lelds Universitair Medisch Centrum. By: Title: Signature: __ Date: obligations to same. _ Page 3 of 4 @ Medimnic Ailnflllilug Palm Raming Hii!!!)ii5blidiiig Lije REQUEST FOR REIMBURSEMENT OF EXPENSES CRS Symposium Figi Zeist — The Netherlands 19-20 March 2015 Leids Universitair Medisch Centrum For the attention of_ PO Box 9600 2300 RC Leiden lf expenses are to be reimbursed under this Agreement, please complete the information below and forward this request to our office together with your original receipts: Expenses: Mileage (EUR 0.29 per km): .............................. _€ Total: :::=:==::IZZJZIZ € _Elamkde__tálgg Account holder: — Account number: _ Bank: — lBAN Code: _ _ Page 4 of 4 +-