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<br /> H-4 <br /> Signature page of the Developer to the Minimum Assessment Agreement, dated as of the <br />date and year first written above. <br /> <br /> <br />LYNGBLOMSTEN SENIOR HOUSING, INC. <br /> <br /> <br /> <br /> <br />By <br />Its <br /> <br /> <br /> <br /> <br /> <br /> <br />STATE OF MINNESOTA ) <br /> ) SS. <br />COUNTY OF __________ ) <br /> <br /> The foregoing instrument was acknowledged before me this _________________, 2019, by <br />_________________, the ________________ of Lyngblomsten Senior Housing, Inc., a Minnesota <br />nonprofit corporation, on behalf of the Developer. <br /> <br /> <br /> <br />Notary Public <br /> <br /> <br />