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FIFTH AMENDMENT TO LEASE - MODIFIED BY REDUCING NET RENTABLE SQUARE FOOTAGE BY 2,943 RENTABLE SQUARE FEET, REVISED LEASED PREMISES SHALL BE DEEMED COMPRISED OF 8,841 RENTABLE SQUARE FEET, KNOWN AS SUITE 1100 & 8,682 RENTALBE SQUARE FEET, KNOWN AS SUITE 1200, FOR TOTAL NET RENTABLE AREA OF REVISED LEASED PREMISES OF 17,523 RENTABLE SQUARE FEET, EFFECTIVE 10/1/2009 - MINIMUM MONTHLY RENT TO BE $26,634.96