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EXHIBIT K <br /> Subdivision Participation Form <br /> Governmental Entity: c )4sciX( C-,�-;, State: - <br /> Authorized Official: <br /> Address 1: (0 <br /> Address 2: <br /> City, State,Zip: <br /> Phone: <br /> Email: <br /> The governmental entity identified above("Governmental Entity"), in order to obtain and in <br /> consideration for the benefits provided to the Governmental Entity pursuant to the Settlement <br /> Agreement dated November 14,2022("Walmart Settlement"), and acting through the undersigned <br /> authorized official,hereby elects to participate in the Walmart Settlement,release all Released Claims <br /> against all Released Entities, and agrees as follows. <br /> 1. The Governmental Entity is aware of and has reviewed the Walmart Settlement,understands <br /> that all terms in this Election and Release have the meanings defined therein, and agrees that <br /> by this Election,the Governmental Entity elects to participate in the Walmart Settlement and <br /> become a Participating Subdivision as provided therein. <br /> 2. The Governmental Entity shall promptly,and in any event within 14 days of the Effective <br /> Date and prior to the filing of the Consent Judgment, dismiss with prejudice any Released <br /> Claims that it has filed. With respect to any Released Claims pending in In re National <br /> Prescription Opiate Litigation,MDL No. 2804,the Governmental Entity authorizes the <br /> Plaintiffs' Executive Committee to execute and file on behalf of the Governmental Entity a <br /> Stipulation of Dismissal With Prejudice substantially in the form found at <br /> httl)s://nationalol)ioidsettlement.com/. <br /> 3. The Governmental Entity agrees to the terms of the Walmart Settlement pertaining to <br /> Subdivisions as defined therein. <br /> 4. By agreeing to the terms of the Walmart Settlement and becoming a Releasor,the <br /> Governmental Entity is entitled to the benefits provided therein, including, if applicable, <br /> monetary payments beginning after the Effective Date. <br /> 5. The Governmental Entity agrees to use any monies it receives through the Walmart <br /> Settlement solely for the purposes provided therein. <br /> 1 10, <br />