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EXHIBIT D. <br />SUBDIVISION SETTLEMENT PARTICIPATION FORM <br />Governmental Entit : Uy.IN si 5 - State: <br />Authorized Official: A -CA <br />Address 1 %V10 CbjjA--. AIENVj, <br />Address 2. <br />City, State, Zi .:, ur4d,► <br />Plione: p+,,?q Z• 1'1 <br />Email:. &044, -s Q& c 1 • rte.. <br />The governmental entity identified above ("Governmental Entity"), in order to obtain and <br />in consideration for the benefits provided to the Governmental Entity pursuant to the Settlement <br />Agreement and Release dated May 4, 2022 ("Walgreens Settlement"),' and acting through the <br />undersigned authorized official, hereby elects to participate in the Walgreens Settlement, release <br />all Released Claims against all Releasees, and agrees as follows. <br />1. The Governmental Entity is aware of and has reviewed the Walgreens Settlement, <br />understands that all terms in this Subdivision Settlement Participation Form have the <br />meanings defined therein, and agrees that by signing this Subdivision Settlement <br />Participation Form, the Governmental Entity elects to participate in the Walgreens <br />Settlement and become a Participating Subdivision as provided therein. <br />2. The Governmental Entity shall immediately cease any and all litigation activities as to the <br />Releasees and Released Claims and, within the later of 7 days following the entry of the <br />Consent Judgment or 7 days of the Execution Date of this Subdivision Settlement <br />Participation Form, voluntarily dismiss with prejudice any Released Claims that it has <br />fled. <br />3. The Governmental Entity agrees to the terms of the Walgreens Settlement pertaining to <br />Subdivisions as defined therein. <br />4. By agreeing to the terms of the Walgreens Settlement and expressly agreeing to the <br />Releases provided for therein, the Governmental Entity is entitled to the benefits provided <br />therein, including, if applicable, monetary payments beginning after the Effective Date of <br />the Release. <br />5. The Governmental Entity agrees to use any monies it receives through the Walgreens <br />Settlement solely for the purposes provided therein. <br />6. The Governmental Entity submits to the jurisdiction of the Court for purposes limited to <br />the Court's role as provided in, and for resolving disputes to the extent provided in, the <br />Walgreens Settlement. <br />' The defined terms in the Walgreens Settlement shall have the same meaning in this Subdivision <br />Settlement Participation Form. <br />