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FINAL AGREEMENT 3.25.22 <br />EXHIBIT K <br />Subdivision Settlement Participation Form <br />Governmental Entity: 1 <br />p gt4r4 S l ' State: W V-A c:� <br />Authorized Official: 1 <br />" <br />Address l: (%0')o wt <br />r, 4V ut✓ <br />Address 2: <br />City, State, Zip: Soow <br />k LC -5 Z -ACA %- -3 -.Moo <br />Phone: 10 <br />1 <br />Email: $VKgf1rtsr. Ilpfl. <br />AQ: <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 dated July 21, 2021 ("Distributor Settlement"), and acting through the undersigned <br />authorized official, hereby elects to participate in the Distributor Settlement, release all Released <br />Claims against all Released Entities, and agrees as follows. <br />1. The Governmental Entity is aware of and has reviewed the Distributor Settlement, <br />understands that all terms in this Participation Form have the meanings defined therein, <br />and agrees that by signing this Participation Form, the Governmental Entity elects to <br />participate in the Distributor Settlement and become a Participating Subdivision as <br />provided therein. <br />2. The Governmental Entity shall, within 14 days of the Reference Date and prior to the <br />filing of the Consent Judgment, secure the dismissal with prejudice of any Released <br />Claims that it has filed. <br />3. The Governmental Entity agrees to the terms of the Distributor Settlement pertaining to <br />Subdivisions as defined therein. <br />4. By agreeing to the terms of the Distributor 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 Distributor <br />Settlement solely for the purposes provided therein. <br />6. The Governmental Entity submits to the jurisdiction of the court in the Governmental <br />Entity's state where the Consent Judgment is filed for purposes limited to that court's role <br />as provided in, and for resolving disputes to the extent provided in, the Distributor <br />Settlement. The Governmental Entity likewise agrees to arbitrate before the National <br />Arbitration Panel as provided in, and for resolving disputes to the extent otherwise <br />provided in, the Distributor Settlement. <br />K-1 <br />