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Docusign Envelope ID:F617E359-4OD9-46EO-BD71-OF50B4798B26 <br /> EXHIBIT K <br /> Subdivision Participation and Release Form <br /> Governmental Entity: Santa Ana city State: CA <br /> Authorized Signatory: Alvaro Nunez <br /> Address 1: 20 Civic Center Plaza,M-31 <br /> Address 2: P.O.Box 1988 <br /> City, State,Zip: Santa Ana CA 92702 <br /> Phone: 714-647-5220 <br /> Email: ANufiez@santa-ana.org <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 that certain <br /> Governmental Entity & Shareholder Direct Settlement Agreement accompanying this <br /> participation form (the "Agreement")', and acting through the undersigned authorized official, <br /> hereby elects to participate in the Agreement, grant the releases set forth below, and agrees as <br /> follows. <br /> 1. The Governmental Entity is aware of and has reviewed the Agreement, and agrees that by <br /> executing this Participation and Release Form, the Governmental Entity elects to <br /> participate in the Agreement and become a Participating Subdivision as provided therein. <br /> 2. The Governmental Entity shall promptly after the Effective Date, and prior to the filing of <br /> the Consent Judgment, dismiss with prejudice any Shareholder Released Claims and <br /> Released Claims that it has filed. With respect to any Shareholder Released Claims and <br /> Released Claims pending in In re National Prescription Opiate Litigation,MDL No.2804, <br /> the Governmental Entity authorizes the Plaintiffs' Executive Committee to execute and file <br /> on behalf of the Governmental Entity a Stipulation of Dismissal with Prejudice <br /> substantially in the form found at hgps://nationalopioidsettlement.com. <br /> 3. The Governmental Entity agrees to the terms of the Agreement pertaining to Participating <br /> Subdivisions as defined therein. <br /> 4. By agreeing to the terms of the Agreement and becoming a Releasor, the Governmental <br /> Entity is entitled to the benefits provided therein, including, if applicable, monetary <br /> payments beginning following the Effective Date. <br /> 5. The Governmental Entity agrees to use any monies it receives through the Agreement <br /> 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 and to the extent provided in, and for resolving disputes to the extent provided in, the <br /> ' Capitalized terms used in this Exhibit K but not otherwise defined in this Exhibit K have the meanings given to <br /> them in the Agreement or,if not defined in the Agreement,the Master Settlement Agreement. <br /> K-1 0 <br />