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EXHIBIT D <br />SUBDIVISION SETTLEMENT PARTICIPATION FORM <br />Governmental Entitv:\ <br />State: EL <br />Authorized Official: <br />,; j = ti/ <br />Address 1: V601rO <br />Uk SIS ( � <br />Address 2: <br />City, State, Zi fj <br />Gh 3:3,1 tD l <br />Phone: <br />The governmental entity identified above ("GoverI7n7ental 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 U>§TjI 2022, anion- Walmart (defined below), the State of <br />Florida and its Office of the Attorney General and acting through the <br />Undersigned authorized official. hereby elects to participate in the Walmart Settlement, release <br />all Released Claims against all Releasees, and agrees as follows. <br />I . The Governmental Entity is aware of and has reviewed the Walmart 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 Walmart <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 />filed. <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 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 Walmart <br />Settlement solely for the purposes provided therein. <br />6. The Governmental Entity submits to the jurisdiction of the Count Ior purposes limited to <br />the Court's role as provided in, and for resolving disputes to the extent provided in. the <br />Walmart Settlement. <br />The defined tennis in the Walmart Settlement shall have the sante nleaning in this Subdivision <br />Settlement Participation Form. <br />154 <br />