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DocuSign Envelope ID: 465DCC77-DCEA-4CA9.8641-2BDF97F2755B <br />Subdivision Participation Form <br />Will your subdivision or special district be signing the settlement participation form for the Walmart <br />Settlement at this time? <br />[X] Yes [] No <br />Governmental Entity: Mayfield village / State: OH <br />Authorized Official: Brenda T. Bodnar, Mayor; and Stephen Schutt, President of Council <br />Address 1: 6622 Wilson Mills Road <br />Address 2: <br />City, State, Zip: Mayfield Village, Ohio 44143 <br />Phone: 440-461-2210 <br />Email: c/o Diane Wol amuth Director of Administration dwolvarnuth9mayfieldvillaize.com <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 />The Governmental Entity shall promptly, and in any event within 14 days of the Effective <br />Date and prior to the filing of tile 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 />https://nationalopioidsettlement.com/. <br />3. The Governmental Entity agrees to the terns of the Walmart Settlement pertaining to <br />Subdivisions as defined therein. <br />4. By agreeing to the ternis 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 />