Old | New | Differences | |
---|---|---|---|
1 | 1 | ||
2 | 2 | ||
3 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 1 1 | |
4 | + | 2 | |
5 | + | 3 | |
6 | + | 4 | |
7 | + | 5 | |
8 | + | 6 | |
9 | + | 7 | |
10 | + | 8 | |
11 | + | 9 | |
12 | + | 10 | |
13 | + | 11 | |
14 | + | 12 | |
15 | + | 13 | |
16 | + | 14 | |
17 | + | 15 | |
18 | + | 16 | |
19 | + | 17 | |
20 | + | 18 | |
21 | + | 19 | |
22 | + | 20 | |
23 | + | 21 | |
24 | + | 22 | |
25 | + | 23 | |
26 | + | 24 | |
3 | 27 | ||
4 | - | ||
5 | - | An Act | |
6 | - | ENROLLED SENATE | |
7 | - | BILL NO. 1296 By: Rosino of the Senate | |
28 | + | ENGROSSED HOUSE AMENDME NT | |
29 | + | TO | |
30 | + | ENGROSSED SENATE BILL NO . 1296 By: Rosino of the Senate | |
8 | 31 | ||
9 | 32 | and | |
10 | 33 | ||
11 | 34 | Newton of the House | |
12 | 35 | ||
13 | 36 | ||
14 | 37 | ||
15 | 38 | ||
39 | + | An Act relating to the Opioid Overdose Fatality | |
40 | + | Review Board; amending 63 O.S. 2021, Section 2 -1002, | |
41 | + | which relates to composition and meetings of the | |
42 | + | Board; modifying required frequency of meetings; | |
43 | + | establishing quorum and certain vot ing threshold; | |
44 | + | updating statutory reference; updating statutory | |
45 | + | language; providing an effective date; and declaring | |
46 | + | an emergency. | |
16 | 47 | ||
17 | 48 | ||
18 | - | An Act relating to the Opioid Overdose Fatality | |
49 | + | ||
50 | + | ||
51 | + | ||
52 | + | ||
53 | + | ||
54 | + | ||
55 | + | ||
56 | + | AMENDMENT NO. 1. Strike the title, enacting clause, and entire bill | |
57 | + | and insert: | |
58 | + | ||
59 | + | ||
60 | + | ||
61 | + | ||
62 | + | "An Act relating to the Opioid Overdose Fatality | |
19 | 63 | Review Board; amending 63 O.S. 2021, Section 2 -1002, | |
20 | 64 | which relates to composition and meetings of the | |
21 | 65 | Board; modifying membership of the B oard; modifying | |
22 | 66 | required frequency of meetings; establishing quorum | |
23 | 67 | requirement; providing an effective date; and | |
24 | 68 | declaring an emergency . | |
25 | 69 | ||
26 | 70 | ||
27 | 71 | ||
72 | + | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA : | |
28 | 73 | ||
29 | - | ||
30 | - | SUBJECT: Opioid Overdose Fatality Review Board | |
31 | - | ||
32 | - | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
74 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 2 1 | |
75 | + | 2 | |
76 | + | 3 | |
77 | + | 4 | |
78 | + | 5 | |
79 | + | 6 | |
80 | + | 7 | |
81 | + | 8 | |
82 | + | 9 | |
83 | + | 10 | |
84 | + | 11 | |
85 | + | 12 | |
86 | + | 13 | |
87 | + | 14 | |
88 | + | 15 | |
89 | + | 16 | |
90 | + | 17 | |
91 | + | 18 | |
92 | + | 19 | |
93 | + | 20 | |
94 | + | 21 | |
95 | + | 22 | |
96 | + | 23 | |
97 | + | 24 | |
33 | 98 | ||
34 | 99 | SECTION 1. AMENDATORY 63 O.S. 2021, Section 2-1002, is | |
35 | 100 | amended to read as follows: | |
36 | - | ||
37 | 101 | Section 2-1002. A. The Opioid Overdose Fatality Review Board | |
38 | 102 | shall be composed of twenty-two (22) twenty (20) members, or their | |
39 | 103 | designees, as follows: | |
40 | - | ||
41 | 104 | 1. Twelve Eleven of the members shall be: | |
42 | - | ||
43 | 105 | a. the Attorney General or designee, | |
44 | - | ||
45 | 106 | b. the Chief Medical Examin er or designee, | |
46 | - | ||
47 | 107 | c. the State Commissioner of Health or design ee, | |
48 | - | ||
49 | - | ENR. S. B. NO. 1296 Page 2 | |
50 | - | ||
51 | 108 | d. the Chief of Injury Prevention Services of the State | |
52 | 109 | Department of Health or designee, | |
53 | - | ||
54 | 110 | e. the President of the Oklahoma State Medical | |
55 | 111 | Association or designee, | |
56 | - | ||
57 | 112 | f. | |
58 | - | ||
59 | 113 | e. the Director of the Oklaho ma State Bureau of Narcotics | |
60 | 114 | and Dangerous Drugs Control or d esignee, | |
61 | - | ||
62 | 115 | g. | |
63 | - | ||
64 | 116 | f. the Commissioner of the Department of Mental Health | |
65 | 117 | and Substance Abuse Services or des ignee, | |
66 | - | ||
67 | 118 | h. | |
68 | - | ||
69 | 119 | g. the President of the Okla homa Osteopathic Association | |
70 | 120 | or designee, | |
121 | + | i. | |
71 | 122 | ||
72 | - | i. | |
123 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 3 1 | |
124 | + | 2 | |
125 | + | 3 | |
126 | + | 4 | |
127 | + | 5 | |
128 | + | 6 | |
129 | + | 7 | |
130 | + | 8 | |
131 | + | 9 | |
132 | + | 10 | |
133 | + | 11 | |
134 | + | 12 | |
135 | + | 13 | |
136 | + | 14 | |
137 | + | 15 | |
138 | + | 16 | |
139 | + | 17 | |
140 | + | 18 | |
141 | + | 19 | |
142 | + | 20 | |
143 | + | 21 | |
144 | + | 22 | |
145 | + | 23 | |
146 | + | 24 | |
73 | 147 | ||
74 | 148 | h. the Director of the Department of Human Services or | |
75 | 149 | designee, | |
76 | - | ||
77 | 150 | j. | |
78 | - | ||
79 | 151 | i. the Director of the Oklahoma State Bureau of | |
80 | 152 | Investigation or designee, | |
81 | - | ||
82 | 153 | k. | |
83 | - | ||
84 | 154 | j. the President of the Association of Oklahoma Narcotic | |
85 | 155 | Enforcers or designee, and | |
86 | - | ||
87 | 156 | l. | |
88 | - | ||
89 | 157 | k. the Executive Director of the Sta te Board of Pharmacy | |
90 | 158 | or designee; and | |
91 | - | ||
92 | - | ||
93 | - | ENR. S. B. NO. 1296 Page 3 | |
94 | 159 | 2. Ten Nine of the members shall be appointed by the Attorney | |
95 | 160 | General, shall serve for terms of two (2) years and shall be | |
96 | 161 | eligible for reappointment. The members shall be persons having | |
97 | 162 | training and experience in matters related to opioid abuse and | |
98 | 163 | prevention. The appointed membe rs shall include: | |
99 | - | ||
100 | 164 | a. a county sheriff selected from a list of three names | |
101 | 165 | submitted by the executive board of the Oklahoma | |
102 | 166 | Sheriffs’ Association, | |
103 | - | ||
104 | 167 | b. a chief of a municipal police department selec ted from | |
105 | 168 | a list of three names submitted by the Oklahoma | |
106 | 169 | Association of Chiefs of Poli ce, | |
107 | - | ||
108 | 170 | c. an attorney licensed in this state who is in private | |
109 | 171 | practice selected from a list of three names submitted | |
172 | + | ||
173 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 4 1 | |
174 | + | 2 | |
175 | + | 3 | |
176 | + | 4 | |
177 | + | 5 | |
178 | + | 6 | |
179 | + | 7 | |
180 | + | 8 | |
181 | + | 9 | |
182 | + | 10 | |
183 | + | 11 | |
184 | + | 12 | |
185 | + | 13 | |
186 | + | 14 | |
187 | + | 15 | |
188 | + | 16 | |
189 | + | 17 | |
190 | + | 18 | |
191 | + | 19 | |
192 | + | 20 | |
193 | + | 21 | |
194 | + | 22 | |
195 | + | 23 | |
196 | + | 24 | |
197 | + | ||
110 | 198 | by the Board of Governor s of the Oklahoma Bar | |
111 | 199 | Association, | |
112 | - | ||
113 | 200 | d. a district attorney selected from a list of three | |
114 | 201 | names submitted by the Distri ct Attorneys Council, | |
115 | - | ||
116 | 202 | e. | |
117 | - | ||
118 | 203 | d. a physician with emergency medical training selected | |
119 | 204 | from a list of three names submitted by the Oklahoma | |
120 | 205 | State Medical Association, | |
121 | - | ||
122 | 206 | f. | |
123 | - | ||
124 | 207 | e. a physician with experience in d rug addiction | |
125 | 208 | treatment and recovery s elected from a list of th ree | |
126 | 209 | names submitted by the Oklahoma Osteopathic | |
127 | 210 | Association, | |
128 | - | ||
129 | 211 | g. | |
130 | - | ||
131 | 212 | f. a nurse selected from a l ist of three names submitted | |
132 | 213 | by the Oklahoma Nurses Association, | |
133 | - | ||
134 | 214 | h. | |
135 | - | ||
136 | - | ||
137 | - | ENR. S. B. NO. 1296 Page 4 | |
138 | 215 | g. two individuals, at least one of whom shall be a | |
139 | 216 | person who currently rece ives or formerly has been a | |
140 | 217 | consumer of addiction recovery services related to | |
141 | 218 | opioid use, selected from a list of three names | |
142 | 219 | submitted by the Departme nt of Mental Health and | |
143 | 220 | Substance Abuse Services, and | |
221 | + | i. | |
144 | 222 | ||
145 | - | i. | |
223 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 5 1 | |
224 | + | 2 | |
225 | + | 3 | |
226 | + | 4 | |
227 | + | 5 | |
228 | + | 6 | |
229 | + | 7 | |
230 | + | 8 | |
231 | + | 9 | |
232 | + | 10 | |
233 | + | 11 | |
234 | + | 12 | |
235 | + | 13 | |
236 | + | 14 | |
237 | + | 15 | |
238 | + | 16 | |
239 | + | 17 | |
240 | + | 18 | |
241 | + | 19 | |
242 | + | 20 | |
243 | + | 21 | |
244 | + | 22 | |
245 | + | 23 | |
246 | + | 24 | |
146 | 247 | ||
147 | 248 | h. a member of the judiciary selected from a list of | |
148 | 249 | three names submitted by the Oklahoma Supreme Court. | |
149 | - | ||
150 | 250 | B. Every two (2) years the Board shall elect from among i ts | |
151 | 251 | membership a chair and a vice-chair vice chair. The Board shall | |
152 | 252 | meet at least quarterly and may meet more as frequently as necessary | |
153 | 253 | as determined by the chair . Ten members shall constitute a quorum, | |
154 | 254 | and a majority of the required quorum shall be suffi cient for the | |
155 | 255 | Board to take action by vote. Members shall serve without | |
156 | 256 | compensation but may be reimbursed for necessary travel out of funds | |
157 | 257 | available to the Office of the Attorney General and the Department | |
158 | 258 | of Mental Health and Substance Abuse Services pursuant to the State | |
159 | 259 | Travel Reimbursement Act; provided, that the reimbursement shall be | |
160 | 260 | paid, in the case of state employee members , by the agency employing | |
161 | 261 | the member. | |
162 | - | ||
163 | 262 | C. With funds appropriated o r otherwise available for that | |
164 | 263 | purpose, the Office of the Attorney General, jointly with the | |
165 | 264 | Department of Mental Health and Substance Abuse Services, shall | |
166 | 265 | provide administrative assistance and services to the Opioid | |
167 | 266 | Overdose Fatality Review Board. | |
168 | - | ||
169 | 267 | SECTION 2. This act shall become effective Jul y 1, 2024. | |
170 | - | ||
171 | 268 | SECTION 3. It being immediately necessary for the preservation | |
172 | 269 | of the public peace, health or safety, an emergency is hereby | |
173 | 270 | declared to exist, by reason whereof this act shall take effect and | |
174 | - | be in full force from and after its passage and approval. | |
271 | + | be in full force from and after its passage and approval." | |
272 | + | ||
273 | + | ENGR. H. A. to ENGR. S. B. NO. 1296 Page 6 1 | |
274 | + | 2 | |
275 | + | 3 | |
276 | + | 4 | |
277 | + | 5 | |
278 | + | 6 | |
279 | + | 7 | |
280 | + | 8 | |
281 | + | 9 | |
282 | + | 10 | |
283 | + | 11 | |
284 | + | 12 | |
285 | + | 13 | |
286 | + | 14 | |
287 | + | 15 | |
288 | + | 16 | |
289 | + | 17 | |
290 | + | 18 | |
291 | + | 19 | |
292 | + | 20 | |
293 | + | 21 | |
294 | + | 22 | |
295 | + | 23 | |
296 | + | 24 | |
297 | + | ||
298 | + | Passed the House of Representatives the 23rd day of April, 2024. | |
175 | 299 | ||
176 | 300 | ||
177 | - | ENR. S. B. NO. 1296 Page 5 | |
178 | - | Passed the Senate the 14th day of May, 2024. | |
301 | + | ||
302 | + | ||
303 | + | ||
304 | + | Presiding Officer of the House of | |
305 | + | Representatives | |
306 | + | ||
307 | + | ||
308 | + | Passed the Senate the ____ day of _______ ___, 2024. | |
309 | + | ||
310 | + | ||
179 | 311 | ||
180 | 312 | ||
181 | 313 | ||
182 | 314 | Presiding Officer of the Senate | |
183 | 315 | ||
184 | 316 | ||
185 | - | Passed the House of Representatives the 23rd day of April, 2024. | |
317 | + | ENGR. S. B. NO. 1296 Page 1 1 | |
318 | + | 2 | |
319 | + | 3 | |
320 | + | 4 | |
321 | + | 5 | |
322 | + | 6 | |
323 | + | 7 | |
324 | + | 8 | |
325 | + | 9 | |
326 | + | 10 | |
327 | + | 11 | |
328 | + | 12 | |
329 | + | 13 | |
330 | + | 14 | |
331 | + | 15 | |
332 | + | 16 | |
333 | + | 17 | |
334 | + | 18 | |
335 | + | 19 | |
336 | + | 20 | |
337 | + | 21 | |
338 | + | 22 | |
339 | + | 23 | |
340 | + | 24 | |
341 | + | ||
342 | + | ENGROSSED SENATE | |
343 | + | BILL NO. 1296 By: Rosino of the Senate | |
344 | + | ||
345 | + | and | |
346 | + | ||
347 | + | Newton of the House | |
348 | + | ||
349 | + | ||
350 | + | ||
351 | + | ||
352 | + | An Act relating to the Opioid Overdose Fatality | |
353 | + | Review Board; amending 63 O.S. 2021, Section 2 -1002, | |
354 | + | which relates to composition and meetings of the | |
355 | + | Board; modifying required frequency of meetings; | |
356 | + | establishing quorum and certain vot ing threshold; | |
357 | + | updating statutory reference; updating statutory | |
358 | + | language; providing an effective date; and declaring | |
359 | + | an emergency. | |
360 | + | ||
361 | + | ||
362 | + | ||
363 | + | ||
364 | + | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA : | |
365 | + | SECTION 4. AMENDATORY 63 O.S. 2021, Section 2 -1002, is | |
366 | + | amended to read as follows: | |
367 | + | Section 2-1002. A. The Opioid Overdose Fatality Review Board | |
368 | + | shall be composed of twenty -two (22) members, or their designees, as | |
369 | + | follows: | |
370 | + | 1. Twelve of the members shall be: | |
371 | + | a. the Attorney General or designee, | |
372 | + | b. the Chief Medical Examiner or designee, | |
373 | + | c. the State Commissioner of Health or designee, | |
374 | + | d. the Chief of Injury Prevention Serv ices of the State | |
375 | + | Department of Health or designee, | |
376 | + | ||
377 | + | ENGR. S. B. NO. 1296 Page 2 1 | |
378 | + | 2 | |
379 | + | 3 | |
380 | + | 4 | |
381 | + | 5 | |
382 | + | 6 | |
383 | + | 7 | |
384 | + | 8 | |
385 | + | 9 | |
386 | + | 10 | |
387 | + | 11 | |
388 | + | 12 | |
389 | + | 13 | |
390 | + | 14 | |
391 | + | 15 | |
392 | + | 16 | |
393 | + | 17 | |
394 | + | 18 | |
395 | + | 19 | |
396 | + | 20 | |
397 | + | 21 | |
398 | + | 22 | |
399 | + | 23 | |
400 | + | 24 | |
401 | + | ||
402 | + | e. the President of the Oklahoma State Medical | |
403 | + | Association or designee, | |
404 | + | f. the Director of the Oklahoma State Bureau of Narcotics | |
405 | + | and Dangerous Drugs Control or designee, | |
406 | + | g. the Commissioner of the Department of Mental Health | |
407 | + | and Substance Abuse Services or des ignee, | |
408 | + | h. the President of the Oklahoma Osteopathic Association | |
409 | + | or designee, | |
410 | + | i. the Director of the Department of Human Services or | |
411 | + | designee, | |
412 | + | j. the Director of the Oklahoma State Bureau of | |
413 | + | Investigation or designee, | |
414 | + | k. the President of the Association of Oklahoma Narcotic | |
415 | + | Enforcers or designee, and | |
416 | + | l. the Executive Director of the State Board of Pharmacy | |
417 | + | or designee; and | |
418 | + | 2. Ten of the members shall be appointed by the Attorney | |
419 | + | General, shall serve for terms of two (2) years and shall be | |
420 | + | eligible for reappointment. The members shall be persons having | |
421 | + | training and experience in matters related to opioid abuse and | |
422 | + | prevention. The appointed members shall include: | |
423 | + | a. a county sheriff selected from a lis t of three names | |
424 | + | submitted by the executive board of the Oklahoma | |
425 | + | Sheriffs’ Association, | |
426 | + | ||
427 | + | ENGR. S. B. NO. 1296 Page 3 1 | |
428 | + | 2 | |
429 | + | 3 | |
430 | + | 4 | |
431 | + | 5 | |
432 | + | 6 | |
433 | + | 7 | |
434 | + | 8 | |
435 | + | 9 | |
436 | + | 10 | |
437 | + | 11 | |
438 | + | 12 | |
439 | + | 13 | |
440 | + | 14 | |
441 | + | 15 | |
442 | + | 16 | |
443 | + | 17 | |
444 | + | 18 | |
445 | + | 19 | |
446 | + | 20 | |
447 | + | 21 | |
448 | + | 22 | |
449 | + | 23 | |
450 | + | 24 | |
451 | + | ||
452 | + | b. a chief of a municipal police department selected from | |
453 | + | a list of three names submitted by the Oklahoma | |
454 | + | Association of Chiefs of Police, | |
455 | + | c. an attorney licensed in this state who is in private | |
456 | + | practice selected from a list of three names submitted | |
457 | + | by the Board of Governors of the Oklahoma Bar | |
458 | + | Association, | |
459 | + | d. a district attorney selected from a list of three | |
460 | + | names submitted by the District Attorneys Council, | |
461 | + | e. a physician with emergency medical training selected | |
462 | + | from a list of three names submitted by the Oklahoma | |
463 | + | State Medical Association, | |
464 | + | f. a physician with experience in d rug addiction | |
465 | + | treatment and recovery selected from a list of three | |
466 | + | names submitted by the Oklahoma Osteopathic | |
467 | + | Association, | |
468 | + | g. a nurse selected from a l ist of three names submitted | |
469 | + | by the Oklahoma Nurses Association, | |
470 | + | h. two individuals, at least one of whom shall be a | |
471 | + | person who currently receives or formerly has been a | |
472 | + | consumer of addiction recover y services related to | |
473 | + | opioid use, selected from a list of three names | |
474 | + | submitted by the Department of Mental Health and | |
475 | + | Substance Abuse Services, and | |
476 | + | ||
477 | + | ENGR. S. B. NO. 1296 Page 4 1 | |
478 | + | 2 | |
479 | + | 3 | |
480 | + | 4 | |
481 | + | 5 | |
482 | + | 6 | |
483 | + | 7 | |
484 | + | 8 | |
485 | + | 9 | |
486 | + | 10 | |
487 | + | 11 | |
488 | + | 12 | |
489 | + | 13 | |
490 | + | 14 | |
491 | + | 15 | |
492 | + | 16 | |
493 | + | 17 | |
494 | + | 18 | |
495 | + | 19 | |
496 | + | 20 | |
497 | + | 21 | |
498 | + | 22 | |
499 | + | 23 | |
500 | + | 24 | |
501 | + | ||
502 | + | i. a member of the judiciary selected from a list of | |
503 | + | three names submitted by the Oklahoma Supreme Court. | |
504 | + | B. Every two (2) years the Board shall elect from among i ts | |
505 | + | membership a chair and a vice-chair vice chair. The Board shall | |
506 | + | meet at least quarterly and may meet more as frequently as necessary | |
507 | + | as determined by the chair . Nine members shall constitute a q uorum, | |
508 | + | and a majority of the required quorum shall be suf ficient for the | |
509 | + | Board to take action by vote. Members shall serve without | |
510 | + | compensation but may be reimbursed for necessary travel out of funds | |
511 | + | available to the Office of the Attorney General and the Department | |
512 | + | of Mental Health and Substance Abuse Services pursuant to the State | |
513 | + | Travel Reimbursement Act; provided, that the reimbursement shall be | |
514 | + | paid in the case of state employee members by the agency employing | |
515 | + | the member. | |
516 | + | C. With funds appropriated o r otherwise available for that | |
517 | + | purpose, the Office of the Attorney General, jointly with the | |
518 | + | Department of Mental Health and Substance Abuse Services, shall | |
519 | + | provide administrative assistance and services to the Opioid | |
520 | + | Overdose Fatality Review Board. | |
521 | + | SECTION 5. This act shall become effective Jul y 1, 2024. | |
522 | + | SECTION 6. It being immediately necessary for the preservation | |
523 | + | of the public peace, health or safety, an emergency is hereby | |
524 | + | declared to exist, by reason whereof this act shall take effect and | |
525 | + | be in full force from and after its passage and approval. | |
526 | + | ||
527 | + | ENGR. S. B. NO. 1296 Page 5 1 | |
528 | + | 2 | |
529 | + | 3 | |
530 | + | 4 | |
531 | + | 5 | |
532 | + | 6 | |
533 | + | 7 | |
534 | + | 8 | |
535 | + | 9 | |
536 | + | 10 | |
537 | + | 11 | |
538 | + | 12 | |
539 | + | 13 | |
540 | + | 14 | |
541 | + | 15 | |
542 | + | 16 | |
543 | + | 17 | |
544 | + | 18 | |
545 | + | 19 | |
546 | + | 20 | |
547 | + | 21 | |
548 | + | 22 | |
549 | + | 23 | |
550 | + | 24 | |
551 | + | ||
552 | + | Passed the Senate the 27th day of February, 2024. | |
553 | + | ||
554 | + | ||
555 | + | ||
556 | + | Presiding Officer of the Senate | |
557 | + | ||
558 | + | ||
559 | + | Passed the House of Representatives the ____ day of __________, | |
560 | + | 2024. | |
186 | 561 | ||
187 | 562 | ||
188 | 563 | ||
189 | 564 | Presiding Officer of the House | |
190 | 565 | of Representatives | |
191 | 566 | ||
192 | - | OFFICE OF THE GOVERNOR | |
193 | - | Received by the Office of the Governor this _______ _____________ | |
194 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
195 | - | By: _________________________________ | |
196 | - | Approved by the Governor of the State of Oklahoma this _______ __ | |
197 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
198 | 567 | ||
199 | - | _________________________________ | |
200 | - | Governor of the State of Oklahoma | |
201 | - | ||
202 | - | ||
203 | - | OFFICE OF THE SECRETARY OF STATE | |
204 | - | Received by the Office of the Secretary of State this _______ ___ | |
205 | - | day of _________________ _, 20 _______, at _______ o'clock _______ M. | |
206 | - | By: _________________________________ |