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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><div><div><div><div><div><div><div><p class=MsoNormal align=center style='text-align:center'><span style='font-size:9.5pt'><img width=540 height=163 style='width:5.625in;height:1.6979in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_1" src="cid:image002.jpg@01D676FD.B04E8E30"></span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><div style='margin-left:15.0pt;margin-top:7.5pt;margin-right:15.0pt;margin-bottom:7.5pt' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782content"><div style='border-top:solid #7F7F7F 1.0pt;border-left:none;border-bottom:solid #7F7F7F 1.0pt;border-right:none;padding:4.0pt 0in 4.0pt 0in'><p class=MsoNormal><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#7F7F7F'>August 20, 2020</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p></div><div style='margin-top:11.25pt;margin-bottom:11.25pt'><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:#DF0009'> </span></b><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:12.5pt;font-family:"Arial",sans-serif;color:red'>Urgent Advocacy Alert: California Members -- AB 890 Updates<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:9.5pt'><o:p> </o:p></span></p><p class=MsoNormal><a href="https://www.aaem.org/current-news/urgent-advocacy-alert-california-members?MvBriefArticleId=35521"><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:#1155CC'>AAEM and CALAAEM</span></a><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>August 20, 2020 Update</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB890 was put on the Appropriations Committee Suspense Calendar on 8/19/20 and will be heard TODAY, August 20<sup>th</sup>. Committee protocol does not allow for testimony when bills placed on the Suspense Calendar are being reviewed. However, we need to keep up the pressure for committee members to vote NO on AB890 and hold this bill on the Suspense Calendar. <o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Please, act now. <o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Contact these senators and use your social media presence to amplify the California Medical Association's messages. <o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Atkins</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l5 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @SenToniAtkins<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l5 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://sd39.senate.ca.gov/contact" target="_blank">https://sd39.senate.ca.gov/contact</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l5 level1 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4039<o:p></o:p></span></li></ul><ul style='margin-top:0in' type=disc><ul style='margin-top:0in' type=circle><li class=MsoNormal style='margin-right:30.7pt;mso-list:l5 level2 lfo1'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>San Diego office: (619) 645-3133<o:p></o:p></span></li></ul></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Portantino</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l9 level1 lfo2'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @portantino<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l9 level1 lfo2'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://sd25.senate.ca.gov/contact" target="_blank">https://sd25.senate.ca.gov/contact</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l9 level1 lfo2'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4025<o:p></o:p></span></li></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Bates</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l1 level1 lfo3'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @SenatorPatBates<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l1 level1 lfo3'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://lcmspubcontact.lc.ca.gov/PublicLCMS/ContactPopup.php?district=SD36&inframe=Y&iframe=true&width=650&height=650&" target="_blank">https://lcmspubcontact.lc.ca.gov/PublicLCMS/ContactPopup.php?district=SD36&inframe=Y&iframe=true&width=650&height=650&</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l1 level1 lfo3'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4036<o:p></o:p></span></li></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Bradford</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l4 level1 lfo4'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @SteveBradford<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l4 level1 lfo4'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://sd35.senate.ca.gov/contact" target="_blank">https://sd35.senate.ca.gov/contact</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l4 level1 lfo4'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4035<o:p></o:p></span></li></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Jones</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l6 level1 lfo5'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @SenBrianJones<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l6 level1 lfo5'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://jones.cssrc.us/e-mail-senator" target="_blank">https://jones.cssrc.us/e-mail-senator</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l6 level1 lfo5'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4038<o:p></o:p></span></li></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sen. Weickowski</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo6'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Twitter: @BobwieckowskiCA<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo6'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Email: <a href="https://sd10.senate.ca.gov/contact/email" target="_blank">https://sd10.senate.ca.gov/contact/email</a><o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l0 level1 lfo6'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Phone: (916) 651-4010<o:p></o:p></span></li></ul><div class=MsoNormal align=center style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt;text-align:center'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><hr size=0 width="100%" align=center></span></div><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Dear AAEM Members,<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Bill AB 890 is currently being considered in committee in the California Senate. If it becomes law, <b>it will allow NPs to practice completely independently of physicians in any location, in any specialty</b>, governed only by the Board of Nursing. AAEM welcomes NPs and PAs working alongside us in the emergency department but believes that all emergency care should be led by a board certified/eligible emergency medicine physician. The AAEM position statement is found <a href="https://www.aaem.org/resources/statements/position/updated-advanced-practice-providers">here</a> for your review.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Emergency medicine is particularly vulnerable to scope of practice infringement as more and more hospitals look to hire non-physician practitioners to replace physicians. Accordingly, <b>WE NEED YOU</b> to email the Senators on this committee to voice your opposition to this bill. <b>You must do this BY TODAY, August 20<sup>th</sup>.</b><o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>If you would like to use this <a href="https://www.cmadocs.org/ab-890" target="_blank">automated form</a> created by the California Medical Association, please fill out your contact information, personalize your submission, and click the red SEND EMAIL box. That's it! Anecdotes of mismanagement are always useful to include when personalizing these submissions.<o:p></o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>If you would like to create your own message, here are some talking points you may use:<o:p></o:p></span></p><ol style='margin-top:0in' start=1 type=1><li class=MsoNormal style='margin-right:30.7pt;mso-list:l8 level1 lfo7'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AB 890 is overly broad and would allow NPs to practice independently in any specialty they choose. They can also switch specialties without any further training. The public is unaware of the lack of standardized, accredited training programs for NPs and thus patients are put at risk.<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l8 level1 lfo7'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>This bill will allow NPs to order <b>and interpret</b> radiographic imaging such as xrays, ultrasounds and mammograms. Allowing NPs who have not been trained in image interpretation provides substandard care to patients. <o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l8 level1 lfo7'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Full practice authority for NPs <b>does not</b> increase access to healthcare in rural areas. NPs do not go to rural areas any more than physicians. In fact, in states with full practice authority (FPA), access to physician care is declining as NPs displace physicians. This displacement occurs in suburban and urban centers. Rural environments have even less resources available to patients and these patients deserve physician-led care.<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l8 level1 lfo7'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>The physician shortage is best addressed by training more physicians. Patients prefer to have physicians leading their care. Substituting physicians with lesser educated and minimally trained practitioners is unsafe. We do not allow medical students with their 6,000 hours of training to graduate and treat patients unsupervised. We should not allow Nurse Practitioners, with 600 hours of training, to do the same.<o:p></o:p></span></li></ol><p class=MsoNormal style='margin-right:30.7pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><a href="https://www.aaem.org/UserFiles/file/FINAL_APP_PhysEducationTraining_Infographic2.pdf"><span style='font-size:9.5pt;font-family:"Arial",sans-serif;color:windowtext;text-decoration:none'><img border=0 width=800 height=2000 style='width:8.3333in;height:20.8333in' id="Picture_x0020_10" src="cid:image003.png@01D676FD.B04E8E30"></span></a><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Please, act now. Your jobs and your patients depend on it.<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Sincerely,<br>Lisa A. Moreno, MD MS MSCR FAAEM FIFEM<br>President, AAEM<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>CAL/AAEM Board of Directors<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>AAEM EM Workforce Committee<o:p></o:p></span></p><div class=MsoNormal align=center style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt;text-align:center'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><hr size=0 width="100%" align=center></span></div><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Additional EM Workforce Advocacy Resources<o:p></o:p></span></b></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='margin-right:30.7pt;mso-list:l10 level1 lfo8'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><a href="https://www.aaem.org/resources/statements/position/updated-advanced-practice-providers">AAEM - Updated Position Statement on Advanced Practice Providers</a> (1/29/19)<o:p></o:p></span></li><li class=MsoNormal style='margin-right:30.7pt;mso-list:l10 level1 lfo8'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><a href="https://www.aaemrsa.org/about/position-statements/independent-practice-of--non-physicians-and-trainee-oversight">AAEM/RSA – Position Statement on the Independent Practice of Non-Physicians and Trainee Oversight</a> (8/14/2019)<o:p></o:p></span></li></ul><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:30.7pt;margin-bottom:0in;margin-left:15.0pt;margin-bottom:.0001pt'><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> <o:p></o:p></span></p></div><p class=MsoNormal><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></b></p><p class=MsoNormal><strong><span style='font-size:9.5pt;font-family:"Arial",sans-serif'>Brian Potts</span></strong><b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'> MD, MBA</span></b><span style='font-size:9.5pt;font-family:"Arial",sans-serif'><br>Managing Editor, CAL/AAEM News Service</span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.5pt'> <o:p></o:p></span></p></div><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>Contact us at: </span><span style='color:black'><a href="mailto:calaaem.news.service1@gmail.com" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>calaaem.news.service1@gmail.com</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'><br><br>For more articles, visit our </span><span style='color:black'><a href="https://www.aaem.org/get-involved/chapter-divisions/calaaem/news-service" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>archives</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>. <br><br></span><span style='color:black'><a href="mailto:somcaaem@uci.edu" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black;text-decoration:none'>To</span></a><a href="https://maillists.uci.edu/mailman/listinfo/calaaem" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#0070C0;text-decoration:none'> </span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>unsubscribe</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'> from this list, visit our mail server.<br><br>Copyright (C) 2020. The California Chapter of the American Academy of Emergency Medicine (CAL/AAEM).</span><span style='font-size:9.0pt;color:black'> </span><span style='color:black'><a href="http://www.calaaem.org/" target="_blank"><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:#1155CC'>http://www.calaaem.org</span></a></span><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>. All rights reserved.<br><br>CAL/AAEM, a nonprofit professional organization for emergency physicians, operates the CAL/AAEM News Service solely as an educational resource for physicians. Dissemination of an article by CAL/AAEM News Service does not imply endorsement, agreement, or recommendation by CAL/AAEM News Service, CAL/AAEM, or AAEM.</span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.5pt'><o:p> </o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><b><span style='font-size:9.0pt;font-family:"Verdana",sans-serif;color:black'>Follow CAL/AAEM on Facebook and Twitter and check out WestJEM:</span></b><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:7.5pt;font-family:"Verdana",sans-serif;color:black'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='color:black'><a href="http://www.facebook.com/CALAAEM" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=40 height=40 style='width:.4166in;height:.4166in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_2" src="cid:image006.jpg@01D676FD.B04E8E30"></span></a></span><span style='font-size:9.5pt;color:black'> </span><span style='color:black'><a href="https://twitter.com/CALAAEM" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=43 height=43 style='width:.4479in;height:.4479in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_3" src="cid:image007.jpg@01D676FD.B04E8E30"></span></a></span><span style='font-size:9.5pt;color:black'> </span><span style='color:black'><a href="https://westjem.com/" target="_blank"><span style='font-size:9.5pt;color:black;text-decoration:none'><img border=0 width=160 height=43 style='width:1.6666in;height:.4479in' id="m_-7835614069456891615gmail-m_-8812551497387718317gmail-m_-680625089083050367m_-4761171347054414624m_3707413379897925782Picture_x0020_4" src="cid:image008.jpg@01D676FD.B04E8E30"></span></a></span><span style='font-size:9.5pt'><o:p></o:p></span></p><p class=MsoNormal style='background:#D9D9D9'><span style='font-size:9.5pt;color:black'> </span><span style='font-size:9.5pt'><o:p></o:p></span></p></div></div></div></div></div><p class=MsoNormal style='text-decoration-style:initial;text-decoration-color:initial'><span style='font-size:9.5pt'> <o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div><p class=MsoNormal><o:p> </o:p></p></div></div></body></html>