| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76564729 |
| LAW OFFICE ASSIGNED | LAW OFFICE 108 |
| MARK SECTION | |
| MARK | GLOBUS MEDICAL (stylized and/or with design) |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | KELLY J. BAKER GLOBUS MEDICAL INC. 303 SCHELL LANE PHOENIXVILLE, PA 19460 610-415-9000 |
| CORRESPONDENCE SECTION | |
| ORIGINAL ADDRESS | KELLY J. BAKER GLOBUS MEDICAL INC. 303 SCHELL LANE PHOENIXVILLE, PA 19460 610-415-9000 |
| NEW ATTORNEY ADDRESS | |
| STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: |
| NAME | Brian J. Malm |
| FIRM NAME | Castellano Malm Ferrario & Buck PLLC |
| INTERNAL ADDRESS | Suite 800 |
| STREET | 2121 K Street, N.W. |
| CITY | Washington |
| STATE | District of Columbia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 20037 |
| PHONE | 202.478.5300 |
| FAX | 202.318.1288 |
| bmalm@cmfblaw.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Brian J. Malm |
| FIRM NAME | Castellano Malm Ferrario & Buck PLLC |
| INTERNAL ADDRESS | Suite 800 |
| STREET | 2121 K Street, N.W. |
| CITY | Washington |
| STATE | District of Columbia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 20037 |
| PHONE | 202.478.5300 |
| FAX | 202.318.1288 |
| bmalm@cmfblaw.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /Brian J. Malm/ |
| SIGNATORY NAME | Brian J. Malm |
| SIGNATORY DATE | 03/02/2005 |
| SIGNATORY POSITION | Attorney |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Wed Mar 02 17:01:08 EST 2005 |
| TEAS STAMP | USPTO/RAA-XX.XXX.XX.XX-20 050302170108250494-765647 19-2505b48c4f48286f3ae454 f9564bd4b44-N/A-N/A-20050 302164347153116 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |