| Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 2300 (Rev 02/2020) |
| OMB No. 0651-0051 (Exp 11/30/2020) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 88826033 |
| LAW OFFICE ASSIGNED | LAW OFFICE 111 |
| MARK SECTION | |
| MARK | KYZATREX (standard characters, see http://tmng-al.uspto.gov /resting2/api/img/8882603 3/large) |
| OWNER SECTION(current) | |
| NAME | Marius Pharmaceuticals LLC |
| INTERNAL ADDRESS | 8601 Six Forks Road |
| MAILING ADDRESS | 8601 Six Forks Road, Suite 630 |
| CITY | Raleigh |
| STATE | North Carolina |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 27609 |
| PHONE | 919-719-6373 |
| XXXX | |
| CORRESPONDENCE SECTION(current) | |
| NAME | MARIUS PHARMACEUTICALS LLC |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | shalin@mariuspharma.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | shalin@shahcapital.com |
| DOCKET/REFERENCE NUMBER(S) | KYZATREX |
| OWNER SECTION(proposed) | |
| STATEMENT TEXT |
By submission of this request, the undersigned requests that the following be made of record for the owner/holder: |
| NAME | Marius Pharmaceuticals LLC |
| INTERNAL ADDRESS | 8601 Six Forks Road |
| MAILING ADDRESS | 8601 Six Forks Road, Suite 630 |
| CITY | Raleigh |
| STATE | North Carolina |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| ZIP/POSTAL CODE | 27609 |
| PHONE | 919-719-6373 |
| XXXX | |
| ATTORNEY SECTION (proposed) | |
| STATEMENT TEXT | By submission of this request, the undersigned appoints the following new attorney, is newly appearing as the attorney, or updates the information of an existing attorney of record: |
| NAME | Jeffrey J. Ellison |
| ATTORNEY BAR MEMBERSHIP NUMBER | XXX |
| YEAR OF ADMISSION | XXXX |
| U.S. STATE/ COMMONWEALTH/ TERRITORY | XX |
| FIRM NAME | Clark+Elbing LLP |
| OTHER APPOINTED ATTORNEY(S) | Paul T. Clark, Karen L. Elbing, James D. DeCamp, Susan M. Michaud, Michael J. Belliveau, J. Cooper McDonald, Richard Todd Armstrong, Jan N. Tittel, Thomas J. Takara, Adil R. Zhugralin |
| STREET | 101 Federal Street, 15th Floor |
| CITY | Boston |
| STATE | Massachusetts |
| STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY | United States |
| POSTAL/ZIP CODE | 02110 |
| PHONE | 6174280200 |
| FAX | 6174287045 |
| cedocket@clarkelbing.com | |
| DOCKET/REFERENCE NUMBER(S) | 51241-T06001 |
| CORRESPONDENCE SECTION (proposed) | |
| NAME | Jeffrey J. Ellison |
| PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE | cedocket@clarkelbing.com |
| SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) | NOT PROVIDED |
| DOCKET/REFERENCE NUMBER(S) | 51241-T06001 |
| SIGNATURE SECTION | |
| SIGNATORY FILE | |
| ORIGINAL PDF FILE | hw_382423194-112904960_._ 51241-T06001_Signed_POA.PDF |
| CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT18\IMAGEOUT 18\888\260\88826033\xml4\ CAR0002.JPG |
| SIGNATORY NAME | Shalin Shah |
| SIGNATORY POSITION | CFO |
| AUTHORIZED SIGNATORY | YES |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Tue Jun 23 09:51:08 ET 2020 |
| TEAS STAMP | USPTO/CAR-XX.XXX.X.XXX-20 200623095108704462-888260 33-71084f2b9a23a6b7c89302 dd6151776cca69a4de755e9e4 5373febf18ce60e7b8-N/A-N/ A-20200623095035733815 |
| Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 2300 (Rev 02/2020) |
| OMB No. 0651-0051 (Exp 11/30/2020) |
