PTO’AIAI‘BO (OI-12;
`Approved tor use through 11/302014 OMB 0651-0035
`US. Patent and Trademark Oificr: US DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act ot1995. no persons are requrred to respond to a collection 0! information unless; it displays a valid OMB control number
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`POWER OF ATTOR
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`E THE USPTO
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`under 37 CFR 3.73 c .
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`I hereby appoint:
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`Elnhioners associated with Customer Number: 02 1 97 1
`D Practitioner(s) named below (it more than ten patent practitioners are to be named, then a customer number must be used;
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`As attorney(s) or agent(s) to represent the undersigned before the United States Patent and Trademark Office (USPTO) in connection With
`any and all patent applications assigned guy to the undersigned according to the USPTO assignment records or assignments documents
`attached to this form in accordance with 37 CFR 3.73(c).
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`Please change the correspondence address for the application identified in the attached statement under 37 CFR 3.73(c) to
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`The address associated with Customer Number: 021 97 1
`Firm or
`Individual Name
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`I
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`The individual whose signature and title is supplied below is authorized to ac
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`City ‘
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`Telephone
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`Assignee Name and Address: Drawbridge Health, Inc.
`2882 Sand Hill Road. Suite 240
`Menlo Park, CA 94025
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`A copy of this form, together with a statement under 37 CFR 3.73(c) (ForPTO/AIA96 or equivalent) isrequired to be
`Filed in each application in which this form is used. The statement under 37 CFR 3.73(c) may be completed by one of
`The practitioners appointed in this form, and must identify the application in which this Power of Attorney is to be filed.
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`SIGNATURE of Assignee of Record
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`This collection 'oI inlormalion is requlred by 37 CFR 1.31. 1.32 and 1.33. The information is required to obtain or retain a benefit by the public which Is to file (and
`by the USPTO to process) an applicationt Confidentiallty is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 3 minutes
`to complete, including gathering. preparing. and submitting the completed application form to the USPTO. Time will vary depending upon the ind-Vidual case, Any
`comments on the amount of time you require to complete this form and/or suggestions for reducing this burden. should be sent to the Ohio! Information Officer.
`US. Patent and Trademark Office. U.S. Department of Commerce, P.O. Box 1450, Atexandria. VA 22313-1450. 00 NOT SEND FEES OR COMPLETED
`FORMS TO THIS ADDRESS. SEND TO: Commlsstcner for Patents. P.O. Box 1450, Alexandria, VA 22313-1450.
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`If you need assistance in completing the form, call 1-800-PTO~9199 and select option 2.
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