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PSI - LJMC_Pilnvarojuma veidlapa_4.jun_2025._Eng_.pdf

Company: Latvijas Juras medicinas centrs Date: 2025-05-13 Language: English Register to download

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## **POWER OF ATTORNEY**

*Place and date of issuance of the power of attorney*

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

## **Power of attorney**

*If an individual - name, surname, personal code (if the person does not have a personal code, date of birth, identification document number and date of issue, country, and issuing authority); if a legal entity - name, registration number, legal address, representative, basis of representation*

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

as the grantor of the power of attorney (hereinafter – the Grantor) hereby authorizes

*If an individual - name, surname, personal code (if the person does not have a personal code, date of birth, identification document number and date of issue, country, and issuing authority) or legal entity - name, registration number, legal address, representative, basis of representation*

as the attorney (hereinafter – the Attorney) to represent the interests of the Grantor at the shareholders' meeting of AS "Latvijas Jūras medicīnas centrs" (registration number: 40003306807, legal address: Rīga, Patversmes iela 23, LV-1005)

## **on 4 June, 2025**

*year, month, and date of the shareholders' meeting*

with \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ shares (votes) owned by the Grantor. (all or specifying the number of shares)

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ *Grantor's Signature\**

*\*If the Grantor is an individual, the signature and the name in print must be provided. If the Grantor is a legal entity, the representative's position, signature, name in print, and seal impression (if available) must be provided.*