0000899243-20-033570.txt : 20201211 0000899243-20-033570.hdr.sgml : 20201211 20201211163011 ACCESSION NUMBER: 0000899243-20-033570 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20201210 FILED AS OF DATE: 20201211 DATE AS OF CHANGE: 20201211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hernday Natasha CENTRAL INDEX KEY: 0001780547 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37449 FILM NUMBER: 201383834 MAIL ADDRESS: STREET 1: 932 SOUTHWOOD BLVD CITY: INCLINE VILLAGE STATE: NV ZIP: 89451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALPINE IMMUNE SCIENCES, INC. CENTRAL INDEX KEY: 0001626199 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 208969493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 188 EAST BLAINE ST., SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98102 BUSINESS PHONE: 206-788-4545 MAIL ADDRESS: STREET 1: 188 EAST BLAINE ST., SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98102 FORMER COMPANY: FORMER CONFORMED NAME: Nivalis Therapeutics, Inc. DATE OF NAME CHANGE: 20150211 FORMER COMPANY: FORMER CONFORMED NAME: N30 Pharmaceuticals, Inc. DATE OF NAME CHANGE: 20141121 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-12-10 1 0001626199 ALPINE IMMUNE SCIENCES, INC. ALPN 0001780547 Hernday Natasha C/O ALPINE IMMUNE SCIENCES, INC. 188 EAST BLAINE STREET, SUITE 200 SEATTLE WA 98102 1 0 0 0 Exhibit 24 - Power of Attorney /s/ James Paul Rickey, attorney-in-fact 2020-12-11 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

     The undersigned, as a Section 16 reporting person of Alpine
Immune Sciences, Inc. (the "Company"), hereby constitutes and appoints Paul
Rickey, Amy Ellis and each of the responsible attorneys and paralegals of Wilson
Sonsini Goodrich & Rosati, Professional Corporation, the undersigned's true and
lawful attorney-in-fact to:

     1. complete and execute Forms ID, 3,4 and 5 and other forms and all
        amendments thereto as such attorney-in-fact shall in his or her
        discretion determine to be required or advisable pursuant to Section 16
        of the Securities Exchange Act of 1934 (as amended) and the rules and
        regulations promulgated thereunder, or any successor laws and
        regulations, as a consequence of the undersigned's ownership,
        acquisition or disposition of securities of the Company; and

     2. do all acts necessary in order to file such forms with the Securities
        and Exchange Commission, any securities exchange or national
        association, the Company and such other person or agency as the
        attorney-in-fact shall deem appropriate.

     The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agents shall do or cause to be done by virtue hereof.  The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms ID, 3, 4 and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to the Company and the foregoing attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of 	December 10, 2020.



                                     Signature:  /s/Natasha A. Hernday
                                                 -------------------------------
                                                 Natasha A. Hernday