0001493152-16-014126.txt : 20161018 0001493152-16-014126.hdr.sgml : 20161018 20161018172141 ACCESSION NUMBER: 0001493152-16-014126 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20141208 FILED AS OF DATE: 20161018 DATE AS OF CHANGE: 20161018 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Synergy CHC Corp. CENTRAL INDEX KEY: 0001562733 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 990379440 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 865 SPRING STREET CITY: WESTBROOK STATE: ME ZIP: 04092 BUSINESS PHONE: 615-939-9004 MAIL ADDRESS: STREET 1: 865 SPRING STREET CITY: WESTBROOK STATE: ME ZIP: 04092 FORMER COMPANY: FORMER CONFORMED NAME: Synergy Strips Corp. DATE OF NAME CHANGE: 20140429 FORMER COMPANY: FORMER CONFORMED NAME: Oro Capital Corporation, Inc. DATE OF NAME CHANGE: 20121121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ross Jack CENTRAL INDEX KEY: 0001626921 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-55098 FILM NUMBER: 161941439 MAIL ADDRESS: STREET 1: 3435 OCEAN PARK BLVD. #107 CITY: SANTA MONICA STATE: CA ZIP: 90405 3/A 1 form3a.xml X0206 3/A 2014-12-08 2015-02-09 0 0001562733 Synergy CHC Corp. SNYR.OB 0001626921 Ross Jack 275 CANTERBURY LANE FALL RIVER Z4 B2T 1A4 CANADA (FEDERAL LEVEL) 1 1 0 0 President and CEO Stock Option (Right to Buy) 0.25 2014-04-02 2024-04-02 Common Stock 1000000 I Kenek Brands Inc. The shares of Common Stock underlying the Stock Option are owned directly by Kenek Brands Inc., which is wholly owned by the Reporting Person. The Reporting Person is the indirect beneficial owner of the reported securities. The reporting person's Form 3 filed February 5, 2015 did not include the Stock Option. /s/ W. David Mannheim, by power of attorney 2016-10-18 EX-24 2 ex24.htm

POWER OF ATTORNEY

Know all by these presents that the undersigned hereby constitutes and appoints each of Clay O. Martin and W. David Mannheim, and each of them acting alone, signing singly, the undersigned’s true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer, director and/or 10% or more stockholder of Cempra, Inc. (the “Company”), Forms ID, 3, 4, 5 and Update Passphrase Acknowledgement (and any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the “1934 Act”), and the rules promulgated thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form ID, 3, 4, 5 and Update Passphrase Acknowledgement (and any amendments thereto) and to file timely such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which in the opinion of such attorney-in-fact may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. 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 1934 Act.

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 each of the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 28^th day of November 2014.

	/s/ Jack Ross
	Jack Ross