0001731663-18-000004.txt : 20180221
0001731663-18-000004.hdr.sgml : 20180221
20180221125155
ACCESSION NUMBER: 0001731663-18-000004
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170213
FILED AS OF DATE: 20180221
DATE AS OF CHANGE: 20180221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacovini David James
CENTRAL INDEX KEY: 0001731663
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20127
FILM NUMBER: 18627682
MAIL ADDRESS:
STREET 1: 120 PINE STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19106
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ESCALON MEDICAL CORP
CENTRAL INDEX KEY: 0000862668
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 330272839
STATE OF INCORPORATION: PA
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 435 DEVON PARK ROAD
STREET 2: BUILDING 100
CITY: WAYNE
STATE: PA
ZIP: 19087
BUSINESS PHONE: 6106886830
MAIL ADDRESS:
STREET 1: 435 DEVON PARK ROAD
STREET 2: BUILDING 100
CITY: WAYNE
STATE: PA
ZIP: 19087
FORMER COMPANY:
FORMER CONFORMED NAME: INTELLIGENT SURGICAL LASERS INC
DATE OF NAME CHANGE: 19930328
3
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3
2017-02-13
1
0000862668
ESCALON MEDICAL CORP
ESMC
0001731663
Jacovini David James
120 PINE STREET
PHILADELPHIA
PA
19106
1
0
0
0
David James Jacovini
2018-02-21
EX-24
2
poasecdjj.txt
POA
Limited Power of Attorney
BE IT ACKNOWLEDGED, that I David Jacovini located at
120 Pine Street, Philadelphia, PA, 19106
Do hereby grant a limited and specific power of attorney to,
Escalon Medical and its agents (Escalon), located
at 435 Devon Park Drive, Suite 100, Wayne, PA, 19087
as my Attorney-in-Fact.
Said Attorney-in-Fact shall have full power and authority
to undertake and perform only the following acts on my behalf:
Filing required regulatory Forms and other acts as necessary
to keep the company in compliance with regulations.
The authority herein shall include such incidental acts
as are reasonably required to carry out and perform the
specific authorities granted herein. My Attorney-in-Fact
agrees to accept this appointment subject to its terms,
and agrees to act and perform in said fiduciary capacity
consistent with my best interest, as my Attorney-in-Fact
in its discretion deems advisable.
The Attorney-in-Fact shall be able to have the authority herein
beginning on the signing of this agreement, and end when the
signees relationship with Escalon has ended, or unless
either party deems it necessary to end this power of attorney.
Immediately afterwards this form shall become void.
This power of attorney is governed by the laws
in the Commonwealth of Pennsylvania,
and shall be signed in the presence of two (2) witnesses.
Principals Signature _/s/David Jacovini_____
Date: _2-21-18__________________________
Acceptance of Appointment
Escalons Signature: /s/ Andrew Ho __________
Date _2-21-18____________________________
Witness 1: Anne M. Jacovini
Witness 2: Joseph H. Jacovini
Signature: /s/ Anne M. Jacovini
Signature: /s/ Joseph H. Jacovini