0000899243-15-009108.txt : 20151202 0000899243-15-009108.hdr.sgml : 20151202 20151202082003 ACCESSION NUMBER: 0000899243-15-009108 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151123 FILED AS OF DATE: 20151202 DATE AS OF CHANGE: 20151202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHIASMA, INC CENTRAL INDEX KEY: 0001339469 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 831 BEACON STREET STREET 2: SUITE 313 CITY: NEWTON CENTRE STATE: MA ZIP: 02459 BUSINESS PHONE: 914-234-2268 MAIL ADDRESS: STREET 1: 831 BEACON STREET STREET 2: SUITE 313 CITY: NEWTON CENTRE STATE: MA ZIP: 02459 FORMER COMPANY: FORMER CONFORMED NAME: CHIASMA INC DATE OF NAME CHANGE: 20050922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOBIN JAMES R CENTRAL INDEX KEY: 0001190128 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37500 FILM NUMBER: 151263583 MAIL ADDRESS: STREET 1: C/O CURIS INC STREET 2: 4 MAGUIRE ROAD CITY: LEXINGTON STATE: MA ZIP: 02421 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-11-23 1 0001339469 CHIASMA, INC CHMA 0001190128 TOBIN JAMES R C/O CHIASMA, INC. 60 WELLS AVENUE, SUITE 102 NEWTON MA 02459 1 0 0 0 Exhibit List: Exhibit 24.1 - Power of Attorney /s/ Mark J. Fitzpatrick, Attorney-in-Fact 2015-12-02 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT
                               POWER OF ATTORNEY

     Know all by these presents, that the undersigned hereby constitutes and
appoints each of Mark Leuchtenberger and Mark Fitzpatrick, 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 and/or director of Chiasma, Inc. (the
             "Company"), Forms 3, 4 and 5 and amendments thereto in accordance
             with Section 16(a) of the Securities Exchange Act of 1934 and the
             rules 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 3, 4 or 5 and amendments thereto and timely
             file 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 Securities Exchange Act of 1934.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 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
foregoing attorneys-in-fact.  This Power of Attorney may be filed with the
United States Securities and Exchange Commission as a confirming statement of
the authority granted herein.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of December 1, 2015.


                                                           /s/James R. Tobin
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                                                               Signature


                                                             James R. Tobin
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