0000899243-16-018304.txt : 20160419 0000899243-16-018304.hdr.sgml : 20160419 20160419194648 ACCESSION NUMBER: 0000899243-16-018304 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160415 FILED AS OF DATE: 20160419 DATE AS OF CHANGE: 20160419 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Capnia, Inc. CENTRAL INDEX KEY: 0001484565 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 770523891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1235 RADIO ROAD STREET 2: SUITE 110 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-213-8444 MAIL ADDRESS: STREET 1: 1235 RADIO ROAD STREET 2: SUITE 110 CITY: REDWOOD CITY STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DALAL RAJEN CENTRAL INDEX KEY: 0001239947 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36593 FILM NUMBER: 161580168 MAIL ADDRESS: STREET 1: C/O CIPHERGEN BIOSYSTEMS INC STREET 2: 6611 DUMBARTON CIRCLE CITY: FREMONT STATE: CA ZIP: 94555 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-04-15 0 0001484565 Capnia, Inc. CAPN 0001239947 DALAL RAJEN C/O CAPNIA, INC. 1235 RADIO ROAD, SUITE 110 REDWOOD CITY CA 94065 1 0 0 0 No Securities are beneficially owned. 0 D David O'Toole as attorney-in-fact for Rajen Dalal 2016-04-19 EX-24 2 attachment1.htm EX-24 DOCUMENT


                               POWER OF ATTORNEY

      The undersigned, as a Section 16 reporting person of Capnia, Inc. (the
"Company"), hereby constitutes and appoints Anish Bhatnagar and David D. O'Toole
and each of them, the undersigned's true and lawful attorney-in-fact, to:

      1.    Prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the Securities and Exchange Commission (the "SEC") a Form
ID, including amendments thereto, and any other documents necessary or
appropriate to obtain EDGAR codes and passwords enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934 or any rule or regulation of the SEC;

      2.    Complete and execute Forms 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

      3.    Do all acts necessary in order to file such forms with the SEC, 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 agent 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 this 19 day of April, 2016.



                                          /s/Rajen Dalal
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                                          Signature

                                          Rajen Dalal
                                          --------------------------------------
                                          Printed Name