0001209191-21-002987.txt : 20210111
0001209191-21-002987.hdr.sgml : 20210111
20210111171330
ACCESSION NUMBER: 0001209191-21-002987
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210101
FILED AS OF DATE: 20210111
DATE AS OF CHANGE: 20210111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bjerke Torbjorn
CENTRAL INDEX KEY: 0001838795
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36697
FILM NUMBER: 21521571
MAIL ADDRESS:
STREET 1: C/O DBV TECHNOLOGIES S.A.
STREET 2: 177-181 AVENUE PIERRE BROSSOLETTE
CITY: MONTROUGE
STATE: I0
ZIP: 92120
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DBV Technologies S.A.
CENTRAL INDEX KEY: 0001613780
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 000000000
STATE OF INCORPORATION: I0
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 177-181 AVENUE PIERRE BROSSOLETTE
CITY: MONTROUGE
STATE: I0
ZIP: 92120
BUSINESS PHONE: 33(0)155427878
MAIL ADDRESS:
STREET 1: 177-181 AVENUE PIERRE BROSSOLETTE
CITY: MONTROUGE
STATE: I0
ZIP: 92120
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-01-01
0
0001613780
DBV Technologies S.A.
DBVT
0001838795
Bjerke Torbjorn
C/O DBV TECHNOLOGIES S.A.
177-181 AVENUE PIERRE BROSSOLETTE
MONTROUGE
I0
92120
FRANCE
1
0
0
0
Ordinary Shares
35925
D
Warrant
45.54
2018-06-26
2028-06-26
Ordinary Shares
7000
D
The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one-half of one Ordinary Share.
This exercise price is in US Dollars and reflects the conversion of EURO to USD at an exchange rate of $1.223 to EURO 1.00 as of December 31, 2020.
Exhibit List - Exhibit 24 - Power of Attorney
/s/ Jason Minio, Attorney-in-Fact
2021-01-11
EX-24.3_955365
2
poa.txt
POA DOCUMENT
Exhibit 24
POWER OF ATTORNEY
(For Executing Form ID and Forms 3, 4 and 5)
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Daniel Tasse and Sebastien Robitaille of DBV Technologies S.A. (the
"Company") and Richard Segal, Madison Jones, Brigitte Eichner and Jason Minio of
Cooley LLP, signing individually, the undersigned's true and lawful attorneys-in
fact and agents 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 and
Forms 3, 4 and 5 (including amendments thereto and joint filing agreements in
connection therewith) in accordance with Section 16 of the Securities Exchange
Act of 1934, as amended (the "Exchange Act"), and the rules thereunder, in the
undersigned's capacity as an officer, director or beneficial owner of more than
10% of a registered class of securities of the Company;
(2) Do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to prepare and execute any such Form ID and Forms
3, 4 or 5 (including amendments thereto and joint filing agreements in
connection therewith) and file such forms with the SEC and any stock exchange,
self-regulatory association or any similar authority; and
(3) Take any other action of any type whatsoever in connection with the
foregoing that, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required of the undersigned, it being
understood that the documents executed by the 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 the attorney-in-fact may approve in the
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, and
their substitutes, 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 Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) 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, (b) revocation by the undersigned in a signed writing
delivered to the Company and the foregoing attorneys-in fact or (c) as to any
attorney-in-fact individually, until such attorney-in-fact is no longer employed
by the Company or employed by or a partner at Cooley LLP or another law firm
representing the Company, as applicable.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.
Date: 21 december 2020
/s/ Torbjorn Bjerke
Torbjorn Bjerke