0001437749-24-020870.txt : 20240620 0001437749-24-020870.hdr.sgml : 20240620 20240620203451 ACCESSION NUMBER: 0001437749-24-020870 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240617 FILED AS OF DATE: 20240620 DATE AS OF CHANGE: 20240620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hauser Bradley CENTRAL INDEX KEY: 0001662139 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41940 FILM NUMBER: 241058162 MAIL ADDRESS: STREET 1: C/O ZELTIQ AESTHETICS, INC. STREET 2: 4698 WILLOW ROAD, SUITE 100 CITY: PLEASANTON STATE: CA ZIP: 94588 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Autonomix Medical, Inc. CENTRAL INDEX KEY: 0001617867 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 471607810 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 21 WATERWAY AVENUE, SUITE 300 CITY: THE WOODLANDS STATE: TX ZIP: 77380 BUSINESS PHONE: 832-277-7816 MAIL ADDRESS: STREET 1: 21 WATERWAY AVENUE, SUITE 300 CITY: THE WOODLANDS STATE: TX ZIP: 77380 3 1 rdgdoc.xml FORM 3 X0206 3 2024-06-17 1 0001617867 Autonomix Medical, Inc. AMIX 0001662139 Hauser Bradley C/O AUTONOMIX MEDICAL, INC. 21 WATERWAY AVENUE, SUITE 300 THE WOODLANDS TX 77380 1 CEO and President /s/ Trent Smith, Attorney-in-Fact for Brad Hauser 2024-06-20 EX-24 2 poa_hauser.htm amix20240620_sec16.htm

Exhibit 24

 

POWER OF ATTORNEY

 

The undersigned, as a person who are required to file with the Securities Exchange Commission (“SEC”) public reports disclosing their holdings of, and transactions in, the equity securities of Autonomix Medical, Inc. (the “Company”) under Section 16 of the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder (the “1934 Act”), hereby constitutes and appoints Trent Smith as the undersigned’s true and lawful attorney-in-fact to:

 

1.

Complete and execute Forms 3, 4 and 5 and other forms and all amendments thereto as such attorney-in-fact shall in their discretion determine to be required or advisable pursuant to Section 16 of the 1934 Act, as a consequence of the undersigned’s ownership, acquisition or disposition of any equity securities of the Company; and

 

2.

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.

 

Each of said attorneys-in-fact shall individually have the authority to act in accordance with this Power of Attorney. The undersigned hereby ratifies and confirms all that each of said attorneys- in-fact and agents shall do or cause to be done by virtue hereof. The undersigned acknowledges that each of the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, is 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 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 any one of the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 18th day of June 2024.

 

 

Print Name: Brad Hauser                                       

 

 

Signature: /s/ Brad Hauser