UNITED STATES DISTRICT COURT 

DISTRICT OF OREGON 

Civil Case No. 3:14-cv-00706-YY 

KERRY D. AUSTIN, on behalf of himself and 

all others similarly situated, APPL IC ATION FOR SPECIAL 

Plaintiff(s), ADMISSION -PRO HAC VICE 

v. 

UNION BOND & TRUST CO., et al. 

Defendant(s). 

Attorney Matthew M. Gerend 

the above-captioned case. 

requests special admission pro hac vice in 

Certification of Attorney Seeking Pro Hae Vice Admission: l have read and understand the 

requirements of LR 83-3, and certify that the following information is correct: 

(1) PERSONAL DATA: 

Name: Gerend 

(last Nume) 

Matthew 

(First Name) 

M. 

(MI) (Suffix) 

Keller Rohrback L.P.P. Firm or Business Affiliation: --

Mailing Address: 1201 Third Avenue, Suite 3200 

City: 

Seattle State: A ____ Zip: 98101 

Phone Number: (2_0_6)_6_23___0_0 _____ Fax Number: (_20_6)__6_2_3_3_3 4 ___ 

Business E-mail Address: mgerend@kellerrohrback.com 

U.S. District Court-Oregon Application for Special Admission - Pro Hae Vice 

Revised March 28, 2016 Page 1 of3 

Case 3:14-cv-00706-YY Document 149 Filed 10/20/16 Page 1 of 3
(2) BAR ADMISSIONS INFORMATION: 

(a) State bar adrnission(s), date(s) of admission, and bar ID nurnber(s): 

Washington , 11/22/10, No. 43276 

(b) Other federal comi admission(s), date(s) of admission, and bar ID number(s): 

9th Cir., 12/05/14; 3rd Cir., 11/15/12; 6th Cir., 05/20/14 

W.D. Wash., 05/04/11; E.D. Mich., 03/29/13; D. Colo., 01/12/15 

U.S. Supreme Court, 08/08/16 

(3) CERTIFICATION OF DISCIPLINARY ACTIONS: 

(a) � I am not now, nor have I ever been subject to any disciplinary action by any 

state or federal bar association; or 

(b) 0 I am now or have been subject to disciplinary action from a state or federal bar 

association. (See attached letter of explanation.) 

(4) CERTIFICATION OF PROFESSIONAL LIABILITY INSURANCE: 

Per LR 83-3(a)(3), I have professional liability insurance, or financial responsibility 

equivalent to liability insurance, that meets the insurance requirements of the Oregon 

State Bar for attorneys practicing in this District, and that will apply and remain in force 

for the duration of the case, including any appeal proceedings. 

(5) REPRESENTATION STATEMENT: 

I am representing the following party(s) in this case: 

Plain tiff Kerry D. Austin , on behalf of himself and all others similarly 

situtated 

U.S. District Court-Oregon 

Revised March 28, 2016 

Application for Special Admission - Pro Hae Vice 

Page 2 of3 

Case 3:14-cv-00706-YY Document 149 Filed 10/20/16 Page 2 of 3
(6) CM/ECF REGISTRATION: 

Concurrent with approval of this pro hac vice application, I acknowledge that l will 

become a registered user of the Court's Case Management/Electronic Case File system. 

(See the Collli's website at ord.uscoutis . .rov), and I consent to electronic service pursuant 

to Fed. R. Civ. P 5(b)(2)(E) and the Local Rules of the District of Oregon. 

DATED this 20th day of October 2016 

(Signature of Pro Hae Counsel) 

Matthew M. Gerend 

(7)'ped Name) 

CERTIFICATION OF ASSOCIATED LOCAL COUNSEL: 

I ce1iify that I am a member in good standing of the bar of this Collli, that I have read and understand the 

requirements of LR 83-3, and that I will serve as designated local counsel in this paiiicular case. 

DATED this 20th day of October 2016 

s/Timothy S. De Jong 

(Signature of Local Counsel) 

Naine: _

D_

e_

Jo

_

n_

g ___________ 

T

_

im_

oth

_

y ___________ 

S_. _____ _ 

(Last Name) (First Name) (MI) 

Oregon State Bar Number: __ _4__6_6_2 ______________________ � 

Firm or Business Affi Iiation: _S_t_o_ll_S_t_ol___e_rne __o_ti_

ng_;:

_& __ 

S_h_la_c_h_t_er_P_. _. _________ _ 

Mailing Address: 209 S.W. Oak Street, Suite 500 

City: _ P_or_tl_an__d _____________ State: ______ R Zip: 97204 

Phone Number: (503) 227-1600 Business E-mail Address: tdejong@stollberne.com 

COURT ACTION 

D Application approved subject to payment of fees. 

D Application denied. 

DATED this __

 day of ___________ _ 

U.S. District Court-Oregon 

Revised March 28, 2016 

Judge 

Application for Special Admission - Pro Hae Vice 

Page 3 of3 

Case 3:14-cv-00706-YY Document 149 Filed 10/20/16 Page 3 of 3