UNITED STATES DISTRICT COURT

DISTRICT OF OREGON

ELIAAZAR. etal,

Plaintiffs),

V.

BLOUNT INTERNATIONAL, INC., et al.

Defendants).

Attorney Rebecca L. Martin

the above-captioned case.

Civil Case No. 3:16-cv-00483-SI

APPLICATION FOR SPECIAL

ADMISSION - PRO HAC VICE

.

requests special adinissionpro hac vice in

Certification of Attorney Seeking Pro Hac Vice Admission: I have read and understand the

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

(1) PERSONAL DATA:

Name: Martin' Rebecca L.

(Las^ N'anw) (Firsi Nenne)

Firm or Business Affiliation: Davis polk & Wardwell LLP

(Ml) (Suffis)

Mailing Address: 450 Lexington Avenue

City:. New York State: NY Zip: 10017

Phone Number: (212)450-4761 Fax Number: (212)701-5761

Business E-mail Address: rebecca. martin@davispolk. com

U.S. District Court-Orcgon

Revised March 1, 2014

Application for Special Admission - Pro Hac Vice

Page 1 of 3

Case 3:16-cv-00483-SI Document 29 Filed 03/28/16 Page 1 of 3
(2) BAR ADMISSIONS INFORMATION;

(a) State bar adiTiission(s), date(s) of admission, and bar ID number(s):

New York, 3/12/20" 2, Registration N'umber: 5003470

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

Eastern District of New York, 3/8/2013

Southern District of New York, 3/22/2013

(3) CERTIFICATION OF DISCIPLINARY ACTIONS:

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

state or federal bar association; or

(b) D 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:

1 have professional liability insiirance, or Financial responsibility equivalent to liability

insurance, 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:

Defendants Robert E. Beasley, Jr., Ronald Cami, Max L. Lukens, and

Daniel J. Obringer

U.S. District Court-Oregon

Revised March 1, 2014

Application for Special Admission - Pro Hac Vice

Page 2 of 3

Case 3:16-cv-00483-SI Document 29 Filed 03/28/16 Page 2 of 3
(6) CM/ECF REGISTRATION:

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

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

(See the Court's vvebsite at ord. uscourts, gov), 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 25 day of March 2016

fSigncf

Rebecca L. Martin

(Typed Name)

CERTIFICATION OF ASSOCIATED LOCAL COUNSEL:

1 certify that I am a member in good standing of the bar of'this Court, that I have read and understand the

requirements ofLR 83-3, and that 1 will serve as designated local counsel in this particular case.

DATED this t-S day of March 2016

/'}^wL^-

(Sigq^fi'f of Local Coimset)

Name: sasaki Joshua M.

(Lasi Name!

Oregon State Bar Number: 964182

(Tif'st Name) (Ml) (Suffix)

Firm or Business Affiliation: Mi"er Nash Graham & Dunn LLP

Mailing Address: 111 s'w' Fifth Avenue, Suite 3400

. Portland City:.

Phone Number: 503-205-2410

State: ore90n Zip: 97204

Business E-mail Address: josh. sasaki@millernash. cc^

COURT ACTION

DATED this

D Application approved subject to payment of fees.

D Application denied,

day of

Judge

U.S. District Court-Oregon

Revised March 1, 2014

Application for Special Admission - Pro Hoc Vice

Page 3 of 3

Case 3:16-cv-00483-SI Document 29 Filed 03/28/16 Page 3 of 3