Proof of Service Summons DLR CivilCal. Super. - 6th Dist.March 15, 2021ATTDRNEY oF pARTY NITNODT ATTDRNEY (Name, state Ba number, and address): KENNETH JAY FREED 125309 L/0 OF KEN"TETH J. I'REED C 14226 VENI'URA BLVD. SHERMAN OAKS, CA 91423 TEIEPRom i (818/ 990-0888 I TTORNEY FOR (liame; P AINTIFF SANTA CLARA SUP. CR . /SAN JOSE STREET ADDRES: Per ule 2. 150 (a) (8] (AILING ADDREs the address of the court rs uot required CITY AND 2! .:OOE. BILANCI'JANE: FUR COURT USN ONI1'OS-010 CREDITORS ADJUSTMENT BUREAU, INC. INTARCIA THERAPEUTICS, INC. Pla nt ff Defender, ~ CAS. NONBEBi 21CV378966 CI . Ref o I'ile No.i 6059751PROOF OF SERVICE OF SUMMONS (separa"e p oof f service is required for each pa ty sec ed.) HEAR NG: DATE: 07/27/21 INE: 10:00 DIV/DFPT: 1. At the t trna of e ice I «as at least 18 years of age and not a party to th s a rien. / I ser d c. piss of SUMMONS) COMPLAINT; CIVIL CASE COVFR SHEET; (:IVII. IJYWSUIT NOTICE [XX] Par'y ser ed TNTARCIA THIIRAPFUTICS, TNC. I:XI r (raut;O rer tti n the Party n tem Ia) SerVed On 1 half f in entity O aa an ai thcrired a/ent (a(id nct 4 petstt nrdrr iteis Sb on clem sub t tuteil eervicii ss model I pe. Ity name aad e(ati&(snip to ihe party cameo ir item ,.T,.OR.OI«ATION/REGTSTERED AGNT, .TFSSIE GASTELUH Adores«cere tne oir'y as served; 818 W. 7TH ST., STE 930 LOS ANGELES, CA 90017 S. I set ed tho part/ .*=.e « proper bo a.[XX ] t ets,Gal e c I personally del ared the doc t 1 st in stem . Na patt/ ot Fere n 4 tho- ted ce ve ser ice of p cease for the pa ty (I) on idare) 04/14/21 !2( at (ti-e)i lii40 a, PROOF OF SERVICE OF SUMMONS -AXG 11-21421989 OG: 11 Computec-gener . o iud c al our .:.' Cal: orr a OS - Clg ;R ' 14 iat/ 11-21/121989 'hereafter mailed (by f st-class, postage p epaid) copies f the d~cu . s to t" pere. to be se el ai. he p'ace e e tbe copies e e left (code civ. Fr ., 418 24* I ." ' the dociments ii Ida *) f ro ot ' d cla at r, 'a I no . attached. (s,[ ] : attar( a de at on of diligence stating a t an ta'e f - t- attem " .'l ser i e Pans I of 2 ide cf . Pre ed e, Electronically Filed by Superior Court of CA, County of Santa Clara, on 4/23/2021 2:19 PM Reviewed By: A. Rodriguez Case #21CV378966 Envelope: 6306252 21CV378966 Santa Clara - Civil Plaintiff Defendant CREDITORS ADJUSTMENT BUREAU, INC. IN'ARCIA THERAPEUTICS, INC. ir'NBER: 210*/378966 [ t max& ard aci:nowledgment of ecexpt of servzce, I ma led the document I st d xn rem " to the party, to the address sho n zn Item e, by f rst-class ma pc rag preps d (I'i',dat (2) fx'om (city) (3 [ ] 'rl' o copies of the Not ce and Acknowledgment of Receipt (form 902(a,'(6' 3 a postage paid return en elope addressed to me (Attach ompleted Nr,tice and Ackno ledgement of Race pt (fo m 962(a)(a).) (code of c Pro ., e&5.30) (a')[ ] :, au .dress outs de california with retu ecezpt request d (Coos Civ. Proc., (15.ag) d.[ ] by cthe ea s spectfy means of se ce and authorizing code section) The "Nor e " t Pe sor. Eer ed" (o the summons) was completed as follows: a.[ ] s a &dividual defendant. b.[ I ss tn pe son sued under the f ct t ous name of (specify). c [ ] as oc u arr.. 0 [ XX ] on rehai of: INTARCIA THERAPEUTICS, INC . under rne folio ing code cf civil procedure section: [XX] ccp el6.)D icorpoxation) [ ] 616.en& iinxnor) [ I a)6.20 ixefuncr curpozation) ] ii6.&0 iw rd it curse &*tee, [ a)6.3 ~ () znt stock or crmp*ry association) [ ] a16 90 (au(horx ed personl [ a:6.ao (as ocl&rien or pirtni&rshxpl [ ] 115 (6 (ocrupanr1 [ i t 6N&0 (pub)i- ntiry) ( ] ortierx [ ] 'i p a15.90 (bus&i&a&a organize&in&, f&rm ur kn& n) i. Perron )o served papers a Name; 1L Apus)AS t,. Address: 5632 Vdn Nuys BIvd., 8 2&[0 Vmn Nuys CA 91401 in t'clap&or,e n&mber. [213) 928-7267 d, The !6'cr service was) S 79. 00 irecoverm&le nnder C P)033 5(a) ai 'Bi! am, 'I.. [ rox a regret.ered ca I for.nxa process server. ': ( i .empt trom registration under Bur)&ress and Pr:nfees ons cod txoi& 22350(b'. i). [ XX ] reg ster d California process ac&ver'x i . [ ] o ner [ xx ] Employee [ ] Independen c nt a t&r. &Reu st&at o No.: 201525&)338 unt: LOS ANGELES s. [XX] I de la nd .,alty of Fer1 cy x de the la s of rhe state of california t(a ~ th. for going 's tz'-e a d correct. 9.[ ] I am a cal fo rxa i. ff : marshal and I e t&ry nat the forego ng s t & a d ate: 04/15/21 F . ARMAS (,)ANF OF PER 01 Ni'RVE PAPERS/.HERIFF OR NARSHAI& (SI NATURE; Cc pxt- -gazer i c f PROOF OF SERVICE OF SUMMONS Judicial oin .I ct C fern&a POS-010 )'Rev. 0&r " cy , EC& '' 0: 11 Pace 2 of 2 e ol 0 v Proced ce, il I)