SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Chowdhury Badrul A.

(Last) (First) (Middle)
6836 BEE CAVE ROAD
BUILDING III, SUITE 200

(Street)
AUSTIN TX 78746

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/27/2019
3. Issuer Name and Ticker or Trading Symbol
Savara Inc [ SVRA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Medical Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
Remarks:
Exhibit 24 - Limited Power of Attorney
No securities are beneficially owned.
/s/ David Lowrance, David Lowrance as attorney-in-fact for Badrul Chowdhury 11/27/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
                                                                      Exhibit 24

             LIMITED POWER OF ATTORNEY FOR SECTION 16(a) REPORTING

    KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned hereby makes,
constitutes and appoints each of David L. Lowrance and J. Taneli Jouhikainen,
and each of their successors in the offices of Chief Financial Officer or Chief
Operating Officer of Savara Inc. (the "Company"), as the undersigned's true and
lawful attorney-in-fact (the "Attorney-in Fact"), with full power of
substitution and resubstitution, each with the power to act alone for the
undersigned and in the undersigned's name, place and stead, in any and all
capacities to:

1.  prepare, execute, deliver and file with the United States Securities and
    Exchange Commission, any national securities exchange and the Company any
    and all reports (including any amendment thereto) of the undersigned
    required or considered advisable under Section 16(a) of the Securities
    Exchange Act of 1934, as amended (the "Exchange Act"), and the rules and
    regulations thereunder, with respect to the equity securities of the
    Company, including Form 3 (Initial Statement of Beneficial Ownership of
    Securities), Form 4 (Statement of Changes in Beneficial Ownership) and Form
    5 (Annual Statement of Changes in Beneficial Ownership and any successor
    forms thereto; and

2.  seek or obtain, as the undersigned's representative and on the undersigned's
    behalf, information on transactions in the Company's equity securities from
    any third party, including the Company, brokers, dealers, employee benefit
    plan administrators and trustees, and the undersigned hereby authorizes any
    such third party to release any such information to the Attorney-in-Fact.

    The undersigned acknowledges that:

1.  this Limited Power of Attorney authorizes, but does not require, the
    Attorney-in-Fact to act at his or her discretion on information provided to
    such Attorney-in-Fact without independent verification of such information;

2.  any documents prepared and/or executed by the Attorney-in-Fact on behalf of
    the undersigned pursuant to this Limited Power of Attorney will be in such
    form and will contain such information as the Attorney-in-Fact, in his or
    her discretion, deems necessary or desirable;

3.  neither the Company nor the Attorney-in-Fact assumes any liability for the
    undersigned's responsibility to comply with the requirements of Section 16
    of the Exchange Act, any liability of the undersigned for any failure to
    comply with such requirements, or any liability of the undersigned for
    disgorgement of profits under Section 16(b) of the Exchange Act; and

4.  this Limited Power of Attorney does not relieve the undersigned from
    responsibility for compliance with the undersigned's obligations under
    Section 16 of the Exchange Act, including, without, limitation, the
    reporting requirements under Section 16(a) of the Exchange Act.

    The undersigned hereby grants to the Attorney-in-Fact full power and
authority to do and perform each and every act and thing requisite, necessary or
convenient to be done in connection with the foregoing, as fully, to all intents
and purposes, as the undersigned might or could do in person, hereby ratifying
and confirming all that the Attorney-in-Fact, or his or her substitute or
substitutes, shall lawfully do or cause to be done by authority of this Limited
Power of Attorney.  This Limited Power of Attorney shall remain in full force
and effect until the undersigned is no longer required to file Forms 3, 4 or 5
with respect to the undersigned's holdings of and transactions in equity
securities of the Company, unless earlier revoked by the undersigned in a signed
writing delivered to the Attorney-in-Fact.  This Limited Power of Attorney shall
be governed and construed in accordance the laws of the State of Texas without
regard to the laws that might otherwise govern under applicable principles of
conflicts of laws thereof.

    IN WITNESS WHEREOF, the undersigned has caused this Limited Power of
Attorney for Section 16(a) Reporting to be executed as of November 26, 2019.


                                 Signature: /s/ Badrul Chowdhury
                                            --------------------------------
                                 Print Name: Badrul Chowdhury



                                  SAVARA INC.
    SIGNATURE PAGE TO LIMITED POWER OF ATTORNEY FOR SECTION 16(a) REPORTING