I have read and am familiar with the contents of this Proof of Claim. I certify that the information I have set forth above is true, correct, and
complete to the best of my knowledge. I certify that I, or the Class Member I represent, paid the total amount set forth above in out‐of‐pocket
expenditures for purchases of brand or generic Atripla between May 14, 2015 through and until October 13, 2021, in one or more of the Damages
States while residing in the United States and its territories, or for purchases of brand Evotaz between May 14, 2015 through and until October 13,
2021, in one or more of the Damages States while residing in the United States and its territories. I further certify that I, or the Class Member
I represent, did not opt out of the certified Class in this Action. Nor did I, or the Class Member I represent, purchase such branded or authorized
generic versions of brand or generic Atripla or brand Evotaz for purposes of resale.
In addition, I: (1) have not (or the represented Class Member has not) served as an officer, director, management, employee, subsidiary, or affiliate
of Gilead Sciences, Inc., Gilead Holdings, LLC, Gilead Sciences, LLC, or Gilead Sciences Ireland UC; Bristol-Myers Squibb Company or E. R. Squibb &
Sons, L.L.C.; or Johnson & Johnson, Janssen Products LP, or Janssen R&D Ireland (together, the “Defendants”); (2) did not opt out of the Classes; and
(3) am not one of the judges in this case or a member of their immediate families.
To the extent I have been given authority to submit this Proof of Claim by a Class Member on his or her behalf, and accordingly am submitting this
Proof of Claim in the capacity of an authorized agent, and to the extent I have been authorized to receive on behalf of this Class Member(s) any and
all amounts that may be allocated to him or her from the Settlement Fund, I certify that such authority has been properly vested in me and that I will
fulfill all duties I may owe the Class Member. In the event amounts from the Settlement Fund are distributed to me and a Class Member later claims that
I did not have the authority to claim and/or receive such amounts on its behalf, I and/or my employer will hold the Class, counsel for the Class, and
the Settlement Administrator harmless with respect to any claims made by the Class Member.
I hereby submit to the jurisdiction of the United States District Court for the Northern District of California, San Francisco Division for all purposes
connected with this Proof of Claim, including resolution of disputes relating to this Proof of Claim. I acknowledge that any false information or
representations contained herein may subject me to sanctions, including the possibility of criminal prosecution. I agree to supplement this Proof of Claim
by furnishing documentary backup for the information provided herein, upon request of the Settlement Administrator.