Case 2:12-cv-00160-NT Document 26 Filed 11/05/12 Page 1 of 1

PageID #: 550

UNITED STATES DISTRICT COURT District of Maine

James Murtagh, M.D.

Case No. Plaintiff(s),

VS. St. Mary's Regional Medical Center a/k/a St. Mary's Hospital, St. Mary's Health System, and Ira Shapiro, M.D.

2:12-cv-160-NT

Defendant(s).

CERTIFICATION FOR ADMISSION PRO HAC VICE

I hereby request admission to the Bar of this Court Pro Hac Vice, in support of which I represent that the answers to the following questions are complete, true and correct: 1. Name:
Michael V. Bernier

2. State bar membership number(s):

Mississippi Bar No. 103960

3. Firm name, address and telephone number:

Baker, Donelson, Bearman, Caldwell & Berkowitz, P.C., Meadowbrook Office Park, 1-55 North, Jackson, MS 39211 Tel. (601) 351-2400

4. List state and federal courts or bar associations in which you are a member in good standing to practice law:
MS State Bar Association, All Courts in MS since 2011, U.S. Court of Appeals for the Fifth Circuit since 2011 U.S. District Court for the Northern District of MS since 2011, U.S. District Court for the Southern District of MS since 2011

5. Name, address and telephone number of associated local counsel:

David A. Soley, BERNSTEIN SHUR, 100 Middle Street, P.O. Box 9729, Portland, ME 04104-5029, Telephone 207-774-1200

6. Have you been denied admission, disbarred, suspended from practice, reprimanded, denied "in good standing" status, or otherwise disciplined by any court, bar association, orievance No committee or administrative body? 7. Have any proceedings, which could lead to any such disciplinary actions as described in question No 6, been instituted against you by any such bodies? Il Yes

(You must attach a separate sheet with detailed explanations of Yes answers to Questions 6 or 7.) 8. Are you familiar with the Federal Rules of Evidence, the Federal Rules of Civil or Criminal Procedure (as applicable to this case) and the local rules of this Court?IgYes Dated:
11/01/2012 /s/ David A. Soley

Signature of Local Counsel Dated:

11/01/2012 /s/ Michael V. Bernier

Signature of Applicant