0001520049-19-000003.txt : 20190819 0001520049-19-000003.hdr.sgml : 20190819 20190816185155 ACCESSION NUMBER: 0001520049-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190819 DATE AS OF CHANGE: 20190816 EFFECTIVENESS DATE: 20190819 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JUUL Labs, Inc. CENTRAL INDEX KEY: 0001520049 IRS NUMBER: 870798194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-346844 FILM NUMBER: 191034483 BUSINESS ADDRESS: STREET 1: 560 20TH STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 415-829-2336 MAIL ADDRESS: STREET 1: 560 20TH STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: PAX Labs, Inc. DATE OF NAME CHANGE: 20150407 FORMER COMPANY: FORMER CONFORMED NAME: Ploom, Inc. DATE OF NAME CHANGE: 20110505 D 1 primary_doc.xml X0708 D LIVE 0001520049 JUUL Labs, Inc. 560 20TH STREET SAN FRANCISCO CA CALIFORNIA 94107 415-829-2336 DELAWARE PAX Labs, Inc. Ploom, Inc. Corporation true James Monsees c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Adam Bowen c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Harold Handelsman c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Riaz Valani c/o Ploom Investment LLC 500 108th Ave NE, Suite 1100 Bellevue WA WASHINGTON 98004 Director Nicholas Pritzker c/o JL Special LLC 1 Letterman Drive, Suite C4-420 San Francisco CA CALIFORNIA 94129 Director Zachary Frankel c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Kevin Burns c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Chief Executive Officer Timothy Danaher c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Chief Financial Officer Gerald Masoudi c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Chief Legal Officer Ashley Gould c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Chief Administrative Officer Other Decline to Disclose 06b false 2019-08-02 false true true false 0 325000000 325000000 0 false 4 0 0 0 false JUUL Labs, Inc. /s/ Timothy Danaher Timothy Danaher Chief Financial Officer 2019-08-16