0001104659-24-012331.txt : 20240208 0001104659-24-012331.hdr.sgml : 20240208 20240208165135 ACCESSION NUMBER: 0001104659-24-012331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240206 FILED AS OF DATE: 20240208 DATE AS OF CHANGE: 20240208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Corebridge DECO II, LLC CENTRAL INDEX KEY: 0002010491 ORGANIZATION NAME: STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41942 FILM NUMBER: 24609861 BUSINESS ADDRESS: STREET 1: 28 LIBERTY STREET, 47TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: 212-770-7901 MAIL ADDRESS: STREET 1: 28 LIBERTY STREET, 47TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fractyl Health, Inc. CENTRAL INDEX KEY: 0001572616 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 273553477 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17 HARTWELL AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 BUSINESS PHONE: 781-902-8800 MAIL ADDRESS: STREET 1: 17 HARTWELL AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 FORMER COMPANY: FORMER CONFORMED NAME: Fractyl Laboratories Inc. DATE OF NAME CHANGE: 20130320 4 1 tm245543-2_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-02-06 1 0001572616 Fractyl Health, Inc. GUTS 0002010491 Corebridge DECO II, LLC 28 LIBERTY STREET, 47TH FLOOR NEW YORK NY 10005 0 0 1 0 0 Common Stock 2024-02-06 4 C 0 673391 A 673391 D Series E Preferred Shares 2024-02-06 4 C 0 1172236 0 D Common Stock 546242 0 D Series F Preferred Shares 2024-02-06 4 C 0 272863 0 D Common Stock 127149 0 D The Series E Convertible Preferred Stock and Series F Convertible Preferred Stock (together, the "Preferred Shares") automatically converted into shares of the Issuer's common stock, for no additional consideration, immediately prior to the closing of the Issuer's initial public offering of common stock, at a conversion ratio of 1 share of Common Stock for 2.146 Preferred Shares. The Preferred Shares had no expiration date. Corebridge DECO II, LLC is an indirect subsidiary of American International Group, Inc. /s/ Atif Mahmood, Chief Financial Officer, SAFG Capital LLC as Managing Member of Corebridge Investments Fund Holdings, LLC as Manager of Corebridge DECO II, LLC 2024-02-08