0001567619-21-012463.txt : 20210622 0001567619-21-012463.hdr.sgml : 20210622 20210622123456 ACCESSION NUMBER: 0001567619-21-012463 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210622 DATE AS OF CHANGE: 20210622 EFFECTIVENESS DATE: 20210622 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fractyl Health, Inc. CENTRAL INDEX KEY: 0001572616 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 273553477 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-403725 FILM NUMBER: 211033976 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 D 1 primary_doc.xml X0708 D LIVE 0001572616 Fractyl Health, Inc. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 781-902-8800 DELAWARE FRACTYL LABORATORIES INC. Fractyl Laboratories Inc. Corporation true HARITH RAJAGOPALAN FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer Director JAY CAPLAN FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer MARGARET BORYS FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer LISA DAVIDSON FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer MICHAEL HUANG FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director MARC ELIA FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director CLIVE MEANWELL FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director AJAY ROYAN FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director BRIAN DOVEY FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director ALLAN WILL FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director WILLIAM BRADLEY FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director AMY SCHULMAN FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Director JUAN CARLOS LOPEZ-TALAVERA FRACTYL HEALTH, INC. 17 HARTWELL AVENUE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer Other Health Care Decline to Disclose 06b false 2021-06-09 false true false 0 99999949 99999949 0 false 15 0 0 0 false Fractyl Health, Inc. /S/ HARITH RAJAGOPALAN HARITH RAJAGOPALAN CHIEF EXECUTIVE OFFICER 2021-06-22