0000902664-23-004887.txt : 20230922 0000902664-23-004887.hdr.sgml : 20230922 20230922060033 ACCESSION NUMBER: 0000902664-23-004887 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230915 FILED AS OF DATE: 20230922 DATE AS OF CHANGE: 20230922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NVGA I, LLC CENTRAL INDEX KEY: 0001993944 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270171 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-610-8000 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tarsadia Capital, LLC CENTRAL INDEX KEY: 0001777371 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270175 BUSINESS ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 332-225-8207 MAIL ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TC GP, LLC CENTRAL INDEX KEY: 0001993934 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270173 BUSINESS ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (332-225-8200 MAIL ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TCCS I, LP CENTRAL INDEX KEY: 0001993935 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270174 BUSINESS ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 332-225-8200 MAIL ADDRESS: STREET 1: 10 EAST 53RD STREET STREET 2: 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: T-Twelve Holdings, LLC CENTRAL INDEX KEY: 0001994141 STATE OF INCORPORATION: NV FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270168 BUSINESS ADDRESS: STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES STREET 2: 100 WEST LIBERTY ST., SUITE 750 CITY: RENO STATE: NV ZIP: 89501 BUSINESS PHONE: 917-365-6300 MAIL ADDRESS: STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES STREET 2: 100 WEST LIBERTY ST., SUITE 750 CITY: RENO STATE: NV ZIP: 89501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TFC Manager, LLC CENTRAL INDEX KEY: 0001993945 STATE OF INCORPORATION: NV FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270167 BUSINESS ADDRESS: STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES STREET 2: 100 WEST LIBERTY ST., SUITE 750 CITY: RENO STATE: NV ZIP: 89501 BUSINESS PHONE: 917-365-6300 MAIL ADDRESS: STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES STREET 2: 100 WEST LIBERTY ST., SUITE 750 CITY: RENO STATE: NV ZIP: 89501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CP (HLTH), LLC CENTRAL INDEX KEY: 0001993971 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270170 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-610-8000 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tarsadia Investments, LLC CENTRAL INDEX KEY: 0001993975 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270172 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-610-8000 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TUP Investments, L.P. CENTRAL INDEX KEY: 0001993979 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40824 FILM NUMBER: 231270169 BUSINESS ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-610-8000 MAIL ADDRESS: STREET 1: 520 NEWPORT CENTER DR. STREET 2: 21ST FLOOR CITY: NEWPORT BEACH STATE: CA ZIP: 92660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cue Health Inc. CENTRAL INDEX KEY: 0001628945 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 271562193 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4980 CARROLL CANYON ROAD STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 412-8151 MAIL ADDRESS: STREET 1: 4980 CARROLL CANYON ROAD STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Cue Inc. DATE OF NAME CHANGE: 20141223 FORMER COMPANY: FORMER CONFORMED NAME: Cue, Inc. DATE OF NAME CHANGE: 20141222 3 1 ownership.xml X0206 3 2023-09-15 0 0001628945 Cue Health Inc. HLTH 0001777371 Tarsadia Capital, LLC 10 EAST 53RD STREET 23RD FLOOR NEW YORK NY 10022 0 0 1 0 0001993935 TCCS I, LP 10 EAST 53RD STREET 23RD FLOOR NEW YORK NY 10022 0 0 1 0 0001993934 TC GP, LLC 10 EAST 53RD STREET 23RD FLOOR NEW YORK NY 10022 0 0 1 0 0001993975 Tarsadia Investments, LLC 520 NEWPORT CENTER DR. 21ST FLOOR NEWPORT BEACH CA 92660 0 0 1 0 0001993944 NVGA I, LLC 520 NEWPORT CENTER DR. 21ST FLOOR NEWPORT BEACH CA 92660 0 0 1 0 0001993971 CP (HLTH), LLC 520 NEWPORT CENTER DR. 21ST FLOOR NEWPORT BEACH CA 92660 0 0 1 0 0001993979 TUP Investments, L.P. 520 NEWPORT CENTER DR. 21ST FLOOR NEWPORT BEACH CA 92660 0 0 1 0 0001994141 T-Twelve Holdings, LLC C/O SIERRA FIDUCIARY SUPPORT SERVICES 100 WEST LIBERTY ST., SUITE 750 RENO NV 89501 0 0 1 0 0001993945 TFC Manager, LLC C/O SIERRA FIDUCIARY SUPPORT SERVICES 100 WEST LIBERTY ST., SUITE 750 RENO NV 89501 0 0 1 0 Common stock, par value $0.00001 per share ("Common Stock") 10684791 I By: TCCS I, LP; TC GP, LLC and Tarsadia Capital, LLC. See footnotes Common Stock 3230779 I By: NVGA I, LLC and Tarsadia Investments, LLC. See footnotes Common Stock 3612913 I By: CP (HLTH), LLC and Tarsadia Investments, LLC. See footnotes Common Stock 1068174 I By: TUP Investments, L.P. See footnote Common Stock 3319000 I By: T-Twelve Holdings, LLC and TFC Manager, LLC. See footnote This Form 3 is filed jointly by TCCS I, LP ("TCCS"), TC GP, LLC ("TC GP"), Tarsadia Capital, LLC ("Tarsadia Capital"), Tarsadia Investments, LLC ("Tarsadia Investments"), NVGA I, LLC ("NVGA"), CP (HLTH), LLC ("CP HLTH"), TUP Investments, L.P. ("TUP Investments"), T-Twelve Holdings, LLC ("T-Twelve Holdings"), and TFC Manager, LLC ("TFC Manager"). Each of the foregoing is referred to as a "Reporting Person" and collectively as the "Reporting Persons." Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein, if any, and the filing of this Form 3 shall not be construed as an admission that any Reporting Person is the beneficial owner of any such securities for purposes of Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or for any other purpose. Each of the Reporting Persons may be deemed to be a member of a "group" for purposes of Section 13(d) of the Exchange Act that may be deemed to collectively beneficially own over 10% of the Issuer's outstanding securities. Securities held by TCCS. TC GP is the general partner of TCCS. Tarsadia Capital is the investment manager to TCCS. Securities held by NVGA. Tarsadia Investments is the investment manager to NVGA. Securities held by CP HLTH. Tarsadia Investments is the investment manager to CP HLTH. Tushar Patel, a United States citizen is the ultimate control person of each of TCCS, TC GP, Tarsadia Capital, NVGA, CP HLTH, Tarsadia Investments, and TUP Investments. Securities held by T-Twelve Holdings. TFC Manager is the manager of T-Twelve Holdings. Gautam Patel, a United States citizen, is the ultimate control person of each of TFC Manager and T-Twelve Holdings. TCCS I, LP, By: TC GP, LLC, its General Partner /s/ Vikram Patel, Authorized Signatory 2023-09-22 TC GP, LLC, By: /s/ Vikram Patel, Authorized Signatory 2023-09-22 TARSADIA CAPITAL, LLC, By: /s/ Vikram Patel, Head of Tarsadia Capital, LLC 2023-09-22 NVGA I, LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director 2023-09-22 CP (HLTH), LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director 2023-09-22 TARSADIA INVESTMENTS, LLC, By: /s/ Mitchell Caplan, President 2023-09-22 TUP INVESTMENTS, L.P., By: TUP Three, LLC, its General Partner /s/ Vikram Patel, Manager 2023-09-22 T-TWELVE HOLDINGS, LLC, By: TFC Manager, LLC, its Manager /s/ Gautam Patel, Manager 2023-09-22 TFC MANAGER, LLC, By: /s/ Gautam Patel, Manager 2023-09-22