0001062993-19-003829.txt : 20191007 0001062993-19-003829.hdr.sgml : 20191007 20191007144222 ACCESSION NUMBER: 0001062993-19-003829 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191007 DATE AS OF CHANGE: 20191007 EFFECTIVENESS DATE: 20191007 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ajax Health III LLC CENTRAL INDEX KEY: 0001790381 IRS NUMBER: 842815299 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-350494 FILM NUMBER: 191140694 BUSINESS ADDRESS: STREET 1: 932 SANTA CRUZ AVENUE, SUITE C-1 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-2815299 MAIL ADDRESS: STREET 1: 932 SANTA CRUZ AVENUE, SUITE C-1 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0708 D LIVE 0001790381 Ajax Health III LLC 48 Spencer Lane Atherton CA CALIFORNIA 94027 650-678-8918 DELAWARE None None Limited Liability Company true 2019 Douglas Rohlen 48 Spencer Lane Atherton CA CALIFORNIA 94025 Executive Officer Director Chief Executive Officer Douglas Koo 1341 Delfino Way Menlo Park CA CALIFORNIA 94025 Executive Officer Garheng Kong 1301 Shoreway Road, Suite 350 Belmont CA CALIFORNIA 94002 Director Brian Chee One Letterman Drive Building C Suite 3600 San Francisco CA CALIFORNIA 94129 Director Other Health Care Decline to Disclose 06b false 2019-09-18 false true false 0 150000000 10120000 139880000 false 5 0 0 0 false Ajax Health III LLC /s/ Douglas Koo Douglas Koo Chief Financial Officer 2019-10-01