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