0001104659-24-012332.txt : 20240208
0001104659-24-012332.hdr.sgml : 20240208
20240208165303
ACCESSION NUMBER: 0001104659-24-012332
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: AMERICAN INTERNATIONAL GROUP, INC.
CENTRAL INDEX KEY: 0000005272
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
ORGANIZATION NAME: 02 Finance
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41942
FILM NUMBER: 24609880
BUSINESS ADDRESS:
STREET 1: 1271 AVE OF THE AMERICAS
STREET 2: FL 37
CITY: NEW YORK
STATE: NY
ZIP: 10020-1304
BUSINESS PHONE: 2127707000
MAIL ADDRESS:
STREET 1: 1271 AVE OF THE AMERICAS
STREET 2: FL 37
CITY: NEW YORK
STATE: NY
ZIP: 10020-1304
FORMER NAME:
FORMER CONFORMED NAME: AMERICAN INTERNATIONAL GROUP INC
DATE OF NAME CHANGE: 19920703
FORMER NAME:
FORMER CONFORMED NAME: AMERICAN INTERNATIONAL ENTERPRISES INC
DATE OF NAME CHANGE: 19700507
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
tm245543-3_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2024-02-06
1
0001572616
Fractyl Health, Inc.
GUTS
0000005272
AMERICAN INTERNATIONAL GROUP, INC.
1271 AVENUE OF THE AMERICAS
NEW YORK
NY
10020-1304
0
0
1
0
0
Common Stock
2024-02-06
4
C
0
673391
A
673391
I
Held by Corebridge DECO II, LLC
Common Stock
2024-02-06
4
C
0
283878
A
283878
I
Held by American Home Assurance Company
Common Stock
2024-02-06
4
C
0
182735
A
182735
I
Held by Lexington Insurance Company
Common Stock
2024-02-06
4
C
0
199257
A
199257
I
Held by National Union Fire Insurance Company of Pittsburgh, Pa.
Series E Preferred Shares
2024-02-06
4
C
0
1172236
0
D
Common Stock
546242
0
I
Held by Corebridge DECO II, LLC
Series E Preferred Shares
2024-02-06
4
C
0
494173
0
D
Common Stock
230276
0
I
Held by American Home Assurance Company
Series E Preferred Shares
2024-02-06
4
C
0
318105
0
D
Common Stock
148231
0
I
Held by Lexington Insurance Company
Series E Preferred Shares
2024-02-06
4
C
0
346868
0
D
Common Stock
161634
0
I
Held by National Union Fire Insurance Company of Pittsburgh, Pa.
Series F Preferred Shares
2024-02-06
4
C
0
272863
0
D
Common Stock
127149
0
I
Held by Corebridge DECO II, LLC
Series F Preferred Shares
2024-02-06
4
C
0
115030
0
D
Common Stock
53602
0
I
Held by American Home Assurance Company
Series F Preferred Shares
2024-02-06
4
C
0
74046
0
D
Common Stock
34504
0
I
Held by Lexington Insurance Company
Series F Preferred Shares
2024-02-06
4
C
0
80741
0
D
Common Stock
37623
0
I
Held by National Union Fire Insurance Company of Pittsburgh, Pa.
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.
American Home Assurance Company is a wholly owned, indirect subsidiary of American International Group, Inc.
Lexington Insurance Company is a wholly owned, indirect subsidiary of American International Group, Inc.
National Union Fire Insurance Company of Pittsburgh, Pa. is a wholly owned, indirect subsidiary of American International Group, Inc.
/s/ Sabra R. Purtill, Chief Financial Officer of American International Group, Inc.
2024-02-08