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