0001140361-24-035441.txt : 20240802 0001140361-24-035441.hdr.sgml : 20240802 20240802080012 ACCESSION NUMBER: 0001140361-24-035441 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240731 FILED AS OF DATE: 20240802 DATE AS OF CHANGE: 20240802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERGHEIM OLAV CENTRAL INDEX KEY: 0001207793 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42199 FILM NUMBER: 241168909 MAIL ADDRESS: STREET 1: ONE PALMER SQUARE CITY: PRINCETON STATE: NJ ZIP: 08542 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adagio Medical Holdings, Inc. CENTRAL INDEX KEY: 0002006986 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 BUSINESS PHONE: 212-284-2300 MAIL ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 FORMER COMPANY: FORMER CONFORMED NAME: Aja Holdco, Inc. DATE OF NAME CHANGE: 20240104 4 1 form4.xml FORM 4 X0508 4 2024-07-31 0002006986 Adagio Medical Holdings, Inc. ADGM 0001207793 BERGHEIM OLAV C/O ADAGIO MEDICAL HOLDINGS, INC. 26051 MERIT CIRCLE, SUITE 102 LAGUNA HILLS CA 92653 true true CEO false Common Stock 2024-07-31 4 J 0 212053 A 212053 I By Fjordinvest LLC Common Stock 2024-07-31 4 J 0 22081 A 22081 I By Micro NV LLC Pursuant to the business combination (the "Business Combination") contemplated by the Business Combination Agreement, dated February 13, 2024, as amended, by and among Adagio Medical Holdings, Inc. (formerly known as Aja Holdco Inc., "New Adagio" and following the completion of the Business Combination, the "Issuer"), ARYA Sciences Acquisition Corp IV, Adagio Medical, Inc. ("Adagio") and certain other parties thereto, as described in the Registration Statement on Form S-4 (File No. 333-278811) filed with the U.S. Securities0 and Exchange Commission and declared effective on July 12, 2024, acquired by the reporting person in exchange for the shares of Adagio common stock held indirectly by the reporting person prior to the completion of the Business Combination. Shares held by Fjordinvest LLC. The reporting person is the President of Fjordinvest LLC and, as such, has voting and investment discretion over the shares held by Fjordinvest LLC. Shares held by Micro NV LLC. The reporting person is the President of Micro NV LLC and, as such, has voting and investment discretion over the shares held by Micro NV LLC. /s/ John Dahldorf, Attorney-in-Fact 2024-08-02