0001520049-20-000001.txt : 20200207 0001520049-20-000001.hdr.sgml : 20200207 20200207134453 ACCESSION NUMBER: 0001520049-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200207 DATE AS OF CHANGE: 20200207 EFFECTIVENESS DATE: 20200207 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JUUL Labs, Inc. CENTRAL INDEX KEY: 0001520049 IRS NUMBER: 870798194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-360037 FILM NUMBER: 20586573 BUSINESS ADDRESS: STREET 1: 560 20TH STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 415-829-2336 MAIL ADDRESS: STREET 1: 560 20TH STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: PAX Labs, Inc. DATE OF NAME CHANGE: 20150407 FORMER COMPANY: FORMER CONFORMED NAME: Ploom, Inc. DATE OF NAME CHANGE: 20110505 D 1 primary_doc.xml X0708 D LIVE 0001520049 JUUL Labs, Inc. 560 20TH STREET SAN FRANCISCO CA CALIFORNIA 94107 415-829-2336 DELAWARE PAX Labs, Inc. Ploom, Inc. Corporation true Saurabh Sinha c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Chief Financial Officer K.C. Crosthwaite c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Chief Executive Officer James Monsees c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Chief Product Officer Adam Bowen c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Chief Technology Officer Gerald Masoudi c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Executive Officer Chief Legal Officer Harold Handelsman c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Riaz Valani c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Nicholas Pritzker c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Zachary Frankel c/o JUUL Labs, Inc. 560 20th Street San Francisco CA CALIFORNIA 94107 Director Other Decline to Disclose 06b false 2020-02-03 false true true false 0 721555937 721555937 0 This filing covers the purchase and sale of unsecured subordinated promissory notes and the preferred and/or common stock issuable upon conversion. false 20 0 0 0 false JUUL Labs, Inc. /s/ Saurabh Sinha Saurabh Sinha Chief Financial Officer 2020-02-07