0001520049-22-000001.txt : 20220808 0001520049-22-000001.hdr.sgml : 20220808 20220808144113 ACCESSION NUMBER: 0001520049-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220808 DATE AS OF CHANGE: 20220808 EFFECTIVENESS DATE: 20220808 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: 021-455224 FILM NUMBER: 221143882 BUSINESS ADDRESS: STREET 1: 1000 F ST NW CITY: WASHINGTON, D.C. STATE: DC ZIP: 20004 BUSINESS PHONE: 415-829-2336 MAIL ADDRESS: STREET 1: 1000 F ST NW CITY: WASHINGTON, D.C. STATE: DC ZIP: 20004 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. 1000 F ST NW WASHINGTON DC DISTRICT OF COLUMBIA 20004 415-829-2336 DELAWARE PAX Labs, Inc. Ploom, Inc. Corporation true K.C. Crosthwaite c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Executive Officer Director Chief Executive Officer and Director Tyler Mace c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Executive Officer Chief Legal Officer Elaine Paik c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Executive Officer Chief Financial Officer Adam Bowen c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Riaz Valani c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Harold Handelsman c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Nicholas J. Pritzker c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Zachary Frankel c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Rona Ambrose c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Teresa Sebastian c/o JUUL Labs, Inc. 1000 F Street NW Washington DC DISTRICT OF COLUMBIA 20004 Director Other Decline to Disclose 06b false true true true true true true Restricted stock unit convertible into common shares upon settlement. false 0 Indefinite 0 Indefinite Securities offered consist solely of employee equity incentive awards in the form of restricted stock units granted under an employee equity incentive plan and the common stock issuable in connection thereto. false 0 0 0 0 Restricted stock units issuable under the securities covered in this filing may be granted to the Company's executive officers. false JUUL Labs, Inc. Tyler Mace Tyler Mace Chief Legal Officer 2022-08-07