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