0000950170-24-040179.txt : 20240402
0000950170-24-040179.hdr.sgml : 20240402
20240402162012
ACCESSION NUMBER: 0000950170-24-040179
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240401
FILED AS OF DATE: 20240402
DATE AS OF CHANGE: 20240402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kimber Adrian
CENTRAL INDEX KEY: 0002016940
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41942
FILM NUMBER: 24814514
MAIL ADDRESS:
STREET 1: C/O FRACTLY HEALTH, INC.
STREET 2: 3 VAN DE GRAAFF DRIVE, SUITE 200
CITY: BURLINGTON
STATE: MA
ZIP: 01803
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: 3 VAN DE GRAAFF DRIVE
STREET 2: SUITE 200
CITY: BURLINGTON
STATE: MA
ZIP: 01803
BUSINESS PHONE: 781-902-8800
MAIL ADDRESS:
STREET 1: 3 VAN DE GRAAFF DRIVE
STREET 2: SUITE 200
CITY: BURLINGTON
STATE: MA
ZIP: 01803
FORMER COMPANY:
FORMER CONFORMED NAME: Fractyl Health, Inc.
DATE OF NAME CHANGE: 20210617
FORMER COMPANY:
FORMER CONFORMED NAME: Fractyl Laboratories Inc.
DATE OF NAME CHANGE: 20130320
4
1
ownership.xml
4
X0508
4
2024-04-01
0001572616
FRACTYL HEALTH, INC.
GUTS
0002016940
Kimber Adrian
3 VAN DE GRAAFF DRIVE, SUITE 200
BURLINGTON
MA
01803
false
true
false
false
Chief Commercial Officer
false
Stock Option
7.45
2024-04-01
4
A
false
250000
0
A
2034-03-31
Common Stock
250000
250000
D
The stock option vests and becomes exercisable as to 25% of the underlying shares on April 1, 2025 and the remaining 75% of the underlying shares in 36 equal monthly installments thereafter, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date.
/s/ Lisa A. Davidson, Attorney-in-fact
2024-04-02