0001140361-21-032354.txt : 20210923
0001140361-21-032354.hdr.sgml : 20210923
20210923210609
ACCESSION NUMBER: 0001140361-21-032354
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210923
FILED AS OF DATE: 20210923
DATE AS OF CHANGE: 20210923
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sherpa Ventures Fund, LP
CENTRAL INDEX KEY: 0001580437
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 211273802
BUSINESS ADDRESS:
STREET 1: 555 MISSION STREET, SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105-0937
BUSINESS PHONE: (415) 655 9887
MAIL ADDRESS:
STREET 1: 555 MISSION STREET, SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105-0937
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sherpa Ventures Fund GP, LLC
CENTRAL INDEX KEY: 0001580438
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 211273800
BUSINESS ADDRESS:
STREET 1: 555 MISSION STREET, SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105-0937
BUSINESS PHONE: (415) 655 9887
MAIL ADDRESS:
STREET 1: 555 MISSION STREET, SUITE 1850
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105-0937
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stanford Scott
CENTRAL INDEX KEY: 0001866544
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 211273798
MAIL ADDRESS:
STREET 1: C/O PERSONALIZED BEAUTY DISCOVERY, INC.
STREET 2: 201 BALDWIN AVENUE
CITY: SAN MATEO
STATE: CA
ZIP: 94401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SherpaVentures Fund II, LP
CENTRAL INDEX KEY: 0001640276
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 211273801
BUSINESS ADDRESS:
STREET 1: 800 MARKET STREET, SUITE 800
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94102
BUSINESS PHONE: 415 805 8500
MAIL ADDRESS:
STREET 1: 800 MARKET STREET, SUITE 800
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SherpaVentures Fund II GP, LLC
CENTRAL INDEX KEY: 0001640277
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 211273799
BUSINESS ADDRESS:
STREET 1: 800 MARKET STREET, SUITE 800
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94102
BUSINESS PHONE: 415 805 8500
MAIL ADDRESS:
STREET 1: 800 MARKET STREET, SUITE 800
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cue Health Inc.
CENTRAL INDEX KEY: 0001628945
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4980 CARROLL CANYON ROAD
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: (858) 412-8151
MAIL ADDRESS:
STREET 1: 4980 CARROLL CANYON ROAD
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
FORMER COMPANY:
FORMER CONFORMED NAME: Cue Inc.
DATE OF NAME CHANGE: 20141223
FORMER COMPANY:
FORMER CONFORMED NAME: Cue, Inc.
DATE OF NAME CHANGE: 20141222
3
1
form3.xml
FORM 3
X0206
3
2021-09-23
0
0001628945
Cue Health Inc.
HLTH
0001580437
Sherpa Ventures Fund, LP
800 MARKET STREET, 8TH FLOOR
SAN FRANCISCO
CA
94102
true
0001640276
SherpaVentures Fund II, LP
800 MARKET STREET, 8TH FLOOR
SAN FRANCISCO
CA
94102
true
0001580438
Sherpa Ventures Fund GP, LLC
800 MARKET STREET, 8TH FLOOR
SAN FRANCISCO
CA
94102
true
0001640277
SherpaVentures Fund II GP, LLC
800 MARKET STREET, 8TH FLOOR
SAN FRANCISCO
CA
94102
true
0001866544
Stanford Scott
800 MARKET STREET, 8TH FLOOR
SAN FRANCISCO
CA
92102
true
true
Common Stock
129354
D
Common Stock
194031
D
Series A Preferred Stock
Common Stock
5450898
D
Series B Preferred Stock
Common Stock
3076224
D
Series B Preferred Stock
Common Stock
3834088
D
Series C-1 Preferred Stock
Common Stock
1092329
D
Series C-1 Preferred Stock
Common Stock
1092329
D
The shares are held directly by Sherpa Ventures Fund, LP ("ACME I"). Sherpa Ventures Fund GP, LLC ("ACME GP I") is the general partner of ACME I. Scott Stanford is the sole managing member of each of ACME GP I and ACME GP II (as defined below) and may be deemed to have voting and investment power with respect to the shares held by ACME I and ACME II (as defined below) and as a result may be deemed to have beneficial ownership of such shares. Each of the reporting persons disclaims beneficial ownership of the shares reported herein except to the extent of his or its respective pecuniary interest therein.
The shares are held directly by Sherpa Ventures Fund II, LP ("ACME II"). Sherpa Ventures Fund II GP, LLC ("ACME GP II") is the general partner of ACME II. Scott Stanford is the sole managing member of each of ACME GP I and ACME GP II and may be deemed to have voting and investment power with respect to the shares held by ACME I and ACME II and as a result may be deemed to have beneficial ownership of such shares. Each of the reporting persons disclaims beneficial ownership of the shares reported herein except to the extent of his or its respective pecuniary interest therein.
The Series A Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.
The Series B Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.
The Series C-1 Preferred Stock automatically converts into the number of shares of Common Stock as shown in Column 3 of Table II without payment of further consideration at the holder's election or upon closing of the initial public offering of the Issuer's common stock. The shares have no expiration date.
SHERPA VENTURES FUND, LP
By: Sherpa Ventures Fund GP, LLC, its general partner
By: /s/ Scott Stanford, Manager
2021-09-23
SHERPA VENTURES FUND II, LP
By: Sherpa Ventures Fund II GP, LLC, its general partner
By: /s/ Scott Stanford, Manager
2021-09-23
SHERPA VENTURES FUND GP, LLC
By: /s/ Scott Stanford, Manager
2021-09-23
SHERPA VENTURES FUND II GP, LLC
By: /s/ Scott Stanford, Manager
2021-09-23
/s/ Scott Stanford
2021-09-23