0000902664-23-004887.txt : 20230922
0000902664-23-004887.hdr.sgml : 20230922
20230922060033
ACCESSION NUMBER: 0000902664-23-004887
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230915
FILED AS OF DATE: 20230922
DATE AS OF CHANGE: 20230922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NVGA I, LLC
CENTRAL INDEX KEY: 0001993944
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270171
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-610-8000
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tarsadia Capital, LLC
CENTRAL INDEX KEY: 0001777371
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270175
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 332-225-8207
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TC GP, LLC
CENTRAL INDEX KEY: 0001993934
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270173
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: (332-225-8200
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TCCS I, LP
CENTRAL INDEX KEY: 0001993935
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270174
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 332-225-8200
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: T-Twelve Holdings, LLC
CENTRAL INDEX KEY: 0001994141
STATE OF INCORPORATION: NV
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270168
BUSINESS ADDRESS:
STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES
STREET 2: 100 WEST LIBERTY ST., SUITE 750
CITY: RENO
STATE: NV
ZIP: 89501
BUSINESS PHONE: 917-365-6300
MAIL ADDRESS:
STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES
STREET 2: 100 WEST LIBERTY ST., SUITE 750
CITY: RENO
STATE: NV
ZIP: 89501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TFC Manager, LLC
CENTRAL INDEX KEY: 0001993945
STATE OF INCORPORATION: NV
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270167
BUSINESS ADDRESS:
STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES
STREET 2: 100 WEST LIBERTY ST., SUITE 750
CITY: RENO
STATE: NV
ZIP: 89501
BUSINESS PHONE: 917-365-6300
MAIL ADDRESS:
STREET 1: C/O SIERRA FIDUCIARY SUPPORT SERVICES
STREET 2: 100 WEST LIBERTY ST., SUITE 750
CITY: RENO
STATE: NV
ZIP: 89501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CP (HLTH), LLC
CENTRAL INDEX KEY: 0001993971
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270170
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-610-8000
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tarsadia Investments, LLC
CENTRAL INDEX KEY: 0001993975
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270172
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-610-8000
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TUP Investments, L.P.
CENTRAL INDEX KEY: 0001993979
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40824
FILM NUMBER: 231270169
BUSINESS ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-610-8000
MAIL ADDRESS:
STREET 1: 520 NEWPORT CENTER DR.
STREET 2: 21ST FLOOR
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cue Health Inc.
CENTRAL INDEX KEY: 0001628945
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 271562193
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
ownership.xml
X0206
3
2023-09-15
0
0001628945
Cue Health Inc.
HLTH
0001777371
Tarsadia Capital, LLC
10 EAST 53RD STREET
23RD FLOOR
NEW YORK
NY
10022
0
0
1
0
0001993935
TCCS I, LP
10 EAST 53RD STREET
23RD FLOOR
NEW YORK
NY
10022
0
0
1
0
0001993934
TC GP, LLC
10 EAST 53RD STREET
23RD FLOOR
NEW YORK
NY
10022
0
0
1
0
0001993975
Tarsadia Investments, LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH
CA
92660
0
0
1
0
0001993944
NVGA I, LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH
CA
92660
0
0
1
0
0001993971
CP (HLTH), LLC
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH
CA
92660
0
0
1
0
0001993979
TUP Investments, L.P.
520 NEWPORT CENTER DR.
21ST FLOOR
NEWPORT BEACH
CA
92660
0
0
1
0
0001994141
T-Twelve Holdings, LLC
C/O SIERRA FIDUCIARY SUPPORT SERVICES
100 WEST LIBERTY ST., SUITE 750
RENO
NV
89501
0
0
1
0
0001993945
TFC Manager, LLC
C/O SIERRA FIDUCIARY SUPPORT SERVICES
100 WEST LIBERTY ST., SUITE 750
RENO
NV
89501
0
0
1
0
Common stock, par value $0.00001 per share ("Common Stock")
10684791
I
By: TCCS I, LP; TC GP, LLC and Tarsadia Capital, LLC. See footnotes
Common Stock
3230779
I
By: NVGA I, LLC and Tarsadia Investments, LLC. See footnotes
Common Stock
3612913
I
By: CP (HLTH), LLC and Tarsadia Investments, LLC. See footnotes
Common Stock
1068174
I
By: TUP Investments, L.P. See footnote
Common Stock
3319000
I
By: T-Twelve Holdings, LLC and TFC Manager, LLC. See footnote
This Form 3 is filed jointly by TCCS I, LP ("TCCS"), TC GP, LLC ("TC GP"), Tarsadia Capital, LLC ("Tarsadia Capital"), Tarsadia Investments, LLC ("Tarsadia Investments"), NVGA I, LLC ("NVGA"), CP (HLTH), LLC ("CP HLTH"), TUP Investments, L.P. ("TUP Investments"), T-Twelve Holdings, LLC ("T-Twelve Holdings"), and TFC Manager, LLC ("TFC Manager"). Each of the foregoing is referred to as a "Reporting Person" and collectively as the "Reporting Persons."
Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein, if any, and the filing of this Form 3 shall not be construed as an admission that any Reporting Person is the beneficial owner of any such securities for purposes of Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or for any other purpose. Each of the Reporting Persons may be deemed to be a member of a "group" for purposes of Section 13(d) of the Exchange Act that may be deemed to collectively beneficially own over 10% of the Issuer's outstanding securities.
Securities held by TCCS. TC GP is the general partner of TCCS. Tarsadia Capital is the investment manager to TCCS.
Securities held by NVGA. Tarsadia Investments is the investment manager to NVGA.
Securities held by CP HLTH. Tarsadia Investments is the investment manager to CP HLTH.
Tushar Patel, a United States citizen is the ultimate control person of each of TCCS, TC GP, Tarsadia Capital, NVGA, CP HLTH, Tarsadia Investments, and TUP Investments.
Securities held by T-Twelve Holdings. TFC Manager is the manager of T-Twelve Holdings. Gautam Patel, a United States citizen, is the ultimate control person of each of TFC Manager and T-Twelve Holdings.
TCCS I, LP, By: TC GP, LLC, its General Partner /s/ Vikram Patel, Authorized Signatory
2023-09-22
TC GP, LLC, By: /s/ Vikram Patel, Authorized Signatory
2023-09-22
TARSADIA CAPITAL, LLC, By: /s/ Vikram Patel, Head of Tarsadia Capital, LLC
2023-09-22
NVGA I, LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director
2023-09-22
CP (HLTH), LLC, By: TI Manager, LLC, its Manager /s/ Vikram Patel, Managing Director
2023-09-22
TARSADIA INVESTMENTS, LLC, By: /s/ Mitchell Caplan, President
2023-09-22
TUP INVESTMENTS, L.P., By: TUP Three, LLC, its General Partner /s/ Vikram Patel, Manager
2023-09-22
T-TWELVE HOLDINGS, LLC, By: TFC Manager, LLC, its Manager /s/ Gautam Patel, Manager
2023-09-22
TFC MANAGER, LLC, By: /s/ Gautam Patel, Manager
2023-09-22