0001225208-24-001416.txt : 20240201
0001225208-24-001416.hdr.sgml : 20240201
20240201191650
ACCESSION NUMBER: 0001225208-24-001416
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240201
FILED AS OF DATE: 20240201
DATE AS OF CHANGE: 20240201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AMERICAN INTERNATIONAL GROUP, INC.
CENTRAL INDEX KEY: 0000005272
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
ORGANIZATION NAME: 02 Finance
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41942
FILM NUMBER: 24588397
BUSINESS ADDRESS:
STREET 1: 1271 AVE OF THE AMERICAS
STREET 2: FL 37
CITY: NEW YORK
STATE: NY
ZIP: 10020-1304
BUSINESS PHONE: 2127707000
MAIL ADDRESS:
STREET 1: 1271 AVE OF THE AMERICAS
STREET 2: FL 37
CITY: NEW YORK
STATE: NY
ZIP: 10020-1304
FORMER NAME:
FORMER CONFORMED NAME: AMERICAN INTERNATIONAL GROUP INC
DATE OF NAME CHANGE: 19920703
FORMER NAME:
FORMER CONFORMED NAME: AMERICAN INTERNATIONAL ENTERPRISES INC
DATE OF NAME CHANGE: 19700507
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: 17 HARTWELL AVENUE
CITY: LEXINGTON
STATE: MA
ZIP: 02421
BUSINESS PHONE: 781-902-8800
MAIL ADDRESS:
STREET 1: 17 HARTWELL AVENUE
CITY: LEXINGTON
STATE: MA
ZIP: 02421
FORMER COMPANY:
FORMER CONFORMED NAME: Fractyl Laboratories Inc.
DATE OF NAME CHANGE: 20130320
3
1
doc3.xml
X0206
3
2024-02-01
0
0001572616
Fractyl Health, Inc.
GUTS
0000005272
AMERICAN INTERNATIONAL GROUP, INC.
1271 AVE OF THE AMERICAS
NEW YORK
NY
10020-1304
1
Series E Preferred Shares
Common Stock
230276.0000
I
Held by American Home Assurance Company
Series F Preferred Shares
Common Stock
53602.0000
I
Held by American Home Assurance Company
Series E Preferred Shares
Common Stock
546242.0000
I
Held by Corebridge DECO II, LLC
Series F Preferred Shares
Common Stock
127149.0000
I
Held by Corebridge DECO II, LLC
Series E Preferred Shares
Common Stock
148231.0000
I
Held by Lexington Insurance Company
Series F Preferred Shares
Common Stock
34504.0000
I
Held by Lexington Insurance Company
Series E Preferred Shares
Common Stock
161634.0000
I
Held by National Union Fire Insurance Company of Pittsburgh, Pa.
Series F Preferred Shares
Common Stock
37623.0000
I
Held by National Union Fire Insurance Company of Pittsburgh, Pa.
The Series E Convertible Preferred Stock and Series F Convertible Preferred Stock (together, the "Preferred Shares") are convertible into shares of the Issuer's common stock, at the option of the stockholder, at any time, and for no additional consideration, at an initial conversion ratio of 1-for-1, as adjusted for the Reverse Stock Split (defined in footnote 2). The Preferred Shares have no expiration date. The Preferred Shares will automatically convert into shares of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering of common stock.
Reflects a 1-for-2.146 reverse stock split of the Issuer's common stock effected on January 26, 2024 (the "Reverse Stock Split").
American Home Assurance Company is a wholly owned, indirect subsidiary of American International Group, Inc.
Corebridge DECO II, LLC is an indirect subsidiary of American International Group, Inc.
Lexington Insurance Company is a wholly owned, indirect subsidiary of American International Group, Inc.
National Union Fire Insurance Company of Pittsburgh, Pa. is a wholly owned, indirect subsidiary of American International Group, Inc.
/s/ Sabra Purtill, Chief Financial Officer of American International Group, Inc.
2024-02-01