0001520049-17-000003.txt : 20171219 0001520049-17-000003.hdr.sgml : 20171219 20171219135100 ACCESSION NUMBER: 0001520049-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 EFFECTIVENESS DATE: 20171219 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: 021-301126 FILM NUMBER: 171263574 BUSINESS ADDRESS: STREET 1: 660 ALABAMA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94110 BUSINESS PHONE: 415-829-2336 MAIL ADDRESS: STREET 1: 660 ALABAMA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94110 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. 660 ALABAMA STREET, 2ND FLOOR SAN FRANCISCO CA CALIFORNIA 94110 415-829-2336 DELAWARE PAX Labs, Inc. Ploom, Inc. Corporation true James Monsees c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Director Adam Bowen c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Director Harold Handelsman c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Director Riaz Valani c/o Ploom Investment LLC 575 University Avenue Palo Alto CA CALIFORNIA 94301 Director Nicholas Pritzker c/o JL Special LLC 1 Letterman Drive, Suite C4-420 San Francisco CA CALIFORNIA 94129 Director Zachary Frankel c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Director HoYoung Huh c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Director Kevin Burns c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Chief Executive Officer Timothy Danaher c/o JUUL Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Chief Financial Officer Other Decline to Disclose 06b false 2017-12-04 false true Convertible Note false 0 BDT & Company, LLC 150459 None None 401 North Michigan Avenue Suite 3100 Chicago IL ILLINOIS 60611 FL FLORIDA IL ILLINOIS NY NEW YORK TN TENNESSEE false 150000000 111500000 38500000 false 23 1600000 0 0 false JUUL Labs, Inc. Timothy Danaher Timothy Danaher Chief Financial Officer 2017-12-19