0001140361-17-027017.txt : 20170705 0001140361-17-027017.hdr.sgml : 20170705 20170705101232 ACCESSION NUMBER: 0001140361-17-027017 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170705 DATE AS OF CHANGE: 20170705 EFFECTIVENESS DATE: 20170705 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fractyl Laboratories Inc. CENTRAL INDEX KEY: 0001572616 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 273553477 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289968 FILM NUMBER: 17946360 BUSINESS ADDRESS: STREET 1: 203 CRESCENT STREET STREET 2: SUITE 303 CITY: WALTHAM STATE: MA ZIP: 02453 BUSINESS PHONE: 781-902-8800 MAIL ADDRESS: STREET 1: 203 CRESCENT STREET STREET 2: SUITE 303 CITY: WALTHAM STATE: MA ZIP: 02453 D 1 primary_doc.xml X0707 D LIVE 0001572616 Fractyl Laboratories Inc. 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 781-902-8800 DELAWARE None None Corporation true HARITH RAJAGOPALAN 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer Director LISA DAVIDSON 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Executive Officer ALLAN WILL 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Director STANLEY LAPIDUS 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Director CHRISTOPHER GABRIELI 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Director AJAY ROYAN 17 HARTWELL AVE LEXINGTON MA MASSACHUSETTS 02421 Director JOHN AMATRUDA 17 HARTWELL AVE. LEXINGTON MA MASSACHUSETTS 02421 Director BRIAN DOVEY 17 HARTWELL AVE. LEXINGTON MA MASSACHUSETTS 02421 Director WILLIAM BRADLEY 17 HARTWELL AVE. LEXINGTON MA MASSACHUSETTS 02421 Director JAY CAPLAN 17 HARTWELL AVE. LEXINGTON MA MASSACHUSETTS 02421 Executive Officer Other Health Care Decline to Disclose 06b false 2017-06-19 false true false 0 38376508 38376508 0 false 17 0 250000 true 0 false Fractyl Laboratories Inc. /s/ Harith Rajagopalan Harith Rajagopalan Chief Executive Officer 2017-06-29