0001382963-17-000062.txt : 20170315 0001382963-17-000062.hdr.sgml : 20170315 20170315164943 ACCESSION NUMBER: 0001382963-17-000062 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170315 DATE AS OF CHANGE: 20170315 EFFECTIVENESS DATE: 20170315 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ADAGIO MEDICAL, INC. CENTRAL INDEX KEY: 0001573223 IRS NUMBER: 274590529 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-282657 FILM NUMBER: 17691821 BUSINESS ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 BUSINESS PHONE: 949-348-1188 MAIL ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 D 1 primary_doc.xml X0707 D LIVE 0001573223 ADAGIO MEDICAL, INC. 26051 MERIT CIRCLE SUITE 102 LAGUNA HILLS CA CALIFORNIA 92653 949-348-1188 DELAWARE None None Corporation true Hugh Neuharth 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer Olav Bergheim 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer Director James Cox 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Director Michael Zhao 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Director Other Health Care Decline to Disclose 06b false 2017-02-28 false true true true false 0 12000011 10000017 1999994 false 3 0 0 0 false ADAGIO MEDICAL, INC. /s/ Hugh Neuharth Hugh Neuharth CFO 2017-03-15