0001382963-19-000031.txt : 20190313 0001382963-19-000031.hdr.sgml : 20190313 20190312203808 ACCESSION NUMBER: 0001382963-19-000031 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190313 DATE AS OF CHANGE: 20190312 EFFECTIVENESS DATE: 20190313 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: 021-334698 FILM NUMBER: 19676590 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 X0708 D LIVE 0001573223 ADAGIO MEDICAL, INC. 26051 MERIT CIRCLE SUITE 102 LAGUNA HILLS CA CALIFORNIA 92653 949-348-1188 DELAWARE None None Corporation true Andrew Wade 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 2019-02-26 false true true true false 0 20000010 6999995 13000015 false 7 0 0 0 false ADAGIO MEDICAL, INC. /s/ Andrew Wade Andrew Wade CFO 2019-03-12