0001573223-20-000001.txt : 20201124 0001573223-20-000001.hdr.sgml : 20201124 20201124152635 ACCESSION NUMBER: 0001573223-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201124 DATE AS OF CHANGE: 20201124 EFFECTIVENESS DATE: 20201124 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: 021-381421 FILM NUMBER: 201343578 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 Olav Bergheim 26051 Merit Circle, Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer Director Andrew Wade 26051 Merit Circle, Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer 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 Tuan Huynh 26051 Merit Circle, Suite 102 Laguna Hills CA CALIFORNIA 92653 Director Zach Scheiner 26051 Merit Circle, Suite 102 Laguna Hills CA CALIFORNIA 92653 Director Other Health Care Decline to Disclose 06b false 2020-11-09 false true true Series E Preferred Stock and the common stock issuable upon conversion thereof. false 0 42500017 42500017 0 false 16 0 0 0 false ADAGIO MEDICAL, INC. /s/ Andrew Wade Andrew Wade Chief Financial Officer 2020-11-24