0001573223-22-000001.txt : 20221108 0001573223-22-000001.hdr.sgml : 20221108 20221108104345 ACCESSION NUMBER: 0001573223-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221108 DATE AS OF CHANGE: 20221108 EFFECTIVENESS DATE: 20221108 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: 021-464169 FILM NUMBER: 221367683 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 2022-10-27 false true false 0 10000000 9500000 500000 false 6 0 0 0 false ADAGIO MEDICAL, INC. /s/ Andrew Wade Andrew Wade Chief Financial Officer 2022-11-08