0001209191-23-059243.txt : 20231219 0001209191-23-059243.hdr.sgml : 20231219 20231219180907 ACCESSION NUMBER: 0001209191-23-059243 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231215 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chen Richard CENTRAL INDEX KEY: 0001779787 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 231498793 MAIL ADDRESS: STREET 1: C/O PERSONALIS, INC. STREET 2: 1330 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Personalis, Inc. CENTRAL INDEX KEY: 0001527753 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 275411038 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6600 DUMBARTON CIRCLE CITY: FREMONT STATE: CA ZIP: 94555 BUSINESS PHONE: 650-752-1300 MAIL ADDRESS: STREET 1: 6600 DUMBARTON CIRCLE CITY: FREMONT STATE: CA ZIP: 94555 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-12-15 0 0001527753 Personalis, Inc. PSNL 0001779787 Chen Richard C/O PERSONALIS, INC. 6600 DUMBARTON CIRCLE FREMONT CA 94555 0 1 0 0 Chief Medical Officer and EVP 0 Common Stock 2023-12-15 4 S 0 4708 1.47 D 129396 D Shares automatically sold to cover tax withholding obligation from settlement of vested restricted stock units. Includes 5,000 shares acquired under the Issuer's Employee Stock Purchase Plan ("ESPP") on April 28, 2023 and 5,000 shares acquired under the Issuer's ESPP on October 31, 2023. /s/ Aaron Tachibana, Attorney-in-Fact 2023-12-19