0001209191-23-037147.txt : 20230614 0001209191-23-037147.hdr.sgml : 20230614 20230614182034 ACCESSION NUMBER: 0001209191-23-037147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230613 FILED AS OF DATE: 20230614 DATE AS OF CHANGE: 20230614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIDDER KENNETH J CENTRAL INDEX KEY: 0001065168 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 231015416 MAIL ADDRESS: STREET 1: 10070 BARNES CANYON ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Personalis, Inc. CENTRAL INDEX KEY: 0001527753 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 275411038 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1330 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-752-1300 MAIL ADDRESS: STREET 1: 1330 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-06-13 0 0001527753 Personalis, Inc. PSNL 0001065168 WIDDER KENNETH J C/O PERSONALIS, INC. 6600 DUMBARTON CIRCLE FREMONT CA 94555 1 0 0 0 0 Stock Option (Right to Buy) 2.31 2023-06-13 4 A 0 80000 0.00 A 2033-06-12 Common Stock 80000 80000 D The shares subject to the option vest in 3 annual installments with the first installment vesting on June 13, 2024. /s/ Aaron Tachibana, Attorney-in-Fact 2023-06-14