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