0001209191-23-031284.txt : 20230519
0001209191-23-031284.hdr.sgml : 20230519
20230519204539
ACCESSION NUMBER: 0001209191-23-031284
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230517
FILED AS OF DATE: 20230519
DATE AS OF CHANGE: 20230519
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MYERS WOODROW A JR
CENTRAL INDEX KEY: 0001243399
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 23942182
MAIL ADDRESS:
STREET 1: 1 N ILLINOIS SREET 2101
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
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
2023-05-17
0
0001527753
Personalis, Inc.
PSNL
0001243399
MYERS WOODROW A JR
C/O PERSONALIS, INC.
6600 DUMBARTON CIRCLE
FREMONT
CA
94555
1
0
0
0
0
Stock Option (right to buy)
2.07
2023-05-17
4
A
0
40000
0.00
A
2033-05-17
Common Stock
40000
40000
D
100% of the shares subject to the option shall vest on the earlier of the one-year anniversary of the grant date or the day prior to the Company's next annual meeting of stockholders occurring after the grant date, subject to the reporting person's Continuous Service (as defined in the Company's 2019 Equity Incentive Plan) through the vesting date. In the event of a Change in Control (as defined in the Company's 2019 Equity Incentive Plan), the shares underlying the option shall vest and become immediately exercisable prior to the effectiveness of such Change in Control.
/s/ Aaron Tachibana, Attorney-in-Fact
2023-05-19