0001209191-20-030665.txt : 20200519
0001209191-20-030665.hdr.sgml : 20200519
20200519181506
ACCESSION NUMBER: 0001209191-20-030665
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200515
FILED AS OF DATE: 20200519
DATE AS OF CHANGE: 20200519
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BALTHROP PATRICK J
CENTRAL INDEX KEY: 0001284839
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 20895073
MAIL ADDRESS:
STREET 1: 243 LEEDS COURT
CITY: LAKE BLUFF
STATE: IL
ZIP: 60044
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
X0306
4
2020-05-15
0
0001527753
Personalis, Inc.
PSNL
0001284839
BALTHROP PATRICK J
C/O PERSONALIS, INC.
1330 O'BRIEN DRIVE
MENLO PARK
CA
94025
1
0
0
0
Stock Option (right to buy)
11.22
2020-05-15
4
A
0
14000
0.00
A
2030-05-14
Common Stock
14000
14000
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. In the event of a change of 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
2020-05-19