0001209191-23-059242.txt : 20231219 0001209191-23-059242.hdr.sgml : 20231219 20231219180741 ACCESSION NUMBER: 0001209191-23-059242 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: Tachibana Aaron CENTRAL INDEX KEY: 0001401786 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 231498788 MAIL ADDRESS: STREET 1: 400 NORTH MCCARTHY BLVD CITY: MILPITAS STATE: CA ZIP: 95035 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 0001401786 Tachibana Aaron C/O PERSONALIS, INC. 6600 DUMBARTON CIRCLE FREMONT CA 94555 0 1 0 0 CFO and COO 0 Common Stock 2023-12-15 4 S 0 6747 1.47 D 185237 D Shares automatically sold to cover tax withholding obligation from settlement of vested restricted stock units. /s/ Aaron Tachibana 2023-12-19