0001209191-22-046309.txt : 20220817 0001209191-22-046309.hdr.sgml : 20220817 20220817165327 ACCESSION NUMBER: 0001209191-22-046309 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220815 FILED AS OF DATE: 20220817 DATE AS OF CHANGE: 20220817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tachibana Aaron CENTRAL INDEX KEY: 0001401786 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 221174866 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] 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 2022-08-15 0 0001527753 Personalis, Inc. PSNL 0001401786 Tachibana Aaron C/O PERSONALIS, INC. 1330 O'BRIEN DRIVE MENLO PARK CA 94025 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 5.32 2022-08-15 4 A 0 29890 0.00 A 2032-08-15 Common Stock 29890 29890 D The shares subject to the option vest in 36 equal monthly installments with the first installment vested on June 15, 2022. /s/ Aaron Tachibana 2022-08-17