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