0001415889-24-008532.txt : 20240319 0001415889-24-008532.hdr.sgml : 20240319 20240319163046 ACCESSION NUMBER: 0001415889-24-008532 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240315 FILED AS OF DATE: 20240319 DATE AS OF CHANGE: 20240319 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: 24763877 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 form4-03192024_040321.xml X0508 4 2024-03-15 0001527753 Personalis, Inc. PSNL 0001401786 Tachibana Aaron C/O PERSONALIS, INC. 6600 DUMBARTON CIRCLE FREMONT CA 94555 false true false false CFO AND COO 0 Stock Option (right to buy) 1.61 2024-03-15 4 A 0 175000 0 A 2034-03-15 Common Stock 175000 175000 D The shares subject to the option vest in 36 equal monthly installments with the first installment vesting on April 15, 2024. /s/ Aaron Tachibana 2024-03-19