0001628280-19-011228.txt : 20190827 0001628280-19-011228.hdr.sgml : 20190827 20190827164553 ACCESSION NUMBER: 0001628280-19-011228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190823 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kaul Samir CENTRAL INDEX KEY: 0001501915 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 191057978 MAIL ADDRESS: STREET 1: C/O KHOSLA VENTURES STREET 2: 3000 SAND HILL ROAD, BLDG. 3, SUITE 170 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Guardant Health, Inc. CENTRAL INDEX KEY: 0001576280 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 454139254 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 PENOBSCOT DR. CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 855-698-8887 MAIL ADDRESS: STREET 1: 505 PENOBSCOT DR. CITY: REDWOOD CITY STATE: CA ZIP: 94063 4 1 wf-form4_156693873705674.xml FORM 4 X0306 4 2019-08-23 0 0001576280 Guardant Health, Inc. GH 0001501915 Kaul Samir 2128 SAND HILL ROAD MENLO PARK CA 94025 1 0 0 0 COMMON STOCK 2019-08-23 4 J 0 13754 0 A 15159 I By Trust COMMON STOCK 1302 D On August 23, 2019, shares of Common Stock of the Issuer held by Khosla Ventures IV, LP, Khosla Ventures IV (CF), LP and Khosla Ventures Associates IV, LLC were distributed to their underlying partners and members. As part of such distributions, Mr. Kaul received 13,754 shares of the Issuer's Common Stock. Consists of securities held of record by a trust for the benefit of Mr. Kaul and his family. /s/ John J. Demeter, as attorney-in-fact for Samir Kaul 2019-08-27