0001209191-21-038399.txt : 20210604
0001209191-21-038399.hdr.sgml : 20210604
20210604184652
ACCESSION NUMBER: 0001209191-21-038399
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210602
FILED AS OF DATE: 20210604
DATE AS OF CHANGE: 20210604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chen Richard
CENTRAL INDEX KEY: 0001779787
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 21997800
MAIL ADDRESS:
STREET 1: C/O PERSONALIS, INC.
STREET 2: 1330 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
2021-06-02
0
0001527753
Personalis, Inc.
PSNL
0001779787
Chen Richard
C/O PERSONALIS, INC.
1330 O'BRIEN DRIVE
MENLO PARK
CA
94025
0
1
0
0
Chief Scientific Officer
Common Stock
2021-06-02
4
S
0
291
21.57
D
76081
D
Shares sold to cover tax obligation from settlement of vested restricted stock units.
/s/ Aaron Tachibana, Attorney-in-Fact
2021-06-04