0001209191-22-049091.txt : 20220907 0001209191-22-049091.hdr.sgml : 20220907 20220907215959 ACCESSION NUMBER: 0001209191-22-049091 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220815 FILED AS OF DATE: 20220907 DATE AS OF CHANGE: 20220907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moore Stephen Michael CENTRAL INDEX KEY: 0001915342 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 221232425 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 2022-08-15 0 0001527753 Personalis, Inc. PSNL 0001915342 Moore Stephen Michael C/O PERSONALIS, INC. 1330 O'BRIEN DRIVE MENLO PARK CA 94025 0 1 0 0 General Counsel Common Stock 2022-08-15 4 A 0 18600 0.00 A 92485 D Stock Option (right to buy) 5.32 2022-08-15 4 A 0 28700 0.00 A 2032-08-15 Common Stock 28700 28700 D Each share is represented by a restricted stock unit ("RSU"). Each RSU represents a contingent right to receive one share of the Issuer's common stock upon settlement. The RSUs vest in 6 equal semi-annual installments with the first installment vesting on November 15, 2022. The shares subject to the option vest in 36 equal monthly installments with the first installment vested on June 15, 2022. /s/ Aaron Tachibana, Attorney-in-Fact 2022-08-17