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