0001209191-23-023993.txt : 20230411 0001209191-23-023993.hdr.sgml : 20230411 20230411160618 ACCESSION NUMBER: 0001209191-23-023993 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230407 FILED AS OF DATE: 20230411 DATE AS OF CHANGE: 20230411 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kelley Robert J. CENTRAL INDEX KEY: 0001845542 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40047 FILM NUMBER: 23813468 MAIL ADDRESS: STREET 1: 230 CONSTITUTION DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Talis Biomedical Corp CENTRAL INDEX KEY: 0001584751 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3400 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-433-3000 MAIL ADDRESS: STREET 1: 3400 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: SlipChip Corp DATE OF NAME CHANGE: 20130820 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-04-07 0 0001584751 Talis Biomedical Corp TLIS 0001845542 Kelley Robert J. C/O TALIS BIOMEDICAL CORPORATION 3400 BRIDGE PKWY REDWOOD CITY CA 94065 1 1 0 0 Chief Executive Officer 0 Stock option (right to buy) 0.49 2023-04-07 4 A 0 500000 0.00 A 2033-04-07 Common Stock 500000 500000 D 25% of the shares underlying this option shall vest on the first annual anniversary of the vesting commencement date of March 1, 2023 and 1/48th of the shares underlying this option shall vest monthly thereafter over 36 months. /s/ Gillian Green, Attorney-in-fact for Robert J. Kelley 2023-04-11