0001209191-23-036388.txt : 20230612
0001209191-23-036388.hdr.sgml : 20230612
20230612172153
ACCESSION NUMBER: 0001209191-23-036388
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230609
FILED AS OF DATE: 20230612
DATE AS OF CHANGE: 20230612
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ismagilov Rustem F.
CENTRAL INDEX KEY: 0001845273
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40047
FILM NUMBER: 231009378
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: 1100 ISLAND DRIVE
STREET 2: SUITE 101
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
BUSINESS PHONE: 650-433-3000
MAIL ADDRESS:
STREET 1: 1100 ISLAND DRIVE
STREET 2: SUITE 101
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
2023-06-09
0
0001584751
Talis Biomedical Corp
TLIS
0001845273
Ismagilov Rustem F.
C/O TALIS BIOMEDICAL CORPORATION
1100 ISLAND DRIVE SUITE 101
REDWOOD CITY
CA
94065
1
0
0
0
0
Stock option (right to buy)
0.50
2023-06-09
4
A
0
95000
0.00
A
2033-06-09
Common Stock
95000
95000
D
1/12th of the shares subject to the option shall vest monthly over one year from the vesting commencement date.
/s/ Gillian Green, Attorney-in-fact for Rustem F. Ismagilov
2023-06-12