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