0001415889-24-014038.txt : 20240521
0001415889-24-014038.hdr.sgml : 20240521
20240521211019
ACCESSION NUMBER: 0001415889-24-014038
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240517
FILED AS OF DATE: 20240521
DATE AS OF CHANGE: 20240521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WIDDER KENNETH J
CENTRAL INDEX KEY: 0001065168
STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835]
ORGANIZATION NAME: 03 Life Sciences
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 24971488
MAIL ADDRESS:
STREET 1: 10070 BARNES CANYON ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Personalis, Inc.
CENTRAL INDEX KEY: 0001527753
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 275411038
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6600 DUMBARTON CIRCLE
CITY: FREMONT
STATE: CA
ZIP: 94555
BUSINESS PHONE: 650-752-1300
MAIL ADDRESS:
STREET 1: 6600 DUMBARTON CIRCLE
CITY: FREMONT
STATE: CA
ZIP: 94555
4
1
form4-05222024_010512.xml
X0508
4
2024-05-17
0001527753
Personalis, Inc.
PSNL
0001065168
WIDDER KENNETH J
C/O PERSONALIS, INC.
6600 DUMBARTON CIRCLE
FREMONT
CA
94555
true
false
false
false
0
Stock Option (right to buy)
1.40
2024-05-17
4
A
0
50000
0
A
2034-05-17
Common Stock
50000
50000
D
100% of the shares subject to the option shall vest on the earlier of the one-year anniversary of the grant date or the day prior to the Company's next annual meeting of stockholders occurring after the grant date, subject to the reporting person's Continuous Service (as defined in the Company's 2019 Equity Incentive Plan) through the vesting date. In the event of a Change in Control (as defined in the Company's 2019 Equity Incentive Plan), the shares underlying the option shall vest and become immediately exercisable prior to the effectiveness of such Change in Control.
/s/ Aaron Tachibana, Attorney-in-Fact
2024-05-21