0001209191-21-018685.txt : 20210308
0001209191-21-018685.hdr.sgml : 20210308
20210308181416
ACCESSION NUMBER: 0001209191-21-018685
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210306
FILED AS OF DATE: 20210308
DATE AS OF CHANGE: 20210308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MYERS WOODROW A JR
CENTRAL INDEX KEY: 0001243399
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 21723373
MAIL ADDRESS:
STREET 1: 1 N ILLINOIS SREET 2101
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
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
2021-03-06
0
0001527753
Personalis, Inc.
PSNL
0001243399
MYERS WOODROW A JR
C/O PERSONALIS, INC.
1330 O'BRIEN AVENUE
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2021-03-06
4
A
0
2610
0.00
A
2610
D
Stock Option (Right to Buy)
23.99
2021-03-06
4
A
0
3719
0.00
A
2031-03-06
Common Stock
3719
3719
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 3 annual installments with the first installment vesting on March 6, 2022.
The shares subject to the option vest in 3 annual installments starting on March 6, 2022.
/s/ Aaron Tachibana, Attorney-in-Fact
2021-03-08