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