0001209191-23-056066.txt : 20231120 0001209191-23-056066.hdr.sgml : 20231120 20231120163012 ACCESSION NUMBER: 0001209191-23-056066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231116 FILED AS OF DATE: 20231120 DATE AS OF CHANGE: 20231120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tachibana Aaron CENTRAL INDEX KEY: 0001401786 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 231423159 MAIL ADDRESS: STREET 1: 400 NORTH MCCARTHY BLVD CITY: MILPITAS STATE: CA ZIP: 95035 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 X0508 4 2023-11-16 0 0001527753 Personalis, Inc. PSNL 0001401786 Tachibana Aaron C/O PERSONALIS, INC. 6600 DUMBARTON CIRCLE FREMONT CA 94555 0 1 0 0 CFO and COO 0 Common Stock 2023-11-16 4 S 0 1344 1.04 D 191984 D Shares automatically sold to cover tax withholding obligation from settlement of vested restricted stock units. /s/ Aaron Tachibana 2023-11-20