0001209191-23-053541.txt : 20231025
0001209191-23-053541.hdr.sgml : 20231025
20231025144610
ACCESSION NUMBER: 0001209191-23-053541
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231018
FILED AS OF DATE: 20231025
DATE AS OF CHANGE: 20231025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Herrema Gregory J.
CENTRAL INDEX KEY: 0001434827
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40497
FILM NUMBER: 231345276
MAIL ADDRESS:
STREET 1: 355 RIVER OAKS PARKWAY
CITY: SAN JOSE
STATE: CA
ZIP: 95134
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Telesis Bio Inc.
CENTRAL INDEX KEY: 0001850079
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 451216839
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10431 WATERIDGE CIRCLE
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: 858-228-4115
MAIL ADDRESS:
STREET 1: 10431 WATERIDGE CIRCLE
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
FORMER COMPANY:
FORMER CONFORMED NAME: Codex DNA, Inc.
DATE OF NAME CHANGE: 20210309
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-10-18
0
0001850079
Telesis Bio Inc.
TBIO
0001434827
Herrema Gregory J.
C/O TELESIS BIO INC.
10431 WATERIDGE CIRCLE, SUITE150
SAN DIEGO
CA
92121
1
0
0
0
0
Common Stock
2023-10-18
4
A
0
153191
0.00
A
153191
D
Stock Option (right to buy)
0.94
2023-10-18
4
A
0
229787
0.00
A
2033-10-18
Common Stock
229787
229787
D
These securities are restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of Telesis Bio Inc.'s (the "Issuer") Common Stock. Subject to the Reporting Person's continuing as a Service Provider (as defined in the Issuer's 2021 Stock Incentive Plan) through each such date, one third (1/3rd) of the RSUs shall vest annually following the Grant Date on the same day of the month as the Grant Date over three (3) years. "Grant Date" shall mean October 18, 2023.
Subject to the Reporting Person continuing to be a Service Provider (as defined in the Issuer's 2021 Stock Incentive Plan) through each applicable vesting date, one thirty-sixth (1/36th) of the Shares subject to the Option shall vest in equal monthly installments following the Grant Date on the same day of the month as the Grant Date. "Grant Date" shall mean October 18, 2023.
/s/ Rob Cutler, as Attorney-in-Fact
2023-10-25