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