0001209191-23-019860.txt : 20230317
0001209191-23-019860.hdr.sgml : 20230317
20230317180807
ACCESSION NUMBER: 0001209191-23-019860
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230315
FILED AS OF DATE: 20230317
DATE AS OF CHANGE: 20230317
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hall Christopher M
CENTRAL INDEX KEY: 0001449535
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 23744216
MAIL ADDRESS:
STREET 1: 6600 DUMBARTON CIRCLE
CITY: FREMONT
STATE: CA
ZIP: 94555
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
2023-03-15
0
0001527753
Personalis, Inc.
PSNL
0001449535
Hall Christopher M
C/O PERSONALIS, INC.
6600 DUMBARTON CIRCLE
FREMONT
CA
94555
1
1
0
0
President and CEO
Stock Option (right to buy)
2.76
2023-03-15
4
A
0
400000
0.00
A
2033-03-15
Common Stock
400000
400000
D
The shares subject to the option vest in 36 equal monthly installments with the first installment vesting on April 15, 2023.
/s/ Aaron Tachibana, Attorney-in-Fact
2023-03-17