0000950170-24-053136.txt : 20240503
0000950170-24-053136.hdr.sgml : 20240503
20240503191426
ACCESSION NUMBER: 0000950170-24-053136
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230706
FILED AS OF DATE: 20240503
DATE AS OF CHANGE: 20240503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Witney Frank
CENTRAL INDEX KEY: 0001455312
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40497
FILM NUMBER: 24915070
MAIL ADDRESS:
STREET 1: 940 WINTER STREET
STREET 2: C/O REVVITY
CITY: WALTHAM
STATE: MA
ZIP: 02451
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Telesis Bio Inc.
CENTRAL INDEX KEY: 0001850079
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
ownership.xml
4
X0508
4
2023-07-06
0001850079
Telesis Bio Inc.
TBIO
0001455312
Witney Frank
C/O TELESIS BIO INC.
10431 WATERIDGE CIRCLE, SUITE 150
SAN DIEGO
CA
92121
true
false
false
false
false
Common Stock
2023-07-06
4
A
false
46752
0
A
67382
D
Common Stock
2024-05-01
4
A
false
48354
0
A
115736
D
Stock Option (right to buy)
1.54
2023-07-06
4
A
false
70129
0
A
2033-07-06
Common Stock
70129
70129
D
Stock Option (right to buy)
0.3557
2024-05-01
4
A
false
30362
0
A
2034-05-01
Common Stock
30362
30362
D
The Reporting Person was granted restricted stock units ("RSUs"), which represent a contingent right to receive one share of Issuer's Common Stock for each RSU. Subject to the Reporting Person continuing as a Service Provider (as defined in the Issuer's 2021 Stock Incentive Plan (the "Plan")) through such date, 100% of the RSUs shall vest on the earlier of the one-year anniversary of the date of grant or on the date of the annual meeting of the Issuer's stockholders following the date of grant.
The Reporting Person was granted RSUs, which represent a contingent right to receive one share of Issuer's Common Stock for each RSU. Subject to the Reporting Person continuing as a Service Provider (as defined in the Plan) through each applicable date, 28,113 of the RSUs shall vest on January 1, 2025, and 20,241 of the RSUs shall vest on the earlier of the one-year anniversary of the date of grant or on the date of the annual meeting of the Issuer's stockholders following the date of grant.
Subject to the Reporting Person continuing as a Service Provider (as defined in the Plan) through such date, 100% of the shares subject to the option shall vest on the earlier of the one-year anniversary of the date of grant or on the date of the annual meeting of the Issuer's stockholders following the date of grant.
/s/ Frank Witney
2024-05-03