0001209191-21-065916.txt : 20211119 0001209191-21-065916.hdr.sgml : 20211119 20211119181256 ACCESSION NUMBER: 0001209191-21-065916 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211117 FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chen Richard CENTRAL INDEX KEY: 0001779787 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38943 FILM NUMBER: 211429678 MAIL ADDRESS: STREET 1: C/O PERSONALIS, INC. STREET 2: 1330 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 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 2021-11-17 0 0001527753 Personalis, Inc. PSNL 0001779787 Chen Richard C/O PERSONALIS, INC. 1330 O'BRIEN DRIVE MENLO PARK CA 94025 0 1 0 0 Chief Medical Officer Common Stock 2021-11-17 4 S 0 1253 17.04 D 79781 D Common Stock 2021-10-29 4 A 0 711 16.68 A 80492 D Shares sold to cover tax obligation from settlement of vested restricted stock units. These Shares are being voluntarily reported on this Form 4 to report the acquisition by the Reporting Person pursuant to the Issuer's Employee Stock Purchase Plan. /s/ Aaron Tachibana, Attorney-in-Fact 2021-11-18