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