0001415889-24-008530.txt : 20240319
0001415889-24-008530.hdr.sgml : 20240319
20240319163046
ACCESSION NUMBER: 0001415889-24-008530
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240315
FILED AS OF DATE: 20240319
DATE AS OF CHANGE: 20240319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chen Richard
CENTRAL INDEX KEY: 0001779787
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38943
FILM NUMBER: 24763878
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 275411038
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6600 DUMBARTON CIRCLE
CITY: FREMONT
STATE: CA
ZIP: 94555
BUSINESS PHONE: 650-752-1300
MAIL ADDRESS:
STREET 1: 6600 DUMBARTON CIRCLE
CITY: FREMONT
STATE: CA
ZIP: 94555
4
1
form4-03192024_040309.xml
X0508
4
2024-03-15
0001527753
Personalis, Inc.
PSNL
0001779787
Chen Richard
C/O PERSONALIS, INC.
6600 DUMBARTON CIRCLE
FREMONT
CA
94555
false
true
false
false
CHIEF MEDICAL OFFICER AND EVP
0
Stock Option (right to buy)
1.61
2024-03-15
4
A
0
175000
0
A
2034-03-15
Common Stock
175000
175000
D
The shares subject to the option vest in 36 equal monthly installments with the first installment vesting on April 15, 2024.
/s/ Aaron Tachibana, Attorney-in-Fact
2024-03-19