0000950170-24-026452.txt : 20240305
0000950170-24-026452.hdr.sgml : 20240305
20240305180722
ACCESSION NUMBER: 0000950170-24-026452
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230622
FILED AS OF DATE: 20240305
DATE AS OF CHANGE: 20240305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gibson Daniel Glenn
CENTRAL INDEX KEY: 0001866133
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40497
FILM NUMBER: 24722987
MAIL ADDRESS:
STREET 1: C/O CODEX DNA, INC.
STREET 2: 9535 WAPLES STREET, SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
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
2023-06-22
0001850079
Telesis Bio Inc.
TBIO
0001866133
Gibson Daniel Glenn
C/O TELESIS BIO INC.
10431 WATERIDGE CIRCLE, SUITE 150
SAN DIEGO
CA
92121
false
true
false
false
Chief Technology Officer
false
Common Stock
2023-06-22
4
A
false
6400
0
A
106218
D
Common Stock
2024-03-01
4
F
false
656
0.528
D
105562
D
Stock Option (right to buy)
1.66
2023-06-22
4
A
false
51500
0
A
2032-06-22
Common Stock
51500
51500
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's continuing as a Service Provider (as defined in the Issuer's 2021 Stock Incentive Plan (the "Plan")) through each applicable vesting date, 25% of the RSUs shall vest on each of March 1, 2024, March 1, 2025, March 1, 2026, and March 1, 2027.
Represents the number of shares withheld by the Issuer to satisfy the tax withholding obligation in connection with the vesting of RSUs.
Subject to the Reporting Person's continuing as a Service Provider (as defined in the Plan) through each applicable vesting date, twenty-five percent (25%) of the shares subject to the option shall vest on March 1, 2024, and one thirty-sixth (1/36th) of the remaining shares subject to the option shall vest each month thereafter.
/s/ Rob Cutler, as Attorney-in-Fact
2024-03-05