0001527753-13-000001.txt : 20131009 0001527753-13-000001.hdr.sgml : 20131009 20131008181503 ACCESSION NUMBER: 0001527753-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131009 DATE AS OF CHANGE: 20131008 EFFECTIVENESS DATE: 20131009 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Personalis, Inc. CENTRAL INDEX KEY: 0001527753 IRS NUMBER: 275411038 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-204247 FILM NUMBER: 131142137 BUSINESS ADDRESS: STREET 1: 10221 ADRIANA AVENUE CITY: CUPERTINO STATE: CA ZIP: 95014 BUSINESS PHONE: 650-843-5214 MAIL ADDRESS: STREET 1: 10221 ADRIANA AVENUE CITY: CUPERTINO STATE: CA ZIP: 95014 D 1 primary_doc.xml X0707 D LIVE 0001527753 Personalis, Inc. 1350 WILLOW ROAD SUITE 202 MENLO PARK CA CALIFORNIA 95025 650-752-1300 DELAWARE None None Corporation true 2011 John West 1350 Willow Road Suite 202 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Chris Schaepe c/o Lightspeed Venture Partners 2200 Sand Hill Road Menlo Park CA CALIFORNIA 94025 Director Jonathan MacQuitty c/o Abingworth LLP 38 Jermyn Street London X0 UNITED KINGDOM SW1Y 6DN Director Jon Feiber c/o Mohr Davidow 3000 Sand Hill Road, 3-290 Menlo Park CA CALIFORNIA 94025 Director Biotechnology Decline to Disclose 06b false 2013-10-01 false true false 0 22077923 22077923 0 Series B Preferred Stock; Common Stock issuable upon conversion of Series B Preferred Stock. false 34 0 0 0 Proceeds will be used for general corporate purposes not limited to executive officer salaries. false Personalis, Inc. /s/ Carol Tillis Carol Tillis VP Finance 2013-10-08