0001527753-14-000002.txt : 20141230 0001527753-14-000002.hdr.sgml : 20141230 20141230160831 ACCESSION NUMBER: 0001527753-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141230 DATE AS OF CHANGE: 20141230 EFFECTIVENESS DATE: 20141230 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: 021-231109 FILM NUMBER: 141316185 BUSINESS ADDRESS: STREET 1: 1350 WILLOW ROAD STREET 2: SUITE 202 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-752-1300 MAIL ADDRESS: STREET 1: 1350 WILLOW ROAD STREET 2: SUITE 202 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0707 D LIVE 0001527753 Personalis, Inc. 1350 WILLOW ROAD SUITE 202 MENLO PARK CA CALIFORNIA 94025 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 Carol Tillis 1350 Willow Road Suite 202 Menlo Park CA CALIFORNIA 94025 Executive Officer Biotechnology Decline to Disclose 06b false 2014-12-16 false true false 0 33572605 29581947 3990658 Series C Preferred Stock; Common Stock issuable upon conversion of Series C Preferred Stock. false 32 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 2014-12-30