0001527753-17-000002.txt : 20170718 0001527753-17-000002.hdr.sgml : 20170718 20170718132735 ACCESSION NUMBER: 0001527753-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170718 EFFECTIVENESS DATE: 20170718 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: 021-290963 FILM NUMBER: 17969143 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 D 1 primary_doc.xml X0708 D LIVE 0001527753 Personalis, Inc. 1330 O'BRIEN DRIVE MENLO PARK CA CALIFORNIA 94025 650-752-1300 DELAWARE None None Corporation true John West 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Executive Officer Director Chris Schaepe 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Director Jonathan MacQuitty 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Director Carol Tillis 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Executive Officer Patrick Balthrop 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Director Ken Ludlum 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Director Vincent Miles 1330 O'Brien Drive Menlo Park CA CALIFORNIA 94025 Director Biotechnology Decline to Disclose 06b false 2017-06-29 false true true Convertible Promissory Notes false 0 15000000 12225000 2775000 Convertible Promissory Notes; Preferred Stock issuable upon conversion of Promissory Notes; Common Stock issuable upon conversion of Preferred Stock. false 37 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 2017-07-18