Ericson William W. 4

Accession 0001209191-19-039125

CIK 0001527753other

View on SEC.gov Company Profile

Filed

Jun 25, 8:00 PM ET

Accepted

Jun 26, 4:54 PM ET

Size

39.3 KB

Accession

0001209191-19-039125

Insider Transaction Report

Form 4

Period: 2019-06-24

Personalis, Inc.PSNL

Ninth MDV Partners, L.L.C.

10% Owner

Transactions

Conversion
Series A Convertible Preferred Stock
2019-06-24−18,739→ 0 total(indirect: See Footnote)
→ Common Stock (18,739 underlying)
Conversion
Common Stock
2019-06-24+504→ 20,125 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−2,288,805→ 0 total(indirect: See Footnote)
→ Common Stock (2,288,805 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−107,812→ 0 total(indirect: See Footnote)
→ Common Stock (107,812 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−61,592→ 0 total(indirect: See Footnote)
→ Common Stock (61,592 underlying)
Conversion
Common Stock
2019-06-24+107,812→ 2,396,617 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+61,592→ 2,458,209 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+882→ 19,621 total(indirect: See Footnote)
Conversion
Series B Convertible Preferred Stock
2019-06-24−882→ 0 total(indirect: See Footnote)
→ Common Stock (882 underlying)
Conversion
Common Stock
2019-06-24+2,288,805→ 2,288,805 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+18,739→ 18,739 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+127,504→ 127,504 total(indirect: See Footnote)
Conversion
Series C Convertible Preferred Stock
2019-06-24−504→ 0 total(indirect: See Footnote)
→ Common Stock (504 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−127,504→ 0 total(indirect: See Footnote)
→ Common Stock (127,504 underlying)

MDV IX LP

10% Owner

Transactions

Conversion
Series A Convertible Preferred Stock
2019-06-24−2,288,805→ 0 total(indirect: See Footnote)
→ Common Stock (2,288,805 underlying)
Conversion
Common Stock
2019-06-24+127,504→ 127,504 total(indirect: See Footnote)
Conversion
Series B Convertible Preferred Stock
2019-06-24−107,812→ 0 total(indirect: See Footnote)
→ Common Stock (107,812 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−61,592→ 0 total(indirect: See Footnote)
→ Common Stock (61,592 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−504→ 0 total(indirect: See Footnote)
→ Common Stock (504 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−127,504→ 0 total(indirect: See Footnote)
→ Common Stock (127,504 underlying)
Conversion
Common Stock
2019-06-24+2,288,805→ 2,288,805 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+107,812→ 2,396,617 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+61,592→ 2,458,209 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+18,739→ 18,739 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+882→ 19,621 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+504→ 20,125 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−18,739→ 0 total(indirect: See Footnote)
→ Common Stock (18,739 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−882→ 0 total(indirect: See Footnote)
→ Common Stock (882 underlying)

MDV ENF IX LP

10% Owner

Transactions

Conversion
Common Stock
2019-06-24+504→ 20,125 total(indirect: See Footnote)
Conversion
Series B Convertible Preferred Stock
2019-06-24−107,812→ 0 total(indirect: See Footnote)
→ Common Stock (107,812 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−882→ 0 total(indirect: See Footnote)
→ Common Stock (882 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−127,504→ 0 total(indirect: See Footnote)
→ Common Stock (127,504 underlying)
Conversion
Common Stock
2019-06-24+882→ 19,621 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+127,504→ 127,504 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+2,288,805→ 2,288,805 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+61,592→ 2,458,209 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+18,739→ 18,739 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−2,288,805→ 0 total(indirect: See Footnote)
→ Common Stock (2,288,805 underlying)
Conversion
Common Stock
2019-06-24+107,812→ 2,396,617 total(indirect: See Footnote)
Conversion
Series C Convertible Preferred Stock
2019-06-24−61,592→ 0 total(indirect: See Footnote)
→ Common Stock (61,592 underlying)
Conversion
Series A Convertible Preferred Stock
2019-06-24−18,739→ 0 total(indirect: See Footnote)
→ Common Stock (18,739 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−504→ 0 total(indirect: See Footnote)
→ Common Stock (504 underlying)

FEIBER JONATHAN D

10% Owner

Transactions

Conversion
Common Stock
2019-06-24+882→ 19,621 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−2,288,805→ 0 total(indirect: See Footnote)
→ Common Stock (2,288,805 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−882→ 0 total(indirect: See Footnote)
→ Common Stock (882 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−127,504→ 0 total(indirect: See Footnote)
→ Common Stock (127,504 underlying)
Conversion
Common Stock
2019-06-24+61,592→ 2,458,209 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+504→ 20,125 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−18,739→ 0 total(indirect: See Footnote)
→ Common Stock (18,739 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−504→ 0 total(indirect: See Footnote)
→ Common Stock (504 underlying)
Conversion
Common Stock
2019-06-24+2,288,805→ 2,288,805 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+107,812→ 2,396,617 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+18,739→ 18,739 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+127,504→ 127,504 total(indirect: See Footnote)
Conversion
Series B Convertible Preferred Stock
2019-06-24−107,812→ 0 total(indirect: See Footnote)
→ Common Stock (107,812 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−61,592→ 0 total(indirect: See Footnote)
→ Common Stock (61,592 underlying)

Ericson William W.

10% Owner

Transactions

Conversion
Common Stock
2019-06-24+18,739→ 18,739 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+504→ 20,125 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−2,288,805→ 0 total(indirect: See Footnote)
→ Common Stock (2,288,805 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−107,812→ 0 total(indirect: See Footnote)
→ Common Stock (107,812 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−127,504→ 0 total(indirect: See Footnote)
→ Common Stock (127,504 underlying)
Conversion
Common Stock
2019-06-24+107,812→ 2,396,617 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+61,592→ 2,458,209 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+882→ 19,621 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+2,288,805→ 2,288,805 total(indirect: See Footnote)
Conversion
Common Stock
2019-06-24+127,504→ 127,504 total(indirect: See Footnote)
Conversion
Series A Convertible Preferred Stock
2019-06-24−18,739→ 0 total(indirect: See Footnote)
→ Common Stock (18,739 underlying)
Conversion
Series B Convertible Preferred Stock
2019-06-24−882→ 0 total(indirect: See Footnote)
→ Common Stock (882 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−61,592→ 0 total(indirect: See Footnote)
→ Common Stock (61,592 underlying)
Conversion
Series C Convertible Preferred Stock
2019-06-24−504→ 0 total(indirect: See Footnote)
→ Common Stock (504 underlying)

Footnotes (4)

[F1]The Series A Convertible Preferred Stock, Series B Convertible Preferred Stock and Series C Convertible Preferred Stock automatically converted into Common Stock on a 1-for-1 basis immediately upon the closing of the Issuer's initial public offering and have no expiration date.
[F2]These shares are held directly by MDV IX, L.P. ("MDV IX"). Ninth MDV Partners, L.L.C. ("Ninth MDV") is the general partner of MDV IX. Jonathan Feiber and William Ericson are the managing members of Ninth MDV and either are deemed to have sole voting and dispositive power with respect to the shares held by MDV IX. Each disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein.
[F3]These shares are held directly by MDV ENF IX, L.P. ("ENF IX"). Ninth MDV is the general partner of ENF IX. Jonathan Feiber and William Ericson are the managing members of Ninth MDV and either are deemed to have sole voting and dispositive power with respect to the shares held by ENF IX. Each disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein.
[F4]These shares are held directly by MDV IX, L.P., as nominee for MDV IX, L.P. and MDV ENF IX, L.P. ("IX Funds"). Ninth MDV is the general partner of IX Funds. Jonathan Feiber and William Ericson are the managing members of Ninth MDV and either are deemed to have sole voting and dispositive power with respect to the shares held by IX Funds. Each disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

Personalis, Inc.

CIK 0001527753

→

Entity typeother

Related Parties

filerCIK 0001503381

Filing Metadata

Form type: 4
Filed: Jun 25, 8:00 PM ET
Accepted: Jun 26, 4:54 PM ET
Size: 39.3 KB

View on SEC.gov