Sec Form 3 Filing - Markovich Rebecca @ Talis Biomedical Corp - 2023-04-21

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Markovich Rebecca
2. Issuer Name and Ticker or Trading Symbol
Talis Biomedical Corp [ TLIS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Interim CFO
(Last) (First) (Middle)
C/O TALIS BIOMEDICAL CORPORATION, 1100 ISLAND DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
04/21/2023
(Street)
REDWOOD CITY, CA94065
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock option (right to buy) $ 2.14 ( 1 ) 02/10/2032 Common Stock 79,000 D
Stock option (right to buy) $ 1.03 ( 2 ) 06/01/2032 Common Stock 60,000 D
Stock option (right to buy) $ 0.49 ( 1 ) 04/07/2033 Common Stock 70,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Markovich Rebecca
C/O TALIS BIOMEDICAL CORPORATION
1100 ISLAND DRIVE
REDWOOD CITY, CA94065
Interim CFO
Signatures
/s/ Gillian Green, Attorney-in-Fact for Rebecca Markovich 04/25/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )25% of the shares underlying this option shall vest on the first annual anniversary of the vesting commencement date and 1/48th of the shares underlyingthis option shall vest monthly thereafter over 36 months.
( 2 )1. 1/3 of awards vest as follows: 25% of the shares underlying this option shall vest on the first annual anniversary of the vesting commencementdate of June 1, 2022 (VCD) and 1/48th of the shares underlying this option shall vest monthly thereafter over 36 months. 2. 1/3 of the sharesshall vest on the seventh anniversary of the VCD, subject to optionholder's continuous service as of such date, provided that such vesting shallbe subject to acceleration based upon certain pre-determined commercial and regulatory milestones. 3. 1/3 of the shares shall vest on theseventh anniversary of the VCD, subject to optionholder's continuous service as of such date, provided that such vesting shall be subject topartial or full acceleration based on pre-determined closing prices of the Company's common stock sustained for a certain number of consecutivetrading days.

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