Form 4 for TEM Tempus AI, Inc.
Accepted 2024-06-26 00:00:00 ET · period of report 2024-06-17 · accession 0001493152-24-025322 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DI | 2024-06-26 | 2024-06-17 | TEM | KEYWELL BRADLEY A | 10% | C - Cnv Deriv | — | +2.17M | 16.56M | +15% | — |
| DMI | 2024-06-26 | 2024-06-17 | TEM | KEYWELL BRADLEY A | 10% | C - Cnv Deriv | $0.00 | -2.17M | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2024-06-17 | C | A | 2,169,419 | — | 16,560,249 | I By BK TL21 LLC | — | — | (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. (F2) This amount includes an additional 15,830 shares acquired by the Reporting Person on June 17, 2024 in connection with the conversion of the Preferred Stock into Class A Common Stock upon the closing of the Issuer's initial public offering, pursuant to which the Issuer paid accrued and unpaid dividends on such shares of Preferred Stock in shares of Class A Common Stock. This amount was also reflected in the Reporting Person's Form 3 filing on June 20, 2024. The issuance of such shares of Class A Common Stock qualifies for the exemption from Section 16 of the Securities Exchange Act pursuant to Rule 16a-9. (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. |
| 2 | Derivative | Series G Preferred Stock | 2024-06-17 | C | D | 15,558 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 15,558 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |
| 3 | Derivative | Series D Preferred Stock | 2024-06-17 | C | D | 63,653 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 63,653 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |
| 4 | Derivative | Series C Preferred Stock | 2024-06-17 | C | D | 314,338 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 314,338 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |
| 5 | Derivative | Series B-2 Preferred Stock | 2024-06-17 | C | D | 166,717 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 166,717 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |
| 6 | Derivative | Series A Preferred Stock | 2024-06-17 | C | D | 1,109,189 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 1,109,189 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |
| 7 | Derivative | Series B-1 Preferred Stock | 2024-06-17 | C | D | 499,964 | $0.00 | 0 | I By BK TL21 LLC | — · — to — | 499,964 Class A Common Stock | (F3) The Reporting Person is the sole manager and the sole member of BK TL21 LLC. (F1) Each share of Series A Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series G Preferred Stock (collectively, the "Preferred Stock") was convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, had no expiration date and automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering. |