Eric Paul Lefkofsky - 17 Jun 2024 Form 4 Insider Report for Tempus AI, Inc. (TEM)

Role
CEO and Chairman, Director, 10%+ Owner
Signature
/s/ Erik Phelps, Attorney-in-Fact
Issuer symbol
TEM
Transactions as of
17 Jun 2024
Net transactions value
$0
Form type
4
Filing time
20 Jun 2024, 20:24:42 UTC
Previous filing
13 Jun 2024
Next filing
20 Dec 2024
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TEM Class A Common Stock Conversion of derivative security +2,133,583 2,133,583 17 Jun 2024 By Tempus Series D Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +12,409 +0.58% $0.000000 2,145,992 17 Jun 2024 By Tempus Series D Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -2,145,992 -100% $0.000000* 0 17 Jun 2024 By Tempus Series D Investments, LLC F2, F4
transaction TEM Class A Common Stock Other $0 +1,534,384 +5.9% $0.000000 27,408,669 17 Jun 2024 By Blue Media, LLC F2, F4
transaction TEM Class A Common Stock Conversion of derivative security +406,090 +12% 3,884,839 17 Jun 2024 By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Class A Common Stock Conversion of derivative security +248,512 248,512 17 Jun 2024 By Tempus Series E Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +45,396 +18% $0.000000 293,908 17 Jun 2024 By Tempus Series E Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -293,908 -100% $0.000000* 0 17 Jun 2024 By Tempus Series E Investments, LLC F2, F6
transaction TEM Class A Common Stock Conversion of derivative security +321,008 321,008 17 Jun 2024 By Tempus Series G Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +39,105 +12% $0.000000 360,113 17 Jun 2024 By Tempus Series G Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -360,113 -100% $0.000000* 0 17 Jun 2024 By Tempus Series G Investments, LLC F2, F7
transaction TEM Class A Common Stock Other $0 +19,792 +0.07% $0.000000 27,428,461 17 Jun 2024 By Blue Media, LLC F2, F7
transaction TEM Class A Common Stock Other $0 +332,131 $0.000000 332,131 17 Jun 2024 By Lefkofsky Family Foundation F2, F7
transaction TEM Class A Common Stock Conversion of derivative security +99,255 +2.6% 3,984,094 17 Jun 2024 By Innovation Group Investors, L.P. - 2011 Series F1, F2
transaction TEM Class A Common Stock Conversion of derivative security +180,329 +0.66% 27,608,790 17 Jun 2024 By Blue Media, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +206 $0.000000 206 17 Jun 2024 By Black Media, LLC F2, F3
transaction TEM Class A Common Stock Award $0 +10,768 +0.04% $0.000000 27,619,558 17 Jun 2024 By Blue Media, LLC F2, F3
transaction TEM Class A Common Stock Award $0 +76,453 +1.9% $0.000000 4,060,547 17 Jun 2024 By Innovation Group Investors, L.P. - 2011 Series F3, F5
holding TEM Class A Common Stock 6,978,852 17 Jun 2024 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction TEM Series D Preferred Stock Conversion of derivative security $0 -2,133,583 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 2,133,583 By Tempus Series D Investments, LLC F1, F2
transaction TEM Series D Preferred Stock Conversion of derivative security $0 -406,090 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 406,090 By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Series E Preferred Stock Conversion of derivative security $0 -248,512 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 248,512 By Tempus Series E Investments, LLC F1, F2
transaction TEM Series G Preferred Stock Conversion of derivative security $0 -321,008 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 321,008 By Tempus Series G Investments, LLC F1, F2
transaction TEM Series G Preferred Stock Conversion of derivative security $0 -99,255 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 99,255 By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Series G-3 Preferred Stock Conversion of derivative security $0 -98,964 -100% $0.000000* 0 17 Jun 2024 Class A Common Stock 180,329 By Blue Media, LLC F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Series D Preferred Stock, Series E Preferred Stock, Series G Preferred Stock and Series G-3 Preferred Stock was convertible at any time, at the holder's election, into Class A Common Stock and had no expiration date. These shares automatically converted into shares of Class A Common Stock upon the closing of the Issuer's initial public offering on a one-for-one basis, other than the Series G-3 Preferred Stock, each share of which converted into appoximately 1.82 shares of Class A Common Stock.
F2 The Reporting Person is the sole manager of each of Blue Media, LLC, Black Media, LLC, Tempus Series D Investments, LLC, Tempus Series E Investments, LLC and Tempus Series G Investments, LLC and trustee of Lefkofsky Family Foundation.
F3 On June 17, 2024, in connection with the conversion of preferred stock upon the closing of the Issuer's initial public offering, the Issuer paid accrued and unpaid dividends on such shares of preferred stock in shares of Class A Common Stock. The issuance of shares qualifies for the exemption from Section 16 of the Securities Exchange Act pursuant to Rules 16b-3 and 16a-9.
F4 Represents a pro rata distribution, and not a purchase or sale of securities, by Tempus Series D Investments, LLC to its members, one of which is Blue Media, LLC, without additional consideration.
F5 The Reporting Person is the manager of the general partner of Innovation Group Investors, L.P. - 2011 Series and Innovation Group Investors, L.P. - Series 1B.
F6 Represents a pro rata distribution, and not a purchase or sale of securities, by Tempus Series E Investments, LLC to its members without additional consideration.
F7 Represents a pro rata distribution, and not a purchase or sale of securities, by Tempus Series G Investments, LLC to its members, including Blue Media, LLC and Lefkofsky Family Foundation, without additional consideration.

Remarks:

Due to the 30 line limitation in Table I, this report is being filed across two forms. This is the second of two filings.