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

Role
CEO and Chairman, Director, 10%+ Owner
Signature
/s/ Erik Phelps, Attorney-in-Fact
Stock symbol
TEM
Transactions as of
Jun 17, 2024
Transactions value $
$0
Form type
4
Date filed
6/20/2024, 08:24 PM
Previous filing
Jun 13, 2024
Next filing
Dec 20, 2024

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 +2.13M 2.13M Jun 17, 2024 By Tempus Series D Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +12.4K +0.58% $0.00 2.15M Jun 17, 2024 By Tempus Series D Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -2.15M -100% $0.00* 0 Jun 17, 2024 By Tempus Series D Investments, LLC F2, F4
transaction TEM Class A Common Stock Other $0 +1.53M +5.93% $0.00 27.4M Jun 17, 2024 By Blue Media, LLC F2, F4
transaction TEM Class A Common Stock Conversion of derivative security +406K +11.67% 3.88M Jun 17, 2024 By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Class A Common Stock Conversion of derivative security +249K 249K Jun 17, 2024 By Tempus Series E Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +45.4K +18.27% $0.00 294K Jun 17, 2024 By Tempus Series E Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -294K -100% $0.00* 0 Jun 17, 2024 By Tempus Series E Investments, LLC F2, F6
transaction TEM Class A Common Stock Conversion of derivative security +321K 321K Jun 17, 2024 By Tempus Series G Investments, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +39.1K +12.18% $0.00 360K Jun 17, 2024 By Tempus Series G Investments, LLC F2, F3
transaction TEM Class A Common Stock Other $0 -360K -100% $0.00* 0 Jun 17, 2024 By Tempus Series G Investments, LLC F2, F7
transaction TEM Class A Common Stock Other $0 +19.8K +0.07% $0.00 27.4M Jun 17, 2024 By Blue Media, LLC F2, F7
transaction TEM Class A Common Stock Other $0 +332K $0.00 332K Jun 17, 2024 By Lefkofsky Family Foundation F2, F7
transaction TEM Class A Common Stock Conversion of derivative security +99.3K +2.55% 3.98M Jun 17, 2024 By Innovation Group Investors, L.P. - 2011 Series F1, F2
transaction TEM Class A Common Stock Conversion of derivative security +180K +0.66% 27.6M Jun 17, 2024 By Blue Media, LLC F1, F2
transaction TEM Class A Common Stock Award $0 +206 $0.00 206 Jun 17, 2024 By Black Media, LLC F2, F3
transaction TEM Class A Common Stock Award $0 +10.8K +0.04% $0.00 27.6M Jun 17, 2024 By Blue Media, LLC F2, F3
transaction TEM Class A Common Stock Award $0 +76.5K +1.92% $0.00 4.06M Jun 17, 2024 By Innovation Group Investors, L.P. - 2011 Series F3, F5
holding TEM Class A Common Stock 6.98M Jun 17, 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 -2.13M -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 2.13M By Tempus Series D Investments, LLC F1, F2
transaction TEM Series D Preferred Stock Conversion of derivative security $0 -406K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 406K By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Series E Preferred Stock Conversion of derivative security $0 -249K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 249K By Tempus Series E Investments, LLC F1, F2
transaction TEM Series G Preferred Stock Conversion of derivative security $0 -321K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 321K By Tempus Series G Investments, LLC F1, F2
transaction TEM Series G Preferred Stock Conversion of derivative security $0 -99.3K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 99.3K By Innovation Group Investors, L.P. - 2011 Series F1, F5
transaction TEM Series G-3 Preferred Stock Conversion of derivative security $0 -99K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 180K 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.