Bradley A. Keywell - Jun 17, 2024 Form 4 Insider Report for Tempus AI, Inc. (TEM)

Role
10%+ Owner
Signature
/s/ Bradley A. Keywell
Stock symbol
TEM
Transactions as of
Jun 17, 2024
Transactions value $
$0
Form type
4
Date filed
6/26/2024, 07:17 PM
Previous filing
Jun 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 +2.17M +15.08% 16.6M Jun 17, 2024 By BK TL21 LLC F1, F2, F3

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 A Preferred Stock Conversion of derivative security $0 -1.11M -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 1.11M By BK TL21 LLC F1, F3
transaction TEM Series B-1 Preferred Stock Conversion of derivative security $0 -500K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 500K By BK TL21 LLC F1, F3
transaction TEM Series B-2 Preferred Stock Conversion of derivative security $0 -167K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 167K By BK TL21 LLC F1, F3
transaction TEM Series C Preferred Stock Conversion of derivative security $0 -314K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 314K By BK TL21 LLC F1, F3
transaction TEM Series D Preferred Stock Conversion of derivative security $0 -63.7K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 63.7K By BK TL21 LLC F1, F3
transaction TEM Series G Preferred Stock Conversion of derivative security $0 -15.6K -100% $0.00* 0 Jun 17, 2024 Class A Common Stock 15.6K By BK TL21 LLC F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.