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

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
26 Jun 2024, 19:17:52 UTC
Prior SEC filing
20 Jun 2024
Next SEC filing
12 Dec 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Bradley A. Keywell

Key filing fact

Bradley A. Keywell filed Form 4 for Tempus AI, Inc. (TEM) on 26 Jun 2024.

Key facts

  • This page summarizes Bradley A. Keywell's Form 4 filing for Tempus AI, Inc. (TEM).
  • 7 reported transactions and 6 derivative rows are listed below.
  • Accepted by SEC: 26 Jun 2024, 19:17.

Change

  • Previous filing in this sequence was filed on 20 Jun 2024.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

TEM transaction

Class A Common Stock

Conversion of derivative security

Transaction value
Shares
+2,169,419
Change %
+15%
Price
Shares after
16,560,249
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Footnotes
F1, F2, F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

TEM transaction Derivative

Series A Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-1,109,189
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
1,109,189
Exercise price
Footnotes
F1, F3
TEM transaction Derivative

Series B-1 Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-499,964
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
499,964
Exercise price
Footnotes
F1, F3
TEM transaction Derivative

Series B-2 Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-166,717
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
166,717
Exercise price
Footnotes
F1, F3
TEM transaction Derivative

Series C Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-314,338
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
314,338
Exercise price
Footnotes
F1, F3
TEM transaction Derivative

Series D Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-63,653
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
63,653
Exercise price
Footnotes
F1, F3
TEM transaction Derivative

Series G Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-15,558
Change %
-100%
Price
$0.000000*
Shares after
0
Date
17 Jun 2024
Ownership
By BK TL21 LLC
Underlying class
Class A Common Stock
Underlying amount
15,558
Exercise price
Footnotes
F1, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote 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.

Footnote 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.

Footnote F3

The Reporting Person is the sole manager and the sole member of BK TL21 LLC.

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