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Tempus AI, Inc. Director's Dealing 2024

Jun 14, 2024

30457_dirs_2024-06-13_384643ea-a82e-46d9-b754-a3a4038153f5.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Tempus AI, Inc. (TEM)
CIK: 0001717115
Period of Report: 2024-06-13

Reporting Person: LEFKOFSKY ERIC P (N/A)
Reporting Person: Blue Media, LLC (10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 19934361 Indirect
Class A Common Stock 8625000 Indirect
Non-Voting Common Stock 1400000 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series B-2 Preferred Stock $ Class A Common Stock (1746323) Indirect
Series G-3 Preferred Stock $ Class A Common Stock (98964) Indirect
Series B Preferred Stock $ Class B Common Stock (178485) Indirect
Series A Preferred Stock $ Class A Common Stock (2283991) Indirect
Series D Preferred Stock $ Class A Common Stock (406090) Indirect
Series G Preferred Stock $ Class A Common Stock (99255) Indirect
Series A Preferred Stock $ Class A Common Stock (145875) Indirect
Series A Preferred Stock $ Class A Common Stock (248476) Indirect
Series A Preferred Stock $ Class A Common Stock (1603279) Indirect
Series B Preferred Stock $ Class B Common Stock (5196414) Indirect
Series B-1 Preferred Stock $ Class A Common Stock (1500071) Indirect
Series B-2 Preferred Stock $ Class A Common Stock (2111415) Indirect
Series C Preferred Stock $ Class A Common Stock (3911762) Indirect
Series D Preferred Stock $ Class A Common Stock (2133583) Indirect
Series E Preferred Stock $ Class A Common Stock (248512) Indirect
Series G Preferred Stock $ Class A Common Stock (321008) Indirect

Footnotes

F1: The Reporting Person is the sole manager of each of Blue Media, LLC, Gray Media, LLC, Black Media, LLC, Lightbank Investments 1B, Tempus Series A Investments, LLC, Tempus Series B Investments, LLC, Tempus Series B-1 Investments, LLC, Tempus Series B-2 Investments, LLC, Tempus Series C Investments, LLC, Tempus Series D Investments, LLC, Tempus Series E Investments, LLC and Tempus Series G Investments, LLC.

F2: Each share of Non-Voting Common Stock shall be automatically converted into one share of Class A Common Stock upon the closing of the Issuer's initial public offering of Class A Common Stock.

F3: 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, Series E Preferred Stock, Series G Preferred Stock, Series G-3 Preferred Stock is convertible at any time, at the holder's election, into Class A Common Stock, on a one-for-one basis, has no expiration date and will automatically convert into shares of Class A Common Stock upon the closing of the Issuer's initial public offering.

F4: Each share of Series B Preferred Stock is convertible at any time, at the holder's election, into Class B Common Stock, on a one-for-one basis, has no expiration date and will automatically convert into shares of Class B Common Stock upon the closing of the Issuer's initial public offering.

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.