0001415889-24-017311.txt : 20240617 0001415889-24-017311.hdr.sgml : 20240617 20240617214526 ACCESSION NUMBER: 0001415889-24-017311 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240613 FILED AS OF DATE: 20240617 DATE AS OF CHANGE: 20240617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRIS PETER J CENTRAL INDEX KEY: 0001005561 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42130 FILM NUMBER: 241050051 MAIL ADDRESS: STREET 1: 1119 ST PAUL STREET CITY: BALTIMORE STATE: MD ZIP: 21202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tempus AI, Inc. CENTRAL INDEX KEY: 0001717115 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] ORGANIZATION NAME: 06 Technology IRS NUMBER: 474903308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 600 WEST CHICAGO AVENUE STREET 2: SUITE 510 CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 800-976-5448 MAIL ADDRESS: STREET 1: 600 WEST CHICAGO AVENUE STREET 2: SUITE 510 CITY: CHICAGO STATE: IL ZIP: 60654 FORMER COMPANY: FORMER CONFORMED NAME: Tempus Labs, Inc. DATE OF NAME CHANGE: 20170915 4 1 form4-06172024_090622.xml X0508 4 2024-06-13 0001717115 Tempus AI, Inc. TEM 0001005561 BARRIS PETER J C/O TEMPUS AI, INC. 600 WEST CHICAGO AVENUE, SUITE 510 CHICAGO IL 60654 true false false false 0 Class A Common Stock 2024-06-13 4 A 0 13514 0 A 13514 D Non-Voting Common Stock 2024-06-17 4 C 0 100000 D 0 D Class A Comnmon Stock 2024-06-17 4 C 0 100000 A 113514 D Represents a restricted stock unit ("RSU") award. The RSUs vest in 20 substantially equal quarterly installments commencing on September 13, 2024. Each share of Non-Voting Common Stock 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. /s/ Erik Phelps, Attorney-in-Fact 2024-06-17