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