SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
X
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
LEFKOFSKY ERIC P

(Last) (First) (Middle)
C/O TEMPUS AI, INC.
600 WEST CHICAGO AVENUE, SUITE 510

(Street)
CHICAGO IL 60654

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Tempus AI, Inc. [ TEM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and Chairman
3. Date of Earliest Transaction (Month/Day/Year)
12/18/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 12/18/2024 S(1) 42,193 D $37.36(2) 9,565,090 I By Gray Media, LLC(3)
Class A Common Stock 12/18/2024 S(1) 3,338 D $38.26(4) 9,561,752 I By Gray Media, LLC(3)
Class A Common Stock 12/18/2024 S(1) 4,469 D $39.32(5) 9,557,283 I By Gray Media, LLC(3)
Class A Common Stock 12/18/2024 S(1) 116,813 D $37.34(6) 26,610,319(7) I By Blue Media, LLC(3)
Class A Common Stock 12/18/2024 S(1) 16,176 D $38.33(8) 26,594,143 I By Blue Media, LLC(3)
Class A Common Stock 12/18/2024 S(1) 4,666 D $39.38(9) 26,589,477 I By Blue Media, LLC(3)
Class A Common Stock 6,978,852 D
Class A Common Stock 4,952,973(7) I By Innovation Group Investors, L.P. - 2011 Series(3)
Class A Common Stock 206 I By Black Media, LLC(3)
Class A Common Stock 332,131 I By Lefkofsky Family Foundation(3)
Class A Common Stock 248,631 I By Lightbank Investments 1B, LLC(3)
Class A Common Stock 145,966 I By Innovation Group Investors, L.P. - Series 1B(3)
Class A Common Stock 1,397,589 I By Lightbank Global LLC(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This transaction was made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on June 14, 2024.
2. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.00 to $37.98 inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2), (4), (5), (6), (8) and (9).
3. The Reporting Person is (i) the sole manager of each of Black Media, LLC, Blue Media, LLC, Gray Media, LLC, Lightbank Investments 1B, LLC, Lightbank Global LLC, (ii) the manager of the general partner of Innovation Group Investors, L.P. - 2011 Series and Innovation Group Investors, L.P. - Series 1B and (iii) the trustee of Lefkofsky Family Foundation.
4. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.00 to $38.75 inclusive.
5. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $39.01 to $39.54 inclusive.
6. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.00 to $37.98 inclusive.
7. Represents the number shares owned after a transfer of shares between two entities controlled by Mr. Lefkofsky, which resulted in a mere change in the form of beneficial ownership.
8. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.00 to $38.99 inclusive.
9. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $39.00 to $39.60 inclusive.
/s/ Andrew Polovin, Attorney-in-Fact 12/20/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.