0001415889-24-017731.txt : 20240620 0001415889-24-017731.hdr.sgml : 20240620 20240620202149 ACCESSION NUMBER: 0001415889-24-017731 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240617 FILED AS OF DATE: 20240620 DATE AS OF CHANGE: 20240620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Belcher Eric D CENTRAL INDEX KEY: 0001371919 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42130 FILM NUMBER: 241058108 MAIL ADDRESS: STREET 1: 600 WEST CHICAGO AVENUE STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60610 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 form4-06212024_120645.xml X0508 4 2024-06-17 0001717115 Tempus AI, Inc. TEM 0001371919 Belcher Eric D C/O TEMPUS AI, INC. 600 WEST CHICAGO AVENUE, SUITE 510 CHICAGO IL 60654 true false false false 0 Class A Common Stock 2024-06-17 4 J 0 14033 0 A 14033 I By Nob Hill Ventures LLC Class A Common Stock 13514 D Represents a pro rata distribution, and not a purchase or sale of securities, by Tempus Series C Investments, LLC to its members, one of which was Nob Hill Ventures LLC, without additional consideration. The Reporting Person has sole investment control and economic interest in the shares held by Nob Hill Ventures LLC. /s/ Erik Phelps, Attorney-in-Fact 2024-06-20