0000899243-21-025889.txt : 20210624 0000899243-21-025889.hdr.sgml : 20210624 20210624214011 ACCESSION NUMBER: 0000899243-21-025889 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210624 FILED AS OF DATE: 20210624 DATE AS OF CHANGE: 20210624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Telegraph Hill Partners Management Company, LLC CENTRAL INDEX KEY: 0001588012 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211044506 BUSINESS ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 BUSINESS PHONE: 415-765-6980 MAIL ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Telegraph Hill Partners IV, L.P. CENTRAL INDEX KEY: 0001736529 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211044509 BUSINESS ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: MA ZIP: 94108 BUSINESS PHONE: 415-765-6980 MAIL ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: MA ZIP: 94108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Telegraph Hill Partners IV Investment Management LLC CENTRAL INDEX KEY: 0001868229 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211044507 BUSINESS ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 BUSINESS PHONE: 4157656980 MAIL ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THP IV Affiliates Fund, LLC CENTRAL INDEX KEY: 0001757095 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211044508 BUSINESS ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 BUSINESS PHONE: 415-765-6980 MAIL ADDRESS: STREET 1: 360 POST STREET STREET 2: SUITE 601 CITY: SAN FRANCISCO STATE: CA ZIP: 94108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alpha Teknova, Inc. CENTRAL INDEX KEY: 0001850902 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 943368109 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2290 BERT DRIVE CITY: HOLLISTER STATE: CA ZIP: 95023 BUSINESS PHONE: 8316371100 MAIL ADDRESS: STREET 1: 2290 BERT DRIVE CITY: HOLLISTER STATE: CA ZIP: 95023 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-06-24 0 0001850902 Alpha Teknova, Inc. TKNO 0001736529 Telegraph Hill Partners IV, L.P. 360 POST STREET, SUITE 601 SAN FRANCISCO CA 94108 0 0 1 0 0001757095 THP IV Affiliates Fund, LLC 360 POST STREET, SUITE 601 SAN FRANCISCO CA 94108 0 0 1 0 0001868229 Telegraph Hill Partners IV Investment Management LLC 360 POST STREET, SUITE 601 SAN FRANCISCO CA 94108 0 0 1 0 0001588012 Telegraph Hill Partners Management Company, LLC 360 POST STREET, SUITE 601 SAN FRANCISCO CA 94108 0 0 1 0 Series A Convertible Preferred Stock 2019-01-14 Common Stock 14941823 I See Footnote Series A Convertible Preferred Stock 2019-01-14 Common Stock 2570862 I See Footnote The Series A Convertible Preferred Stock is convertible at any time, at the holder's election, and has no expiration date. The Series A Convertible Preferred Stock will convert automatically upon the issuer's consummation of a qualifying initial public offering. Shares held directly by Telegraph Hill Partners IV, L.P ("THP IV"). Telegraph Hill Partners IV Investment Management, LLC ("THP IM") is the general partner of THP IV. Telegraph Hill Partners Management Company, LLC ("THPMC") is the manager of THP IM. As such, THP IM and THPMC may be deemed to have beneficial ownership of the shares held by THP IV. Shares held directly by THP IV Affiliates Fund, LLC ("THP IV AFF"). THP IM is the manager of of THP IV AFF. THPMC is the manager of THP IM. As such, THP IM and THPMC may be deemed to have beneficial ownership of the shares held by THP IV AFF. Telegraph Hill Partners IV, L.P., By: Telegraph Hill Partners IV Investment Management, LLC, its general parter, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner 2021-06-23 THP IV Affiliates Fund, LLC, By: Telegraph Hill Partners IV Investment Management, LLC, its manager, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner 2021-06-23 Telegraph Hill Partners IV Investment Management, LLC, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner 2021-06-23 Telegraph Hill Partners Management Company, LLC, By: /s/ Jeanette Welsh, Title: Partner 2021-06-23