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