0000899243-21-035596.txt : 20210910 0000899243-21-035596.hdr.sgml : 20210910 20210910202539 ACCESSION NUMBER: 0000899243-21-035596 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210908 FILED AS OF DATE: 20210910 DATE AS OF CHANGE: 20210910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Irene CENTRAL INDEX KEY: 0001859911 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211248319 MAIL ADDRESS: STREET 1: 2290 BERT DRIVE CITY: HOLLISTER STATE: CA ZIP: 95023 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Ted CENTRAL INDEX KEY: 0001862114 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40538 FILM NUMBER: 211248320 MAIL ADDRESS: STREET 1: 2290 BERT DRIVE CITY: HOLLISTER STATE: CA ZIP: 95023 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-08 0 0001850902 Alpha Teknova, Inc. TKNO 0001862114 Davis Ted C/O ALPHA TEKNOVA, INC. 2290 BERT DRIVE HOLLISTER CA 95023 1 0 1 0 0001859911 Davis Irene C/O ALPHA TEKNOVA, INC. 2290 BERT DRIVE HOLLISTER CA 95023 1 0 1 0 Common Stock 2021-09-08 4 P 0 1300 22.6099 A 1884990 D Common Stock 1687140 I By Spouse These securities are owned directly by Ted Davis, a director of the Issuer, and indirectly by Irene Davis as the spouse of Ted Davis. These securities are owned directly by Irene Davis, a director of the Issuer, and indirectly by Ted Davis as the spouse of Irene Davis. /s/ Damon A. Terrill, Attorney-in-Fact for Ted Davis 2021-09-10 /s/ Damon A. Terrill, Attorney-in-Fact for Irene Davis 2021-09-10