07/16/2024 | Press release | Distributed by Public on 07/16/2024 19:14
FORM 4
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|
||||||||||||||||||||||||||||
|
1. Title of Derivate Security | 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 | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security | 8. Price of Derivative Security | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) | 11. Nature of Indirect Beneficial Ownership |
Code | V | (A) | (D) | Date Exercisable | Expriation Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Telegraph Hill Partners IV, L.P. 300 MONTGOMERY STREET, SUITE 1130 SAN FRANCISCO, CA94104 |
|
|
|
|
THP IV Affiliates Fund, LLC 300 MONTGOMERY STREET, SUITE 1130 SAN FRANCISCO, CA94104 |
|
|
|
|
Telegraph Hill Partners IV Investment Management LLC 300 MONTGOMERY STREET, SUITE 1130 SAN FRANCISCO, CA94104 |
|
|
|
|
Telegraph Hill Partners Management Company, LLC 300 MONTGOMERY STREET, SUITE 1130 SAN FRANCISCO, CA94104 |
|
|
|
Telegraph Hill Partners IV, L.P., By: Telegraph Hill Partners IV Investment Management, LLC, its general partner, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
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 | 2024-07-16 |
**Signature of Reporting Person | Date |
Telegraph Hill Partners IV Investment Management, LLC, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
Telegraph Hill Partners Management Company, LLC, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
Telegraph Hill Partners V, L.P., By: Telegraph Hill Partners V Investment Management, LLC, its general partner, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
THP V Affiliates Fund, LLC, By: Telegraph Hill Partners V Investment Management, LLC, its manager, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
Telegraph Hill Partners V Investment Management, LLC, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner | 2024-07-16 |
**Signature of Reporting Person | Date |
(*) | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | 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. |
(2) | Shares held directly by THP IV Affiliates Fund, LLC ("THP IV AFF"). THP IM is the manager 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. |
(3) | Shares purchased in a private placement of Alpha Teknova, Inc. |
(4) | Shares held directly by Telegraph Hill Partners V, L.P ("THP V"). Telegraph Hill Partners V Investment Management, LLC ("THP V IM") is the general partner of THP V. THPMC is the manager of THP V IM. As such, THP V IM and THPMC may be deemed to have beneficial ownership of the shares held by THP V. |
(5) | Shares held directly by THP V Affiliates Fund, LLC ("THP V AFF"). THP V IM is the manager of THP V AFF. THPMC is the manager of THP V IM. As such, THP V IM and THPMC may be deemed to have beneficial ownership of the shares held by THP V AFF. |