SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Telegraph Hill Partners IV, L.P.

(Last) (First) (Middle)
360 POST STREET, SUITE 601

(Street)
SAN FRANCISCO CA 94108

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Alpha Teknova, Inc. [ TKNO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/28/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/28/2021 C 14,941,823 A (1) 14,941,823 D(2)
Common Stock 06/28/2021 C 2,570,862 A (1) 2,570,862 I See Footnote(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 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 (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock (1) 06/28/2021 C 7,970,673 (1) (1) Common Stock 14,941,823 $0.00 0 D(2)
Series A Convertible Preferred Stock (1) 06/28/2021 C 1,371,419 (1) (1) Common Stock 2,570,862 $0.00 0 I See Footnote(3)
1. Name and Address of Reporting Person*
Telegraph Hill Partners IV, L.P.

(Last) (First) (Middle)
360 POST STREET, SUITE 601

(Street)
SAN FRANCISCO CA 94108

(City) (State) (Zip)
1. Name and Address of Reporting Person*
THP IV Affiliates Fund, LLC

(Last) (First) (Middle)
360 POST STREET, SUITE 601

(Street)
SAN FRANCISCO CA 94108

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Telegraph Hill Partners IV Investment Management LLC

(Last) (First) (Middle)
360 POST STREET, SUITE 601

(Street)
SAN FRANCISCO CA 94108

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Telegraph Hill Partners Management Company, LLC

(Last) (First) (Middle)
360 POST STREET, SUITE 601

(Street)
SAN FRANCISCO CA 94108

(City) (State) (Zip)
Explanation of Responses:
1. The Series A Convertible Preferred Stock was converted on June 28, 2021, at the election of the holder and in accordance with the Company's then-current amended and restated certificate of incorporation, and has no expiration date. The Series A Convertible Preferred Stock converted into shares of the Company's common stock on a 1-for-1.8746 basis.
2. 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.
3. 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.
Remarks:
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 06/29/2021
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 06/29/2021
Telegraph Hill Partners IV Investment Management, LLC, By: Telegraph Hill Partners Management Company, LLC, its manager, By: /s/ Jeanette Welsh, Title: Partner 06/29/2021
Telegraph Hill Partners Management Company, LLC, By: /s/ Jeanette Welsh, Title: Partner 06/29/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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