0001274737-24-000068.txt : 20240614 0001274737-24-000068.hdr.sgml : 20240614 20240614160612 ACCESSION NUMBER: 0001274737-24-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240610 FILED AS OF DATE: 20240614 DATE AS OF CHANGE: 20240614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAHN SCOTT D CENTRAL INDEX KEY: 0001198577 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39049 FILM NUMBER: 241044745 MAIL ADDRESS: STREET 1: C/O EXAGEN, INC. STREET 2: 1261 LIBERTY WAY CITY: VISTA STATE: CA ZIP: 92081 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EXAGEN INC. CENTRAL INDEX KEY: 0001274737 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1261 LIBERTY WAY CITY: VISTA STATE: CA ZIP: 92081 BUSINESS PHONE: (760) 560-1501 MAIL ADDRESS: STREET 1: 1261 LIBERTY WAY CITY: VISTA STATE: CA ZIP: 92081 FORMER COMPANY: FORMER CONFORMED NAME: EXAGEN DIAGNOSTICS INC DATE OF NAME CHANGE: 20031230 4 1 wk-form4_1718395562.xml FORM 4 X0508 4 2024-06-10 0 0001274737 EXAGEN INC. XGN 0001198577 KAHN SCOTT D C/O EXAGEN INC. 1261 LIBERTY WAY VISTA CA 92124 1 0 0 0 0 Stock Option(right to buy) 1.99 2024-06-10 4 A 0 15000 0 A 2034-06-09 Common Stock 15000 15000 D The option is exercisable as it vests. The total number of shares of common stock subject to the option vests in 36 equal monthly installments over the three-year period beginning on July 10, 2024, subject to the Reporting Person's continued service to the Issuer through each such vesting date. /s/ Kamal Adawi, as attorney-in-fact 2024-06-14