0001274737-23-000080.txt : 20230726
0001274737-23-000080.hdr.sgml : 20230726
20230726160615
ACCESSION NUMBER: 0001274737-23-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230724
FILED AS OF DATE: 20230726
DATE AS OF CHANGE: 20230726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kim Paul
CENTRAL INDEX KEY: 0001253820
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39049
FILM NUMBER: 231113546
MAIL ADDRESS:
STREET 1: 4399 SANTA ANITA AVE
CITY: EL MONTE
STATE: CA
ZIP: 91731
FORMER NAME:
FORMER CONFORMED NAME: KIM PAUL
DATE OF NAME CHANGE: 20030711
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EXAGEN INC.
CENTRAL INDEX KEY: 0001274737
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
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_1690401966.xml
FORM 4
X0508
4
2023-07-24
0
0001274737
EXAGEN INC.
XGN
0001253820
Kim Paul
C/O EXAGEN INC.
1261 LIBERTY WAY
VISTA
CA
92081
1
0
0
0
0
Stock Option(right to buy)
2.5885
2023-07-24
4
A
0
15000
0
A
2033-07-23
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 August 24, 2023, subject to the Reporting Person's continued service to the Issuer through each such vesting date.
/s/ Kamal Adawi, as attorney-in-fact
2023-07-26