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