0001274737-22-000019.txt : 20220302
0001274737-22-000019.hdr.sgml : 20220302
20220302164104
ACCESSION NUMBER: 0001274737-22-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220301
FILED AS OF DATE: 20220302
DATE AS OF CHANGE: 20220302
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zack Debra
CENTRAL INDEX KEY: 0001807743
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39049
FILM NUMBER: 22704334
MAIL ADDRESS:
STREET 1: C/O EXAGEN, INC.
STREET 2: 1261 LIBERTY WAY, SUITE C
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]
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
wf-form4_164625724694463.xml
FORM 4
X0306
4
2022-03-01
0
0001274737
EXAGEN INC.
XGN
0001807743
Zack Debra
C/O EXAGEN INC.
1261 LIBERTY WAY
VISTA
CA
92081
0
1
0
0
Chief Medical Officer
Common Stock
2022-03-01
4
F
0
3241
7.12
D
84259
D
The shares were withheld from the Reporting Person to satisfy the tax withholding obligations that arose upon the vesting of certain restricted stock units granted on February 23, 2021.
/s/ Kamal Adawi, as attorney-in-fact
2022-03-02