0001209191-23-015564.txt : 20230303 0001209191-23-015564.hdr.sgml : 20230303 20230303163638 ACCESSION NUMBER: 0001209191-23-015564 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Xie Jian CENTRAL INDEX KEY: 0001819718 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37894 FILM NUMBER: 23704800 MAIL ADDRESS: STREET 1: C/O FULGENT GENETICS, INC. STREET 2: 4978 SANTA ANITA AVE., SUITE 205 CITY: TEMPLE CITY STATE: CA ZIP: 91780 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fulgent Genetics, Inc. CENTRAL INDEX KEY: 0001674930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 812621304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4978 SANTA ANITA AVENUE, SUITE 205 CITY: TEMPLE CITY STATE: CA ZIP: 91780 BUSINESS PHONE: 626-350-0537 MAIL ADDRESS: STREET 1: 4978 SANTA ANITA AVENUE, SUITE 205 CITY: TEMPLE CITY STATE: CA ZIP: 91780 FORMER COMPANY: FORMER CONFORMED NAME: Fulgent Diagnostics, Inc. DATE OF NAME CHANGE: 20160517 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-01 0 0001674930 Fulgent Genetics, Inc. FLGT 0001819718 Xie Jian C/O FULGENT GENETICS, INC. 4978 SANTA ANITA AVE., STE 205 TEMPLE CITY CA 91780 0 1 0 0 President and COO Common Stock 2023-03-01 4 F 0 4045 31.85 D 435520 D Common Stock 220816 I By Trust 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 to the reporting person on February 28, 2022, which grants were originally reported on Form 4 filed with the U.S. Securities and Exchange Commission on March 2, 2022. Securities held by The Hsieh Family Dynasty Trust, dated January 27, 2010 (the "Trust"). Mr. Xie serves on the investment committee of the Trust. Mr. Xie disclaims any beneficial interest except with respect to any pecuniary interest therein. /s/ Paul Kim as Attorney-in-Fact 2023-03-03