4//SEC Filing
PALLARES EBETUEL 4
Accession 0000899243-19-024082
CIK 0001274737other
Filed
Sep 22, 8:00 PM ET
Accepted
Sep 23, 9:45 PM ET
Size
16.5 KB
Accession
0000899243-19-024082
Insider Transaction Report
Form 4
EXAGEN INC.XGN
PALLARES EBETUEL
Director
Transactions
- Conversion
Series F Redeemable Convertible Preferred Stock
2019-09-23−7,970,686→ 0 total(indirect: See footnote)→ Common Stock (43,405 underlying) - Exercise of In-Money
Warrants
2019-09-19$14.32/sh−3,839$54,988→ 0 total(indirect: See footnote)Exercise: $14.32→ Common Stock (3,839 underlying) - Exercise of In-Money
Common Stock
2019-09-19$14.32/sh+3,839$54,988→ 4,018 total(indirect: See footnote) - Tax Payment
Common Stock
2019-09-19$18.58/sh−2,960$54,997→ 1,058 total(indirect: See footnote) - Conversion
Series E Redeemable Convertible Preferred Stock
2019-09-23−4,423,371→ 0 total(indirect: See footnote)→ Common Stock (77,204 underlying) - Conversion
Common Stock
2019-09-23+120,609→ 121,667 total(indirect: See footnote)
Footnotes (5)
- [F1]The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.
- [F2]The warrants are currently exercisable and will terminate upon closing of the Issuer's initial public offering.
- [F3]Represents warrants that previously entitled the holders to purchase Series E Redeemable Convertible Preferred Stock, which, pursuant to their terms, were settled in shares of the Issuer's Common Stock.
- [F4]The Series E Redeemable Convertible Preferred Stock (the "Series E") is convertible into the Issuer's Common Stock on a 57.294-for-one basis at the holder's election and has no expiration date. The Series E automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F5]The Series F Redeemable Convertible Preferred Stock ("Series F") is convertible into the Issuer's Common Stock on a 183.635-for-one basis at the holder's election and has no expiration date. The Series F automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
Documents
Issuer
EXAGEN INC.
CIK 0001274737
Entity typeother
Related Parties
1- filerCIK 0001614597
Filing Metadata
- Form type
- 4
- Filed
- Sep 22, 8:00 PM ET
- Accepted
- Sep 23, 9:45 PM ET
- Size
- 16.5 KB