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EXAGEN INC. — Director's Dealing 2019
Sep 23, 2019
33644_dirs_2019-09-23_56017c62-f349-4daf-9be1-e608c132afe5.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: EXAGEN INC. (XGN)
CIK: 0001274737
Period of Report: 2019-09-19
Reporting Person: NMSIC Co-Investment Fund, L.P. (10% Owner)
Reporting Person: NMSIC Focused LLC (10% Owner)
Reporting Person: Sun Mountain Capital Partners LLC (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2019-09-19 | Common Stock | X | 349823 | $1.84 | Acquired | 361897 | Indirect |
| 2019-09-19 | Common Stock | X | 19825 | $14.3235 | Acquired | 381722 | Indirect |
| 2019-09-19 | Common Stock | F | 49860 | $18.58 | Disposed | 331862 | Indirect |
| 2019-09-23 | Common Stock | C | 2228500 | $0.00 | Acquired | 2560362 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2019-09-19 | Warrants | $1.84 | C | 280127 | Disposed | Common Stock (280127) | Indirect | |
| 2019-09-19 | Warrants | $1.84 | C | 69696 | Disposed | Common Stock (69696) | Indirect | |
| 2019-09-19 | Warrants | $14.3235 | X | 19825 | Disposed | Common Stock (19825) | Indirect | |
| 2019-09-23 | Series A-3 Redeemable Convertible Preferred Stock | $ | C | 607168 | Disposed | Common Stock (3306) | Indirect | |
| 2019-09-23 | Series C Redeemable Convertible Preferred Stock | $ | C | 8081136 | Disposed | Common Stock (141046) | Indirect | |
| 2019-09-23 | Series D Redeemable Convertible Preferred Stock | $ | C | 3373594 | Disposed | Common Stock (58882) | Indirect | |
| 2019-09-23 | Series E Redeemable Convertible Preferred Stock | $ | C | 64239884 | Disposed | Common Stock (1121230) | Indirect | |
| 2019-09-23 | Series F Redeemable Convertible Preferred Stock | $ | C | 112958220 | Disposed | Common Stock (615123) | Indirect | |
| 2019-09-23 | Series H Redeemable Convertible Preferred Stock | $ | C | 53054485 | Disposed | Common Stock (288913) | Indirect |
Footnotes
F1: The shares reported on this form are held of record by NMSIC Co-Investment Fund, L.P. ("NMSIC") and NMSIC Focused, LLC ("NMSIC Focused"). NMSIC is the sole member of NMSIC Focused. Sun Mountain Capital Partners LLC ("Sun Mountain") is the general partner of NMSIC. The controlling members of Sun Mountain are Brian Birk, Sally Coming and Lee Rand. As such, each of these entities and individuals may be deemed to share beneficial ownership of the shares held of record by NMSIC and NMSIC Focused. Each of Sun Mountain, Mr. Birk, Ms. Coming and Mr. Rand disclaims beneficial ownership of the securities held of record by NMSIC and NMSIC Focused.
F2: The warrants are currently exercisable and will expire on January 19, 2026.
F3: The warrants are currently exercisable and will expire on March 31, 2026.
F4: The warrants are currently exercisable and will terminate upon closing of the Issuer's initial public offering.
F5: 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.
F6: Represents securities held of record by NMSIC Focused.
F7: The Series A-3 Redeemable Convertible Preferred Stock (the "Series A-3") 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 A-3 automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
F8: Represents securities held of record by NMSIC.
F9: The Series C Redeemable Convertible Preferred Stock (the "Series C") 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 C automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
F10: The Series D Redeemable Convertible Preferred Stock (the "Series D") 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 D automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
F11: 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.
F12: Includes 448,921 and 672,308 shares of common stock underlying the Series E shares held by NMSIC and NMSIC Focused, respectively.
F13: 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.
F14: The Series H Redeemable Convertible Preferred Stock ("Series H") 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 H automatically converted into Common Stock upon the closing of the Issuer's initial public offering.