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EXAGEN INC. Director's Dealing 2019

Sep 23, 2019

33644_dirs_2019-09-23_aa503d0f-b2c7-44ba-96ad-d7a1fb0ca075.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: PALLARES EBETUEL (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2019-09-19 Common Stock X 3839 $14.3235 Acquired 4018 Indirect
2019-09-19 Common Stock F 2960 $18.58 Disposed 1058 Indirect
2019-09-23 Common Stock C 120609 $0.00 Acquired 121667 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2019-09-19 Warrants $14.3235 X 3839 Disposed Common Stock (3839) Indirect
2019-09-23 Series E Redeemable Convertible Preferred Stock $ C 4423371 Disposed Common Stock (77204) Indirect
2019-09-23 Series F Redeemable Convertible Preferred Stock $ C 7970686 Disposed Common Stock (43405) Indirect

Footnotes

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.