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EXAGEN INC. Director's Dealing 2019

Sep 23, 2019

33644_dirs_2019-09-23_3c9f19d0-e52f-42cf-90b3-7bcdf6d56a65.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: 2019-09-23

Reporting Person: H.I.G. Bio-Exagen, L.P. (10% Owner)
Reporting Person: H.I.G.-GPII, Inc. (10% Owner)
Reporting Person: TAMER ANTHONY (10% Owner)
Reporting Person: MNAYMNEH SAMI (10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2019-09-23 Common Stock C 1271252 $0.00 Acquired 1271252 Indirect
2019-09-23 Common Stock P 425000 $14.00 Acquired 1696252 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2019-09-23 Series H Redeemable Convertible Preferred Stock $ C 233446519 Disposed Common Stock (1271252) Indirect

Footnotes

F1: The shares reported on this form are held of record by H.I.G. Bio-Exagen, L.P. ("H.I.G."). H.I.G.-GPII, Inc. ("H.I.G. GP") is the general partner of H.I.G. and has sole voting and investment control over the shares owned by H.I.G. Anthony Tamer and Sami Mnaymneh are the sole shareholders of H.I.G. GP and may be deemed to share beneficial ownership of the shares held by H.I.G. Bio-Exagen, L.P. Each of Mr. Tamer and Mr. Mnaymneh disclaims beneficial ownership of the shares reported herein except to the extent of their pecuniary interest, if any.

F2: 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.