Paul Kim - Jun 10, 2025 Form 4/A - Amendment Insider Report for EXAGEN INC. (XGN)

Role
Director
Signature
/s/ Jeffrey G. Black, as attorney-in-fact
Stock symbol
XGN
Transactions as of
Jun 10, 2025
Transactions value $
$0
Form type
4/A - Amendment
Date filed
6/12/2025, 08:32 PM
Date Of Original Report
Jun 12, 2025
Previous filing
Jun 3, 2025
Next filing
Jul 29, 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Kim Paul Director C/O EXAGEN INC., 1261 LIBERTY WAY, VISTA /s/ Jeffrey G. Black, as attorney-in-fact 2025-06-12 0001253820

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction XGN Stock Option(right to buy) Award $0 +9K $0.00 9K Jun 10, 2025 Common Stock 9K $7.36 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.
F2 On June 12, 2025, the reporting person filed a Form 4 which inadvertently reported that, following his grant of 9,000 stock options, he beneficially owned 18,000 stock options. In fact, as reported in this amendment, the reporting person beneficially owned 9,000 stock options.