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

Role
Director
Signature
/s/ Jeffrey G. Black, as attorney-in-fact
Issuer symbol
XGN
Transactions as of
10 Jun 2025
Net transactions value
$0
Form type
4/A - Amendment
Filing time
12 Jun 2025, 20:32:07 UTC
Date Of Original Report
12 Jun 2025
Previous filing
03 Jun 2025
Next filing
29 Jul 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 12 Jun 2025 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 +9,000 $0.000000 9,000 10 Jun 2025 Common Stock 9,000 $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.