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

Source evidence Original filing metadata and source links for verification. 6 source fields
SEC form
4/A - Amendment
Accepted by SEC
12 Jun 2025, 20:32:07 UTC
Original report date
12 Jun 2025
Prior SEC filing
03 Jun 2025
Next SEC filing
29 Jul 2025
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Jeffrey G. Black, as attorney-in-fact

Key filing fact

Paul Kim filed Form 4/A - Amendment for EXAGEN INC. (XGN) on 12 Jun 2025.

Key facts

  • This page summarizes Paul Kim's Form 4/A - Amendment filing for EXAGEN INC. (XGN).
  • 1 reported transaction and 1 derivative row are listed below.
  • Accepted by SEC: 12 Jun 2025, 20:32.

Change

  • Previous filing in this sequence was filed on 03 Jun 2025.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4/A - Amendment disclosures.

View source filing

Reporting Owners (1)

CIK 0001253820 Primary reporting owner

Kim Paul

Relationship
Director
Address
C/O EXAGEN INC., 1261 LIBERTY WAY, VISTA
Signature
/s/ Jeffrey G. Black, as attorney-in-fact
Signature date
12 Jun 2025

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

XGN transaction Derivative

Stock Option(right to buy)

Award

Transaction value
$0
Shares
+9,000
Change %
Price
$0.000000
Shares after
9,000
Date
10 Jun 2025
Ownership
Direct
Underlying class
Common Stock
Underlying amount
9,000
Exercise price
$7.36
Footnotes
F1, F2
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 2 footnotes

Footnote 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.

Footnote 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.

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