0001104659-12-073261.txt : 20121101 0001104659-12-073261.hdr.sgml : 20121101 20121101171249 ACCESSION NUMBER: 0001104659-12-073261 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121101 DATE AS OF CHANGE: 20121101 EFFECTIVENESS DATE: 20121101 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXAGEN DIAGNOSTICS INC CENTRAL INDEX KEY: 0001274737 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-186398 FILM NUMBER: 121174331 BUSINESS ADDRESS: STREET 1: 801 UNIVERSITY SE STREET 2: SUITE 209 CITY: ALBUQUERQUE STATE: NM ZIP: 87106 BUSINESS PHONE: 505-272-7966 MAIL ADDRESS: STREET 1: 801 UNIVERSITY BLVD. SE CITY: ALBUQUERQUE STATE: NM ZIP: 87106 D 1 primary_doc.xml X0706 D LIVE 0001274737 EXAGEN DIAGNOSTICS INC 851 University Blvd., SE Suite 200 Albuquerque NM NEW MEXICO 87106 505-272-7966 DELAWARE None None Corporation true Fortunato R. Rocca 851 University Boulevard, SE Suite 200 Albuquerque NM NEW MEXICO 87106 Executive Officer Director Thierry Dervieux 851 University Boulevard, SE Suite 200 Albuquerque NM NEW MEXICO 87106 Executive Officer Beto Pallares 228 Griffin Street Santa Fe NM NEW MEXICO 87501 Director Wendy Swedick 851 University Boulevard, SE Suite 200 Albuquerque NM NEW MEXICO 87106 Executive Officer Brian Birk 301 Griffin Street Santa Fe NM NEW MEXICO 87501 Director Sam Riccitelli 1131 Via Felicita Encinitas CA CALIFORNIA 92024 Director Michael J. Walsh P.O. Box 3125 Delmar CA CALIFORNIA 92014 Director Curt LaBelle One Stamford Plaza 263 Tresser Boulevard Stamford CT CONNECTICUT 06901 Director Biotechnology $1,000,001 - $5,000,000 06 false 2012-10-18 false true false 0 679407 123745 555662 false 5 0 0 0 true EXAGEN DIAGNOSTICS INC /s/ Wendy Swedick Wendy Swedick Chief Financial Officer 2012-11-01