0001140361-16-082419.txt : 20161011 0001140361-16-082419.hdr.sgml : 20161011 20161011125135 ACCESSION NUMBER: 0001140361-16-082419 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161011 DATE AS OF CHANGE: 20161011 EFFECTIVENESS DATE: 20161011 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXAGEN DIAGNOSTICS INC CENTRAL INDEX KEY: 0001274737 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272169 FILM NUMBER: 161930510 BUSINESS ADDRESS: STREET 1: 1261 LIBERTY WAY CITY: VISTA STATE: CA ZIP: 92081 BUSINESS PHONE: (760) 560-1501 MAIL ADDRESS: STREET 1: 1261 LIBERTY WAY CITY: VISTA STATE: CA ZIP: 92081 D 1 primary_doc.xml X0707 D LIVE 0001274737 EXAGEN DIAGNOSTICS INC 1261 Liberty Way Vista CA CALIFORNIA 92081 (760) 560-1501 DELAWARE None None Corporation true Fortunato R. Rocca 1261 Liberty Way Vista CA CALIFORNIA 92081 Executive Officer Director Ebetuel Pallares 1261 Liberty Way Vista CA CALIFORNIA 92081 Director Wendy Swedick 1261 Liberty Way Vista CA CALIFORNIA 92081 Executive Officer Brian Birk 1261 Liberty Way Vista CA CALIFORNIA 92081 Director John M. Radak 1261 Liberty Way Vista CA CALIFORNIA 92081 Director Frank Witney 1261 Liberty Way Vista CA CALIFORNIA 92081 Director James L.L. Tullis 1261 Liberty Way Vista CA CALIFORNIA 92081 Director Thierry Dervieux 1261 Liberty Way Vista CA CALIFORNIA 92081 Executive Officer Arthur Weinstein 1261 Liberty Way Vista CA CALIFORNIA 92081 Director Biotechnology Decline to Disclose 06b false 2016-10-05 false true false 0 995889 995889 0 false 4 0 0 0 false EXAGEN DIAGNOSTICS INC /s/ Wendy Swedick Wendy Swedick Chief Financial Officer 2016-10-11