0001140361-17-021394.txt : 20170518 0001140361-17-021394.hdr.sgml : 20170518 20170518171429 ACCESSION NUMBER: 0001140361-17-021394 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170518 DATE AS OF CHANGE: 20170518 EFFECTIVENESS DATE: 20170518 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: 021-287083 FILM NUMBER: 17855712 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 Suite C Vista CA CALIFORNIA 92081 (760) 560-1501 DELAWARE None None Corporation true Fortunato R. Rocca 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Executive Officer Director Ebetuel Pallares 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director Brian Birk 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director John M. Radak 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director Frank Witney 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director James L.L. Tullis 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director Thierry Dervieux 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Executive Officer Arthur Weinstein 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Director Mark Hazeltine 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Executive Officer Biotechnology Decline to Disclose 06b false 2017-05-04 false true false 0 13179796 3749993 9429803 false 4 0 0 0 false EXAGEN DIAGNOSTICS INC /s/ Mark Hazeltine Mark Hazeltine Interim Chief Financial Officer 2017-05-18