0001567619-19-002115.txt : 20190201 0001567619-19-002115.hdr.sgml : 20190201 20190201122311 ACCESSION NUMBER: 0001567619-19-002115 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190201 DATE AS OF CHANGE: 20190201 EFFECTIVENESS DATE: 20190201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXAGEN 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: 021-331950 FILM NUMBER: 19558653 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 FORMER COMPANY: FORMER CONFORMED NAME: EXAGEN DIAGNOSTICS INC DATE OF NAME CHANGE: 20031230 D 1 primary_doc.xml X0708 D LIVE 0001274737 EXAGEN INC. 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 (760) 560-1501 DELAWARE None EXAGEN DIAGNOSTICS INC 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 Daniel C. Burrell 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 Kamal Adawi 1261 Liberty Way Suite C Vista CA CALIFORNIA 92081 Executive Officer Biotechnology Decline to Disclose 06b false 2019-01-02 false true false 0 16000000 6586411 9413589 false 4 0 0 0 false EXAGEN INC. /s/ Kamal Adawi Kamal Adawi President and Chief Executive Officer 2019-02-01