4//SEC Filing
TULLIS DICKERSON CAPITAL FOCUS III, L.P. 4
Accession 0000899243-19-024086
CIK 0001274737other
Filed
Sep 22, 8:00 PM ET
Accepted
Sep 23, 9:50 PM ET
Size
32.0 KB
Accession
0000899243-19-024086
Insider Transaction Report
Form 4
EXAGEN INC.XGN
Transactions
- Exercise of In-Money
Common Stock
2019-09-19$14.32/sh+11,498$164,692→ 11,597 total(indirect: See footnote) - Conversion
Common Stock
2019-09-23+1,786,853→ 1,789,585 total(indirect: See footnote) - Conversion
Series E Redeemable Convertible Preferred Stock
2019-09-23−53,251,030→ 0 total(indirect: See footnotes)→ Common Stock (929,432 underlying) - Conversion
Series F Redeemable Convertible Preferred Stock
2019-09-23−81,166,266→ 0 total(indirect: See footnotes)→ Common Stock (441,998 underlying) - Conversion
Series A-3 Redeemable Convertible Preferred Stock
2019-09-23−468,321→ 0 total(indirect: See footnotes)→ Common Stock (2,550 underlying) - Conversion
Series H Redeemable Convertible Preferred Stock
2019-09-23−58,359,932→ 0 total(indirect: See footnotes)→ Common Stock (317,804 underlying) - Tax Payment
Common Stock
2019-09-19$18.58/sh−8,865$164,712→ 2,732 total(indirect: See footnote) - Exercise of In-Money
Warrants
2019-09-19$14.32/sh−11,498$164,692→ 0 total(indirect: See footnotes)Exercise: $14.32→ Common Stock (11,498 underlying) - Conversion
Series C Redeemable Convertible Preferred Stock
2019-09-23−5,446,902→ 0 total(indirect: See footnotes)→ Common Stock (95,069 underlying)
Footnotes (13)
- [F1]The shares reported on this form are held of record by Tullis-Dickerson Capital Focus III, L.P. ("Tullis"), Tullis Growth Fund, L.P. ("Tullis Growth") and Tullis Growth Fund II, L.P. ("Tullis Growth II"). Tullis-Dickerson Partners III, LLC ("Tullis Partners") is the general partner of Tullis and may be deemed to beneficially own the securities held by Tullis. Tullis Growth Partners, LLC and Tullis Growth Partners II, LLC are the general partners of Tullis Growth and Tullis Growth II, respectively, and may be deemed to beneficially own the securities held by Tullis Growth and Tullis Growth II. James L.L. Tullis is a Principal of each of the foregoing entities and may be deemed to possess voting and investment control over, and may be deemed to have an indirect beneficial ownership with respect to, the shares held by Tullis, Tullis Growth and Tullis Growth II.
- [F10]The Series F Redeemable Convertible Preferred Stock ("Series F") is convertible into the Issuer's Common Stock on a 183.635-for-one basis at the holder's election and has no expiration date. The Series F automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F11]Includes 242,226 and 199,771 shares of common stock underlying the Series F shares held by Tullis and Tullis Growth, respectively.
- [F12]The Series H Redeemable Convertible Preferred Stock ("Series H") is convertible into the Issuer's Common Stock on a 183.635-for-one basis at the holder's election and has no expiration date. The Series H automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F13]Includes 106,897 shares, 105,453 shares and 105,453 shares of common stock underlying the Series H shares held by Tullis, Tullis Growth and Tullis Growth II, respectively.
- [F2]Represents securities held of record by Tullis.
- [F3]The warrants are currently exercisable and will terminate upon closing of the Issuer's initial public offering.
- [F4]Represents warrants that previously entitled the holders to purchase Series E Redeemable Convertible Preferred Stock, which, pursuant to their terms, were settled in shares of the Issuer's Common Stock.
- [F5]Includes warrants held by Tullis and Tullis Growth, respectively, to purchase 43 shares of the Issuer's Common Stock and warrants to purchase 11,455 shares of the Issuer's Common Stock.
- [F6]The Series A-3 Redeemable Convertible Preferred Stock (the "Series A-3") is convertible into the Issuer's Common Stock on a 183.635-for-one basis at the holder's election and has no expiration date. The Series A-3 automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F7]The Series C Redeemable Convertible Preferred Stock (the "Series C") is convertible into the Issuer's Common Stock on a 57.294-for-one basis at the holder's election and has no expiration date. The Series C automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F8]The Series E Redeemable Convertible Preferred Stock (the "Series E") is convertible into the Issuer's Common Stock on a 57.294-for-one basis at the holder's election and has no expiration date. The Series E automatically converted into Common Stock upon the closing of the Issuer's initial public offering.
- [F9]Includes 656,282 and 273,150 shares of common stock underlying the Series E shares held by Tullis and Tullis Growth, respectively.
Documents
Issuer
EXAGEN INC.
CIK 0001274737
Entity typeother
Related Parties
1- filerCIK 0001144359
Filing Metadata
- Form type
- 4
- Filed
- Sep 22, 8:00 PM ET
- Accepted
- Sep 23, 9:50 PM ET
- Size
- 32.0 KB