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PALLARES EBETUEL

Disclosed activity across 1 company

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112380
SEC CIK
0001614597

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Reported relationships

Latest disclosed role at each company.

CompanyLast reported asReport datePublished
EXAGEN INC.XGN · Entity 935DirectorJune 09, 2023June 13, 2023

Disclosed balances

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Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

EXAGEN INC.

Report date June 09, 2023 · Filed June 13, 2023

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Stock Option(right to buy)SEC Table II · derivative / convertible security · Conversion / exercise price $3.13 · Expires 2023-06-08Direct9,000 Reported balance After 2023-06-09 transaction · row 1 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 1 · 2023-06-09 · Grant · Acquired 9,000 · Balance 9,000

F1: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

Filing footnotes · ownership attribution and instrument terms

F1: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

Transaction history

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Purchases/sales include open-market and private transactions. Plan disclosure applies to the filing; individual rows may differ. “Not disclosed” is not “unplanned.”

The cutoff filters transaction history only. Company summaries and owner relationships show the latest available disclosures. Parser corrections can improve historical records.

Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
June 09, 2023 Filed Jun 13, 2023 20:36 UTC EXAGEN INC. XGN · Entity 935 GrantStock Option(right to buy) · Derivative 9,000 $0.00 Strike: $3.13 $0.00
Disclosure

SEC source: 0001274737-23-000062 · wf-form4_168668855957603.xml · derivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 9,000

Underlying: Common Stock · 9,000 shares

Expires 2023-06-08

F1 · derivative.exercise_date: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

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June 16, 2022 Filed Jun 21, 2022 12:33 UTC EXAGEN INC. XGN · Entity 935 GrantStock Option(right to buy) · Derivative 9,000 $0.00 Strike: $5.25 $0.00
Disclosure

SEC source: 0001274737-22-000045 · wf-form4_165581481042927.xml · derivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 9,000

Underlying: Common Stock · 9,000 shares

Expires 2032-06-15

F1 · derivative.exercise_date: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

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June 17, 2021 Filed Jun 21, 2021 12:39 UTC EXAGEN INC. XGN · Entity 935 GrantStock Option(right to buy) · Derivative 9,000 $0.00 Strike: $16.41 $0.00
Disclosure

SEC source: 0001274737-21-000078 · wf-form4_162427916173757.xml · derivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 9,000

Underlying: Common Stock · 9,000 shares

Expires 2031-06-16

F1 · derivative.exercise_date: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

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June 18, 2020 Filed Jul 2, 2020 12:42 UTC EXAGEN INC. XGN · Entity 935 GrantStock Option(right to buy) · Derivative 9,000 $0.00 Strike: $13.00 $0.00
Disclosure

SEC source: 0001274737-20-000063 · wf-form4_159369365100589.xml · derivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 9,000

Underlying: Common Stock · 9,000 shares

Expires 2030-06-17

F1 · derivative.exercise_date: The entire number of shares subject to this option becomes fully vested and exercisable on the first to occur of (a) the first anniversary of the grant date or (b) the next occurring annual meeting of the Issuer's stockholders, subject to the Reporting Person's continued service on the board of directors of the Issuer through such vesting date.

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April 13, 2020 Filed Apr 16, 2020 00:34 UTC EXAGEN INC. XGN · Entity 935 OtherCommon Stock 1,185 $0.00 $0.00
Disclosure

SEC source: 0001209191-20-024575 · doc4.xml · nonDerivative · entry 2

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 1,185

F3 · kind: Dr. Pallares received shares distributed by PCM on a pro rata basis for no consideration to its limited partners.

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April 13, 2020 Filed Apr 16, 2020 00:34 UTC EXAGEN INC. XGN · Entity 935 OtherCommon Stock 144,033 $0.00 $0.00
Disclosure

SEC source: 0001209191-20-024575 · doc4.xml · nonDerivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F1 · kind: PCM/Exagen, L.P. (PCM) distributed 144,033 shares of Common Stock of the Issuer to its limited partners on a pro rata basis, for no consideration.

F2 · ownership.nature: The shares reported on this form are held of record by PCM/Exgen, L.P. Ebetuel Palleres is co-manager of PCM. As a result, each of PCM and Dr. Palleres may be deemed to share beneficial ownership of the shares held of record by PCM.

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March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Exercise / conversionWarrants · Derivative 2,265 $0.00 Strike: $1.84 $0.00
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · derivative · entry 6

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

Underlying: Common Stock · 2,265 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_date: The warrants are currently exercisable and will expire on March 31, 2026.

F4 · derivative.expiration_date: The warrants are currently exercisable and will expire on March 31, 2026.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Exercise / conversionWarrants · Derivative 22,427 $0.00 Strike: $1.84 $0.00
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · derivative · entry 5

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

Underlying: Common Stock · 22,427 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F3 · derivative.exercise_date: The warrants are currently exercisable and will expire on January 19, 2026.

F3 · derivative.expiration_date: The warrants are currently exercisable and will expire on January 19, 2026.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Tax withholdingCommon Stock 214 $19.51 $4,174.50
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · nonDerivative · entry 4

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 144,033

F3 · shares: The warrants are currently exercisable and will expire on January 19, 2026.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Exercise / conversionCommon Stock 2,265 $1.84 $4,167.60
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · nonDerivative · entry 3

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 144,247

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Tax withholdingCommon Stock 2,112 $19.51 $41,198.78
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · nonDerivative · entry 2

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 141,982

F2 · shares: Represents the cashless net exercise of a warrant through the surrender of shares to the Issuer based on a fair market value of $19.507 per share, as determined by the average closing price of the Issuer's common stock for the ten trading days immediately preceding the date of exercise.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
March 11, 2020 Filed Mar 27, 2020 22:07 UTC EXAGEN INC. XGN · Entity 935 Exercise / conversionCommon Stock 22,427 $1.84 $41,265.68
Disclosure

SEC source: 0001209191-20-021486 · doc4.xml · nonDerivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 144,094

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 23, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 ConversionSeries F Redeemable Convertible Preferred Stock · Derivative 7,970,686 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · derivative · entry 6

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

Underlying: Common Stock · 43,405 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F5 · derivative.exercise_price: 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.

F5 · price: 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.

F5 · derivative.exercise_date: 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.

F5 · derivative.expiration_date: 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.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 23, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 ConversionSeries E Redeemable Convertible Preferred Stock · Derivative 4,423,371 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · derivative · entry 5

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

Underlying: Common Stock · 77,204 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_price: 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.

F4 · price: 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.

F4 · derivative.exercise_date: 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.

F4 · derivative.expiration_date: 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.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 23, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 ConversionCommon Stock 120,609 $0.00 $0.00
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · nonDerivative · entry 3

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 121,667

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 19, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 OtherWarrants · Derivative 3,839 $14.32 Strike: $14.32 $54,987.92
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · derivative · entry 4

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

Underlying: Common Stock · 3,839 shares

Expires not disclosed

F2 · derivative.exercise_date: The warrants are currently exercisable and will terminate upon closing of the Issuer's initial public offering.

F2 · derivative.expiration_date: The warrants are currently exercisable and will terminate upon closing of the Issuer's initial public offering.

F3 · derivative.underlying: 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.

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 19, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 Tax withholdingCommon Stock 2,960 $18.58 $54,996.80
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · nonDerivative · entry 2

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 1,058

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document
September 19, 2019 Filed Sep 24, 2019 01:45 UTC EXAGEN INC. XGN · Entity 935 OtherCommon Stock 3,839 $14.32 $54,987.92
Disclosure

SEC source: 0000899243-19-024082 · doc4.xml · nonDerivative · entry 1

PALLARES EBETUEL · CIK 0001614597 · Director

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 4,018

F1 · ownership.nature: The shares reported on this form are held of record by PCM/Exagen, L.P. ("PCM"). Ebetuel Pallares is a co-manager of PCM. As a result, each of PCM and Dr. Pallares may be deemed to share beneficial ownership of the shares held of record by PCM.

Read SEC document

Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.