Statement of Changes in Beneficial Ownership (4)
April 15 2020 - 1:07PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Hunt Holdings Limited Partnership |
2. Issuer Name and Ticker or Trading Symbol
EXAGEN INC.
[
XGN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
4401 N. MESA ST. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/13/2020 |
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(Street)
EL PASO, TX 79902
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
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X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 4/13/2020 | | J(1) | | 7703 | A | $0.00 | 1486518 | I | See footnote (2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | Pro rata distribution from a limited partnership. |
| (2) | Represents securities held of record by Hunt Holdings Limited Partnership. Woody L. Hunt is the majority shareholder of Hunt Guaranty Inc., which is the sole member of HuntVest, LLC, which is the general partner of Hunt Holdings Limited Partnership. As a result, Mr. Hunt and each of the foregoing entities may be deemed to beneficially own the securities held by Hunt Holdings Limited Partnership, but each disclaims beneficial ownership of such securities except to the extent of his or its respective pecuniary interest therein, if any. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Hunt Holdings Limited Partnership
4401 N. MESA ST.
EL PASO, TX 79902 |
| X |
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HuntVest, LLC
4401 N. MESA ST.
EL PASO, TX 79902 |
| X |
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Hunt Guaranty Inc.
4401 N. MESA ST.
EL PASO, TX 79902 |
| X |
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Hunt Woody L
4401 N. MESA ST.
EL PASO, TX 79902 |
| X |
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Signatures
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| Hunt Holdings Limited Partnership, By: HuntVest, LLC, its general partner, By: Hunt Guaranty Inc., its sole member, /s/ Matthew D. Hunt, Name: Matthew D. Hunt, Title: Managing Partner | | 4/15/2020 |
| **Signature of Reporting Person | Date |
| HuntVest, LLC, By: Hunt Guaranty Inc., its sole member, /s/ Matthew D. Hunt, Name: Matthew D. Hunt, Title: Managing Partner | | 4/15/2020 |
| **Signature of Reporting Person | Date |
| Hunt Guaranty Inc., /s/ Matthew D. Hunt, Name: Matthew D. Hunt, Title: Managing Partner | | 4/15/2020 |
| **Signature of Reporting Person | Date |
| /s/ Paul D. Donnelly, attorney-in-fact for Woody L. Hunt | | 4/15/2020 |
| **Signature of Reporting Person | Date |
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