Filing Details

Accession Number:
0001628280-21-013074
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-06-28 18:16:26
Reporting Period:
2021-06-28
Accepted Time:
2021-06-28 18:16:26
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1516513 Doximity Inc. DOCS () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1293171 H Gilbert Kliman C/O Interwest Partners
467 First Street, Suite 201
Los Altos CA 94022
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2021-06-28 4,289,250 $0.00 4,289,250 No 4 C Indirect By InterWest Partners X, L.P.
Class A Common Stock Disposition 2021-06-28 4,289,250 $24.57 0 No 4 S Indirect By InterWest Partners X, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By InterWest Partners X, L.P.
No 4 S Indirect By InterWest Partners X, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class B Common Stock Series A Preferred Stock Disposition 2021-06-28 13,296,504 $0.00 13,296,504 $0.00
Class B Common Stock Series B Preferred Stock Disposition 2021-06-28 5,412,972 $0.00 5,412,972 $0.00
Class B Common Stock Series C Preferred Stock Disposition 2021-06-28 2,736,772 $0.00 2,736,772 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-06-28 21,446,248 $0.00 21,446,248 $0.00
Class A Common Stock Class B Common Stock Disposition 2021-06-28 4,289,250 $0.00 4,289,250 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
21,446,248 No 4 C Indirect
17,156,998 No 4 C Indirect
Footnotes
  1. Each share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), converted into one share of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at the option of the holder.
  2. These shares are directly held by InterWest Partners X, L.P. ("InterWest"). InterWest Management Partners X, LLC ("IMP X"), as the general partner of InterWest, may be deemed to beneficially own the shares held by InterWest. The Reporting Person is the Managing Director of IMP X, and as such may be deemed to beneficially own the shares held by InterWest. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
  3. These shares were sold by InterWest in connection with the Issuer's initial public offering ("IPO") at a net price per share of $24.57 (after underwriting discounts and commissions). InterWest was a selling stockholder in the IPO.
  4. Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") automatically converted into one share of Class B Common Stock on a one-for-one basis, immediately prior to the closing of the IPO. The shares of Preferred Stock have no expiration date.
  5. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at any time at the option of the holder. Each share of Class B Common Stock held by the Reporting Person will automatically convert into one share of Class A Common Stock, upon the following: (1) the sale or transfer of such share of Class B Common Stock, except for certain permitted transfers described in the Issuer's amended and restated certificate of incorporation; (2) the death or incapacity of the Reporting Person; and (3) on the final conversion date, defined as the earlier of (a) the tenth anniversary of the effectiveness of the registration statement in connection with the IPO; or (b) the date specified by a vote of the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, voting as a single class.