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Filing Details

Accession Number:: 0001628280-21-013077
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-06-28 18:18:33
Reporting Period:: 2021-06-28

Accepted Time:: 2021-06-28 18:18:33
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1516513	Doximity Inc.	DOCS	()	4

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1276600	Khaled Nasr	C/O Interwest Partners 467 First Street, Suite 201 Los Altos CA 94022	No	No	Yes	No
1443898	Interwest Partners X Lp	C/O Interwest Partners 467 First Street, Suite 201 Los Altos CA 94022	No	No	Yes	No
1460207	Interwest Management Partners X, Llc	C/O Interwest Partners 467 First Street, Suite 201 Los Altos CA 94022	No	No	Yes	No
1553019	Keval Desai	C/O Interwest Partners 467 First Street, Suite 201 Los Altos CA 94022	No	No	Yes	No

Reported Non-Derivative Transactions

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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	Direct
Class A Common Stock	Disposition	2021-06-28	4,289,250	$24.57	0	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Direct
No	4	S	Direct

Reported Derivative Transactions

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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	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
0	No	4	C	Direct
0	No	4	C	Direct
0	No	4	C	Direct
21,446,248	No	4	C	Direct
17,156,998	No	4	C	Direct

Footnotes

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.
These shares are directly held by InterWest Partners X, L.P. ("InterWest"). InterWest Management Partners X, LLC ("IMP X") is the general partner of InterWest. Gilbert H. Kliman is the Managing Director of IMP X. Keval Desai and Khaled Nasr are Venture Members of IMP X. Each of IMP X, Gilbert H. Kliman, Keval Desai and Khaled Nasr may be deemed to beneficially own the shares held by InterWest, and each of IMP X, Gilbert H. Kliman, Keval Desai and Khaled Nasr disclaims beneficial ownership of such shares, except to the extent of its or his pecuniary interest therein.
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.
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.
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.