Home > Insider Trading > Filing (0000899243-21-047010)

Filing Details

Accession Number:: 0000899243-21-047010
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-12-06 20:05:11
Reporting Period:: 2021-12-02

Accepted Time:: 2021-12-06 20:05:11
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

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Class A Common Stock	Acquisiton	2021-12-02	4,300,000	$0.00	4,300,000	No	4	C	Indirect	By InterWest Partners X, L.P.
Class A Common Stock	Disposition	2021-12-02	4,300,000	$0.00	0	No	4	J	Indirect	By InterWest Partners X, L.P.
Class A Common Stock	Acquisiton	2021-12-02	1,101,094	$0.00	1,101,094	No	4	J	Indirect	By: InterWest Management Partners X, LLC
Class A Common Stock	Disposition	2021-12-02	1,101,094	$0.00	0	No	4	J	Indirect	By: InterWest Management Partners X, LLC
Class A Common Stock	Acquisiton	2021-12-02	249,778	$0.00	496,852	No	4	J	Direct
Class A Common Stock	Disposition	2021-12-03	2,000	$65.82	494,852	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Indirect	By InterWest Partners X, L.P.
No	4	J	Indirect	By InterWest Partners X, L.P.
No	4	J	Indirect	By: InterWest Management Partners X, LLC
No	4	J	Indirect	By: InterWest Management Partners X, LLC
No	4	J	Direct
No	4	S	Direct

Reported Derivative Transactions

Show Other Fields >>

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Class A Common Stock	Class B Common Stock	Disposition	2021-12-02	4,300,000	$0.00	4,300,000	$0.00

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
8,556,998			No	4	C	Indirect

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.
Represents pro rata in-kind distribution by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance with the terms of the InterWest Partners X, LP Limited Partnership Agreement. Includes 1,101,094 shares distributed to InterWest Management Partners X, LLC ("IMP10") its general partner.
Represents pro rata in-kind distribution by IMP10 without consideration to its members in accordance with the terms of the InterWest Management Partners X, LLC Operating Agreement. Includes 249,778 shares distributed to Gilbert H. Kliman ("Kliman").
These shares are directly held by IW10. IMP10, as the general partner of IW10, may be deemed to beneficially own the shares held by IW10. The Reporting Person is the Managing Director of IMP10, and as such may be deemed to beneficially own the shares held by IW10. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
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.
The price represents the weighted-average price of the shares sold in multiple transactions ranging from $64.10 to $66.27 per share, inclusive. The Reporting Person undertakes to provide the Issuer, a security holder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.