0000899243-22-006696.txt : 20220216
0000899243-22-006696.hdr.sgml : 20220216
20220216204323
ACCESSION NUMBER: 0000899243-22-006696
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220214
FILED AS OF DATE: 20220216
DATE AS OF CHANGE: 20220216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spain Kevin
CENTRAL INDEX KEY: 0001586891
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40508
FILM NUMBER: 22645394
MAIL ADDRESS:
STREET 1: C/O EMERGENCE CAPITAL
STREET 2: 160 BOVET ROAD, STE. 300
CITY: SAN MATEO
STATE: CA
ZIP: 94402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Doximity, Inc.
CENTRAL INDEX KEY: 0001516513
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 272485512
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 500 THIRD STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: (650) 549-4330
MAIL ADDRESS:
STREET 1: 500 THIRD STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-02-14
0
0001516513
Doximity, Inc.
DOCS
0001586891
Spain Kevin
C/O EMERGENCE CAPITAL
160 BOVET ROAD, SUITE 300
SAN MATEO
CA
94402
1
0
0
0
Class A Common Stock
2022-02-14
4
C
0
1928000
0.00
A
1928000
I
By Emergence Capital Partners II, L.P.
Class A Common Stock
2022-02-14
4
J
0
1928000
0.00
D
0
I
By Emergence Capital Partners II, L.P.
Class A Common Stock
2022-02-14
4
J
0
26532
0.00
A
26532
I
See footnote
Class A Common Stock
775000
I
By Emergence Capital Opportunity I, L.P.
Class B Common Stock
2022-02-14
4
C
0
1928000
0.00
D
Class A Common Stock
1928000
22174728
I
By Emergence Capital Partners II, L.P.
On February 14, 2022, Emergence Capital Partners II, L.P. ("ECP II") converted in the aggregate 1,928,000 shares of the Issuer's Class B Common Stock into 1,928,000 shares of the Issuer's Class A Common Stock. Subsequently on the same date, ECP II distributed in-kind, without consideration, all 1,928,000 shares of Class A Common Stock pro-rata to its partners, including its limited partners and its general partner, Emergence Equity Partners II, L.P. ("EEP II"), in accordance with the exemptions under Rule 16a-9 and Rule 16a-13 of the Securities Exchange Act of 1934, as amended. Upon receipt by EEP II of its pro rata interest of the distribution (353,763 shares of Class A Common Stock), EEP II distributed in-kind, without consideration, all such shares pro-rata to its limited partners in accordance with the exemptions under Rule 16a-9 and Rule 16a-13 of the Securities Exchange Act of 1934, as amended.
These shares are held directly by ECP II. The sole general partner of ECP II is EEP II, and the sole general partner of EEP II is Emergence GP Partners, LLC ("EGP"). The Reporting Person is a member of EEP II. The reporting person disclaims Section 16 beneficial ownership of the shares held by ECP II, except to the extent, if any, of its pecuniary interest therein, and this report shall not be deemed an admission that he is the beneficial owner of such shares for Section 16 or any other purpose.
Represents shares received pursuant to the distribution-in-kind, as described in footnote (1), and are held by The Spain-Goralnik Family Trust 12/7/12. The reporting person disclaims Section 16 beneficial ownership of such shares, except to the extent, if any, of its pecuniary interest therein, and this report shall not be deemed an admission that he is the beneficial owner of such shares for Section 16 or any other purpose
These shares are held directly by Emergence Capital Opportunity I, L.P. ("ECO I"). The sole general partner of ECO I is Emergence Equity Partners VI, L.P. ("EEP VI"), and the sole general partner of EEP VI is EGP. The Reporting Person is a member of EEP VI. The reporting person disclaims Section 16 beneficial ownership of the shares held by ECO I, except to the extent, if any, of its pecuniary interest therein, and this report shall not be deemed an admission that he is the beneficial owner of such shares for Section 16 or any other purpose.
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, and has no expiration. 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.
By: /s/ David Singer, Attorney-in-Fact
2022-02-16