0001516513-22-000043.txt : 20220601 0001516513-22-000043.hdr.sgml : 20220601 20220601162441 ACCESSION NUMBER: 0001516513-22-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220527 FILED AS OF DATE: 20220601 DATE AS OF CHANGE: 20220601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tangney Jeffrey CENTRAL INDEX KEY: 0001863328 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 22987663 MAIL ADDRESS: STREET 1: C/O DOXIMITY, INC. STREET 2: 500 3RD STREET SUITE 510 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tangney Schweikert Family Trust CENTRAL INDEX KEY: 0001868242 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 22987662 BUSINESS ADDRESS: STREET 1: C/O DOXIMITY, INC. STREET 2: 500 3RD STREET, SUITE 510 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 650-549-4330 MAIL ADDRESS: STREET 1: C/O DOXIMITY, INC. STREET 2: 500 3RD STREET, SUITE 510 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 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 wf-form4_165411506016800.xml FORM 4 X0306 4 2022-05-27 0 0001516513 Doximity, Inc. DOCS 0001863328 Tangney Jeffrey DOXIMITY, INC. 500 THIRD STREET SAN FRANCISCO CA 94107 1 1 1 0 Chief Executive Officer 0001868242 Tangney Schweikert Family Trust C/O DOXIMITY, INC. 500 THIRD STREET SAN FRANCISCO CA 94107 0 0 1 0 Class A Common Stock 2022-05-27 4 P 0 2950 34.50 A 252950 D Class A Common Stock 150000 I By Tangney Schweikert Family Trust These shares are owned directly by Mr. Tangney. These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer, and indirectly by Jeffrey Tangney as trustee of such trust. Mr. Tangney is an officer, director and ten percent owner of the Issuer. /s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Jeffrey Tangney 2022-06-01 /s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Tangney Schweikert Family Trust 2022-06-01