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