0001516513-23-000088.txt : 20231128 0001516513-23-000088.hdr.sgml : 20231128 20231128160645 ACCESSION NUMBER: 0001516513-23-000088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231124 FILED AS OF DATE: 20231128 DATE AS OF CHANGE: 20231128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wampler Kira Scherer CENTRAL INDEX KEY: 0001862897 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 231446452 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 wk-form4_1701205595.xml FORM 4 X0508 4 2023-11-24 0 0001516513 Doximity, Inc. DOCS 0001862897 Wampler Kira Scherer C/O DOXIMITY, INC. 500 THIRD STREET SAN FRANCISCO CA 94107 1 0 0 0 1 Class A Common Stock 2023-11-24 4 C 0 2500 A 12758 D Class A Common Stock 2023-11-24 4 S 0 2500 24.41 D 10258 D Stock Option (Right to Buy) 1.54 2023-11-24 4 M 0 2500 0 D 2030-06-09 Class B Common Stock 2500 524700 D Class B Common Stock 2023-11-24 4 M 0 2500 0 A Class A Common Stock 2500 2500 D Class B Common Stock 2023-11-24 4 C 0 2500 0 D Class A Common Stock 2500 0 D 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. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on August 24, 2023. The stock option vests in 36 equal monthly installments after March 27, 2020, subject to the Reporting Person's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on June 10, 2020. 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 Issuer's initial public offering; 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. /s/ Jennifer Chaloemtiarana, Attorney-in-Fact 2023-11-28