0001628280-21-013076.txt : 20210628 0001628280-21-013076.hdr.sgml : 20210628 20210628181752 ACCESSION NUMBER: 0001628280-21-013076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210628 FILED AS OF DATE: 20210628 DATE AS OF CHANGE: 20210628 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: 211054947 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: 1211 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_162491863443384.xml FORM 4 X0306 4 2021-06-28 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 2021-06-28 4 P 0 775000 26 A 775000 I By Emergence Capital Opportunity I, L.P. Series A Preferred Stock 2021-06-28 4 C 0 13296504 0 D Class B Common Stock 13296504.0 0 I By Emergence Capital Partners II, L.P. Series B Preferred Stock 2021-06-28 4 C 0 5412972 0 D Class B Common Stock 5412972.0 0 I By Emergence Capital Partners II, L.P. Series C Preferred Stock 2021-06-28 4 C 0 4756302 0 D Class B Common Stock 4756302.0 0 I By Emergence Capital Partners II, L.P. Class B Common Stock 2021-06-28 4 C 0 23465778 0 A Class A Common Stock 23465778.0 24102728 I By Emergence Capital Partners II, L.P. Reflects shares of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), Emergence Capital Opportunity I, L.P. ("ECO I") purchased in the Issuer's initial public offering ("IPO") at the IPO price of $26.00 per share. These shares are held directly by 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 Emergence GP Partners, LLC ("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 his 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 Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") automatically converted into one share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), on a one-for-one basis, immediately prior to the closing of the IPO. The shares of Preferred Stock have no expiration date. 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. These shares are held directly by Emergence Capital Partners II, L.P. ("ECP II"). The sole general partner of ECP II is Emergence Equity Partners II, L.P. ("EEP II"), and the sole general partner of EEP II is 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 his 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. /s/ Kevin Spain 2021-06-28