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