0001722438-21-000027.txt : 20211006
0001722438-21-000027.hdr.sgml : 20211006
20211006183700
ACCESSION NUMBER: 0001722438-21-000027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211005
FILED AS OF DATE: 20211006
DATE AS OF CHANGE: 20211006
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Michael Alan
CENTRAL INDEX KEY: 0001543844
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211310653
MAIL ADDRESS:
STREET 1: C/O CAPITALSOURCE INC.
STREET 2: 5404 WISCONSIN AVENUE, 2ND FLOOR
CITY: CHEVY CHASE
STATE: MD
ZIP: 20815
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Doma Holdings, Inc.
CENTRAL INDEX KEY: 0001722438
STANDARD INDUSTRIAL CLASSIFICATION: TITLE INSURANCE [6361]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 MISSION STREET
STREET 2: SUITE 740
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (650) 419-3827
MAIL ADDRESS:
STREET 1: 101 MISSION STREET
STREET 2: SUITE 740
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
FORMER COMPANY:
FORMER CONFORMED NAME: Capitol Investment Corp. V
DATE OF NAME CHANGE: 20171113
4
1
wf-form4_163355980445393.xml
FORM 4
X0306
4
2021-10-05
0
0001722438
Doma Holdings, Inc.
DOMA
0001543844
Smith Michael Alan
101 MISSION ST.
SUITE 740
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Accounting Officer
Common stock
2021-10-05
4
A
0
129871
0
A
129871
D
Grant of Doma Holdings, Inc.'s (the "Company") common stock to the reporting person in the form of restricted stock units ("RSUs") pursuant to the Company's Omnibus Incentive Plan (the "Plan"). These RSUs will be settled solely by delivery of shares of Company common stock and vest as follows: 25% of the RSUs will vest on the first anniversary of August 16, 2021 (the "Vesting Commencement Date") and the remainder will vest in 12 consecutive, equal, quarterly installments such that the award is fully vested on the fourth anniversary of the Vesting Commencement Date, provided the reporting person is continuously employed through such date as applicable.
/s/ Christian Ameri, as Attorney-in-Fact for Michael Alan Smith
2021-10-06