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