Filing Details

Accession Number:
0001516513-21-000032
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-16 17:11:13
Reporting Period:
2021-11-12
Accepted Time:
2021-11-16 17:11:13
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1516513 Doximity Inc. DOCS Services-Computer Programming Services (7371) 272485512
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1594511 M. Regina Benjamin C/O Doximity, Inc.
500 Third Street
San Francisco CA 94107
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2021-11-12 105,862 $0.00 105,862 No 4 C Direct
Class A Common Stock Disposition 2021-11-12 82,500 $74.67 23,362 No 4 S Direct
Class A Common Stock Disposition 2021-11-12 22,362 $75.70 1,000 No 4 S Direct
Class A Common Stock Disposition 2021-11-12 1,000 $75.02 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 S Direct
No 4 S Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class B Common Stock Stock Option (Right to Buy) Disposition 2021-11-12 104,862 $0.00 104,862 $2.21
Class B Common Stock Stock Option (Right to Buy) Disposition 2021-11-12 1,000 $0.00 1,000 $1.05
Class A Common Stock Class B Common Stock Acquisiton 2021-11-12 104,862 $0.00 104,862 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-11-12 1,000 $0.00 1,000 $0.00
Class A Common Stock Class B Common Stock Disposition 2021-11-12 105,862 $0.00 105,862 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
431,138 2030-09-01 No 4 M Direct
0 2028-06-05 No 4 M Direct
104,862 No 4 M Direct
105,862 No 4 M Direct
0 No 4 C Direct
Footnotes
  1. 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.
  2. The price represents the weighted-average price of the shares sold in multiple transactions ranging from $75.0000 to $75.9900 per share, inclusive. The Reporting Person undertakes to provide the Issuer, a security holder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  3. The price represents the weighted-average price of the shares sold in multiple transactions ranging from $76.0000 to $76.1800 per share, inclusive. The Reporting Person undertakes to provide the Issuer, a security holder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  4. The stock option vests in 36 equal monthly installments after September 2, 2020, subject to the Reporting Person's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on September 2, 2020.
  5. 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.
  6. The stock option was granted on June 6, 2018 and fully vested as of such date.