Gilbert H. Kliman - 02 Dec 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)

Signature
/s/ Karen A. Wilson, Attorney-in Fact for Gilbert H. Kliman
Issuer symbol
DOCS
Transactions as of
02 Dec 2021
Net transactions value
-$131,649
Form type
4
Filing time
06 Dec 2021, 19:05:11 UTC
Previous filing
15 Nov 2021
Next filing
08 Dec 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction DOCS Class A Common Stock Conversion of derivative security +4,300,000 4,300,000 02 Dec 2021 By InterWest Partners X, L.P. F1, F4
transaction DOCS Class A Common Stock Other $0 -4,300,000 -100% $0.000000* 0 02 Dec 2021 By InterWest Partners X, L.P. F2, F4
transaction DOCS Class A Common Stock Other $0 +1,101,094 $0.000000 1,101,094 02 Dec 2021 By: InterWest Management Partners X, LLC F2, F4
transaction DOCS Class A Common Stock Other $0 -1,101,094 -100% $0.000000* 0 02 Dec 2021 By: InterWest Management Partners X, LLC F3, F4
transaction DOCS Class A Common Stock Other $0 +249,778 +101% $0.000000 496,852 02 Dec 2021 Direct F3
transaction DOCS Class A Common Stock Sale $131,649 -2,000 -0.4% $65.82 494,852 03 Dec 2021 Direct F6

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction DOCS Class B Common Stock Conversion of derivative security $0 -4,300,000 -33% $0.000000 8,556,998 02 Dec 2021 Class A Common Stock 4,300,000 By InterWest Partners X, L.P. F1, F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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.
F2 Represents pro rata in-kind distribution by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance with the terms of the InterWest Partners X, LP Limited Partnership Agreement. Includes 1,101,094 shares distributed to InterWest Management Partners X, LLC ("IMP10") its general partner.
F3 Represents pro rata in-kind distribution by IMP10 without consideration to its members in accordance with the terms of the InterWest Management Partners X, LLC Operating Agreement. Includes 249,778 shares distributed to Gilbert H. Kliman ("Kliman").
F4 These shares are directly held by IW10. IMP10, as the general partner of IW10, may be deemed to beneficially own the shares held by IW10. The Reporting Person is the Managing Director of IMP10, and as such may be deemed to beneficially own the shares held by IW10. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
F5 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.
F6 The price represents the weighted-average price of the shares sold in multiple transactions ranging from $64.10 to $66.27 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.