Mark Ein - Jul 28, 2021 Form 4 Insider Report for Doma Holdings, Inc. (DOMA)

Role
Director
Signature
/s/ Christian Ameri, as Attorney-in-Fact for Mark D. Ein.
Stock symbol
DOMA
Transactions as of
Jul 28, 2021
Transactions value $
$0
Form type
4
Date filed
7/30/2021, 09:11 PM
Previous filing
Jul 21, 2021
Next filing
Aug 11, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction DOMA Common stock Options Exercise +4.1M 4.1M Jul 28, 2021 By Capitol Acquisition Management V, LLC F1

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 DOMA Class B common stock Disposed to Issuer -1.24M -23.15% 4.1M Jul 28, 2021 Common stock 1.24M By Capitol Acquisition Management V, LLC F2
transaction DOMA Class B common stock Options Exercise -4.1M -100% 0 Jul 28, 2021 Common stock 4.1M By Capitol Acquisition Management V, LLC F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Class B common stock automatically converted into shares of Class A common stock of the Issuer following the completion of the merger by and among, Capitol, Capitol V Merger Sub, Inc. and Former Doma (the "Merger") on a one-for-one basis, subject to adjustment, which such closing occurred on July 28, 2021. At the completion of the Merger, Class A common stock was renamed common stock.
F2 The Class B common stock was forfeited and cancelled for no consideration pursuant to the Sponsor Support Agreement between Capitol Acquisition Management V LLC ("Capitol Management V"), Capitol Investment Corp V. ("Capitol"), Doma Holdings, Inc., which was formerly known as States Title Holding, Inc. ("Former Doma") and certain other parties thereto, dated March 2, 2021.

Remarks:

Exhibit 24 - Power of Attorney