Morgenthaler Venture Partners Ix Lp - Nov 10, 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)

Role
10%+ Owner
Signature
MORGENTHALER VENTURE PARTNERS IX, L.P. By: Morgenthaler Management Partners IX, LLC, its General Partner By: /s/ Travis Boettner, Chef Financial Officer and Chief Compliance Officer
Stock symbol
DOCS
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
4
Date filed
11/12/2021, 03:43 PM
Previous filing
Jun 28, 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 $0 +17.1M $0.00 17.1M Nov 10, 2021 Direct F1, F2
transaction DOCS Class A Common Stock Other $0 -8.54M -50% $0.00 8.54M Nov 12, 2021 Direct F2, F3

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 -17.1M -100% $0.00* 0 Nov 10, 2021 Class A Common Stock 17.1M Direct F1, F2, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Morgenthaler Venture Partners Ix Lp is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 Conversion of a derivative security in accordance of its terms.
F2 These shares are directly held by Morgenthaler Venture Partners IX, L.P. ("Morgenthaler"). Morgenthaler Management Partners IX, LLC ("MMP IX") is the sole general partner of Morgenthaler. MMP IX may be deemed to indirectly beneficially own the shares held by Morgenthaler, and MMP IX disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein.
F3 Represents a pro-rata, in-kind distribution by Morgenthaler and its affiliated funds, not for additional consideration, to MMP IX and its respective members and assignees.
F4 Each share of Class B Common Stock is convertible into one share of Class A Common Stock, par value $0.001 per share (the "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.