Tangney Jeffrey - 12 Nov 2021 Form 4/A - Amendment Insider Report for Doximity, Inc. (DOCS)

Role: Chief Executive Officer, Director, 10%+ Owner
Signature: /s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Jeffrey Tangney
Issuer symbol: DOCS
Transactions as of: 12 Nov 2021
Net transactions value: $0
Form type: 4/A - Amendment
Filing time: 08 Dec 2021, 15:54:49 UTC
Date Of Original Report: 19 Nov 2021
Previous filing: 30 Nov 2023
Next filing: 19 Nov 2021
SEC: View on sec.gov

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		+100,000			100,000	12 Nov 2021	Direct	F1, F2, F3
transaction	DOCS	Class A Common Stock	Conversion of derivative security		+150,000			150,000	12 Nov 2021	By Tangney Schweikert Family Trust	F1, F2, F4

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	-100,000	-1.6%	$0.000000	6,321,666	12 Nov 2021	Class A Common Stock	100,000		Direct	F1, F2, F3, F5
transaction	DOCS	Class B Common Stock	Conversion of derivative security	$0	-150,000	-0.62%	$0.000000	24,203,330	12 Nov 2021	Class A Common Stock	150,000		By Tangney Schweikert Family Trust	F1, F2, 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	This Form 4/A is being filed to include this transaction, which was inadvertently omitted from the Forms 4 and 4/A filed by Jeffrey Tangney on November 19, 2021.
F3	These shares are owned directly by Mr. Tangney.
F4	These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust. Mr. Tangney is an officer, director and ten percent owner of the Issuer.
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 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.