Jeffrey Tangney - Dec 7, 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)

Role: Chief Executive Officer, Director, 10%+ Owner
Signature: /s/ Jennifer Chaloemtiarana, Attorney-in-Fact for Jeffrey Tangney
Stock symbol: DOCS
Transactions as of: Dec 7, 2021
Transactions value $: $0
Form type: 4
Date filed: 12/8/2021, 04:00 PM
Previous filing: Nov 19, 2021
Next filing: Jun 1, 2022

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		+150K	+150%		250K	Dec 7, 2021	Direct	F1, F2
holding	DOCS	Class A Common Stock						150K	Dec 7, 2021	By Tangney Schweikert Family Trust	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	-150K	-2.37%	$0.00	6.17M	Dec 7, 2021	Class A Common Stock	150K		Direct	F1, F2, F4
holding	DOCS	Class B Common Stock						24.2M	Dec 7, 2021	Class A Common Stock	24.2M		By Tangney Schweikert Family Trust	F3, F4
holding	DOCS	Class B Common Stock						20M	Dec 7, 2021	Class A Common Stock	20M		By Tangney Annuity Trust, LLC	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	These shares are owned directly by Jeffrey Tangney.
F3	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.
F4	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.
F5	These shares are owned directly by Tangney Annuity Trust, LLC, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust.