Jeffrey Tangney - Nov 28, 2023 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: Nov 28, 2023
Transactions value $: $0
Form type: 4
Date filed: 11/30/2023, 05:06 PM
Previous filing: May 26, 2023
Next filing: Oct 28, 2024

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		+1.9M	+475.77%		2.3M	Nov 28, 2023	Direct	F1, F2

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	-1.9M	-30.79%	$0.00	4.27M	Nov 28, 2023	Class A Common Stock	1.9M		Direct	F1, F2, F3
holding	DOCS	Class B Common Stock						24.2M	Nov 28, 2023	Class A Common Stock	24.2M		By Tangney Schweikert Family Trust	F3, F4
holding	DOCS	Class B Common Stock						20M	Nov 28, 2023	Class A Common Stock	20M		By Tangney Annuity Trust, LLC	F3, F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	This Form 4 is being filed to reflect the conversion of certain shares of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), into shares of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at the option of the holder. Each share of Class B Common Stock converted into one share of Class A Common Stock.
F2	These shares are owned directly by Jeffrey Tangney.
F3	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.
F4	These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer and of which Mr. Tangney is trustee. Mr. Tangney disclaims beneficial ownership over the shares held by the Tangney Schweikert Family Trust, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise.
F5	These shares are owned directly by Tangney Annuity Trust, LLC, a ten percent owner of the Issuer and over which Mr. Tangney's spouse, Claudia Schweikert, has sole voting and dispositive power. Mr. Tangney disclaims beneficial ownership over the shares held by Tangney Annuity Trust, LLC, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise.