Gilbert H. Kliman - 23 Jun 2021 Form 3 Insider Report for Doximity, Inc. (DOCS)

Role: Director, 10%+ Owner
Signature: /s/ Jennifer Chaloemtiarana, Attorney-in-Fact
Issuer symbol: DOCS
Transactions as of: 23 Jun 2021
Net transactions value: $0
Form type: 3
Filing time: 23 Jun 2021, 20:35:00 UTC
Previous filing: 07 Jun 2021
Next filing: 25 Jun 2021
SEC: View on sec.gov

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
holding	DOCS	Series A Preferred Stock							23 Jun 2021	Class B Common Stock	13,296,504	$0.000000	By InterWest Partners X, L.P.	F1, F2, F3
holding	DOCS	Series B Preferred Stock							23 Jun 2021	Class B Common Stock	5,412,972	$0.000000	By InterWest Partners X, L.P.	F1, F2, F3
holding	DOCS	Series C Preferred Stock							23 Jun 2021	Class B Common Stock	2,736,772	$0.000000	By InterWest Partners X, L.P.	F1, F2, F3

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

Explanation of Responses:

Id	Content
F1	Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") shall automatically convert into one share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), on a one-for-one basis, immediately prior to the closing of the Issuer's initial public offering ("IPO"). The shares of Preferred Stock have no expiration date.
F2	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.
F3	These shares are directly held by InterWest Partners X, L.P. ("InterWest"). InterWest Management Partners X, LLC ("IMP X"), as the general partner of InterWest, may be deemed to beneficially own the shares held by InterWest. The Reporting Person is the Managing Director of IMP X, and as such may be deemed to beneficially own the shares held by InterWest. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.