Jeffrey Tangney - Feb 16, 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
Feb 16, 2021
Transactions value $
$0
Form type
4
Date filed
6/28/2021, 06:19 PM
Next filing
Jun 23, 2021

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 Stock Option (Right to Buy) Award $0 +3.75M $0.00 3.75M Feb 16, 2021 Class B Common Stock 3.75M $8.26 Direct F1, F2, F3, F4
transaction DOCS Class B Common Stock Gift $0 -20M -46.74% $0.00 22.8M Apr 21, 2021 Class A Common Stock 20M By Tangney Schweikert Family Trust F1, F3, F5
transaction DOCS Class B Common Stock Gift $0 +20M $0.00 20M Apr 21, 2021 Class A Common Stock 20M By Tangney Annuity Trust, LLC F1, F3, F6
transaction DOCS Series A Preferred Stock Conversion of derivative security $0 -1.04M -100% $0.00* 0 Jun 28, 2021 Class B Common Stock 1.04M By Tangney Schweikert Family Trust F3, F5, F7
transaction DOCS Series B Preferred Stock Conversion of derivative security $0 -77.1K -100% $0.00* 0 Jun 28, 2021 Class B Common Stock 77.1K By Tangney Schweikert Family Trust F3, F5, F7
transaction DOCS Series C Preferred Stock Conversion of derivative security $0 -551K -100% $0.00* 0 Jun 28, 2021 Class B Common Stock 551K By Tangney Schweikert Family Trust F3, F5, F7
transaction DOCS Class B Common Stock Conversion of derivative security $0 +1.67M +7.33% $0.00 24.5M Jun 28, 2021 Class A Common Stock 1.67M By Tangney Schweikert Family Trust F3, F5, F7
holding DOCS Class B Common Stock 6.42M Feb 16, 2021 Class A Common Stock 6.42M Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This transaction occurred prior to the Issuer's initial public offering ("IPO"), and is being reported on Form 4 solely for purposes of compliance with Rule 16a-2(a) under the Securities Exchange Act of 1934, as amended. The securities covered by such transaction were previously included on the Reporting Person's Form 3.
F2 The stock option vests in 60 equal monthly installments after April 1, 2022, subject to Mr. Tangney's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on February 16, 2021 for shares of the Company's common stock which was subsequently reclassified as Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), and subject to a two-for-one forward stock split.
F3 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.
F4 These shares are owned directly by Jeffrey Tangney.
F5 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.
F6 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.
F7 Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") automatically converted into one share of Class B Common Stock on a one-for-one basis, immediately prior to the closing of the IPO. The shares of Preferred Stock have no expiration date.