Key facts
- This page summarizes INTERWEST PARTNERS X LP's Form 4 filing for Doximity, Inc. (DOCS).
- 7 reported transactions and 1 derivative row are listed below.
- Accepted by SEC: 06 Dec 2021, 19:00.
INTERWEST PARTNERS X LP - 02 Dec 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)
- Reporting relationship
- 10%+ Owner
- Issuer ticker
- DOCS
- Reported as of
- 02 Dec 2021
- Net transaction value
- $0
- SEC form
- 4
- Accepted by SEC
- 06 Dec 2021, 19:00:13 UTC
- Prior SEC filing
- 15 Nov 2021
- Source filing
- View source filing
- Reporting owner signature
- /s/ Karen A. Wilson, Attorney-in Fact for InterWest Partners X, LP
Source evidence
Original filing metadata and source links for verification.
4 source fields
Reporting owner
1 detail
Key filing fact
INTERWEST PARTNERS X LP filed Form 4 for Doximity, Inc. (DOCS) on 06 Dec 2021.
Change
- Previous filing in this sequence was filed on 15 Nov 2021.
- Current net transaction value: $0.
Research use
- This tells you what this filing adds before you inspect full transaction and derivative tables.
- You can trace every row back to the original SEC filing document.
Evidence
Filed on Form 4
View source filing
Ownership activity is grounded in SEC Form 4 disclosures.
Reported non-derivative transactions
Shares, units, or other non-derivative securities reported in this filing.
DOCS
transaction
Class A Common Stock
Conversion of derivative security
- Transaction value
- Shares
- +4,300,000
- Change %
- Price
- Shares after
- 4,300,000
- Date
- 02 Dec 2021
- Ownership
- Direct
- Footnotes
- F1, F4
DOCS
transaction
Class A Common Stock
Other
- Transaction value
- $0
- Shares
- -4,300,000
- Change %
- -100%
- Price
- $0.000000*
- Shares after
- 0
- Date
- 02 Dec 2021
- Ownership
- Direct
- Footnotes
- F2
DOCS
transaction
Class A Common Stock
Other
- Transaction value
- $0
- Shares
- +1,101,094
- Change %
- Price
- $0.000000
- Shares after
- 1,101,094
- Date
- 02 Dec 2021
- Ownership
- By: InterWest Management Partners X, LLC
- Footnotes
- F2, F4
DOCS
transaction
Class A Common Stock
Other
- Transaction value
- $0
- Shares
- -1,101,094
- Change %
- -100%
- Price
- $0.000000*
- Shares after
- 0
- Date
- 02 Dec 2021
- Ownership
- By: InterWest Management Partners X, LLC
- Footnotes
- F3, F4
DOCS
transaction
Class A Common Stock
Other
- Transaction value
- $0
- Shares
- +41,070
- Change %
- +101%
- Price
- $0.000000
- Shares after
- 81,696
- Date
- 02 Dec 2021
- Ownership
- By: Khaled A. Nasr
- Footnotes
- F3, F4
DOCS
transaction
Class A Common Stock
Other
- Transaction value
- $0
- Shares
- +27,527
- Change %
- +101%
- Price
- $0.000000
- Shares after
- 54,756
- Date
- 02 Dec 2021
- Ownership
- By: Keval Desai
- Footnotes
- F3, F4
Reported derivative securities
Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.
DOCS
transaction
Derivative
Class B Common Stock
Conversion of derivative security
- Transaction value
- $0
- Shares
- -4,300,000
- Change %
- -33%
- Price
- $0.000000
- Shares after
- 8,556,998
- Date
- 02 Dec 2021
- Ownership
- Direct
- Underlying class
- Class A Common Stock
- Underlying amount
- 4,300,000
- Exercise price
- Footnotes
- F1, F4, F5
* marks a reported price that did not pass the local price check.
Additional SEC filing notes
Filing notes and footnotes
Section 16 status
INTERWEST PARTNERS X LP is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.
Explanation of responses 5 footnotes
Footnote 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.
Footnote F2
Represents pro rata in-kind distribution by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance with the terms of the InterWest Partners X, LP Limited Partnership Agreement. Includes 1,101,094 shares distributed to InterWest Management Partners X, LLC ("IMP10") its general partner.
Footnote F3
Represents pro rata in-kind distribution by IMP10 without consideration to its members in accordance with the terms of the InterWest Management Partners X, LLC Operating Agreement. Includes 41,070 shares distributed to Khaled A. Nasr ("Nasr"), 27,527 shares distributed to Keval Desai ("Desai") and 249,778 shares distributed to Gilbert H. Kliman ("Kliman"), as reported on Kliman's separate Form 4 in his own name.
Footnote F4
These shares are directly held by IW10. IMP10 is the general partner of IW10. Gilbert H. Kliman is the Managing Director of IMP10. Keval Desai and Khaled Nasr are Venture Members of IMP10. Each of IMP10, Gilbert H. Kliman, Keval Desai and Khaled Nasr may be deemed to beneficially own the shares held by IW10, and each of IMP10, Gilbert H. Kliman, Keval Desai and Khaled Nasr disclaims beneficial ownership of only the shares held by IW10, except to the extent of its or his pecuniary interest therein.
Footnote 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 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.
SEC remarks
Gilbert H. Kliman, a Managing Director of IMP10, is also a Director of the Issuer and has filed a separate Form 4 in his own name.