Andreas Stavropoulos - 28 Jun 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
29 Jun 2021, 17:55:44 UTC
Prior SEC filing
29 Jun 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Andreas Stavropoulos

Key filing fact

Andreas Stavropoulos filed Form 4 for Doximity, Inc. (DOCS) on 29 Jun 2021.

Key facts

  • This page summarizes Andreas Stavropoulos's Form 4 filing for Doximity, Inc. (DOCS).
  • 4 reported transactions and 4 derivative rows are listed below.
  • Accepted by SEC: 29 Jun 2021, 17:55.

Change

  • Previous filing in this sequence was filed on 29 Jun 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

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

DOCS transaction Derivative

Series C Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-4,667,276
Change %
-100%
Price
$0.000000*
Shares after
0
Date
28 Jun 2021
Ownership
By Threshold Ventures I, L.P.
Underlying class
Class B Common Stock
Underlying amount
4,667,276
Exercise price
Footnotes
F1, F2, F3
DOCS transaction Derivative

Series C Preferred Stock

Conversion of derivative security

Transaction value
$0
Shares
-518,586
Change %
-100%
Price
$0.000000*
Shares after
0
Date
28 Jun 2021
Ownership
By Threshold Ventures I Partners Fund, LLC
Underlying class
Class B Common Stock
Underlying amount
518,586
Exercise price
Footnotes
F1, F2, F4
DOCS transaction Derivative

Class B Common Stock

Conversion of derivative security

Transaction value
$0
Shares
+4,667,276
Change %
Price
$0.000000
Shares after
4,667,276
Date
28 Jun 2021
Ownership
By Threshold Ventures I, L.P.
Underlying class
Class A Common Stock
Underlying amount
4,667,276
Exercise price
Footnotes
F1, F2, F3
DOCS transaction Derivative

Class B Common Stock

Conversion of derivative security

Transaction value
$0
Shares
+518,586
Change %
Price
$0.000000
Shares after
518,586
Date
28 Jun 2021
Ownership
By Threshold Ventures I Partners Fund, LLC
Underlying class
Class A Common Stock
Underlying amount
518,586
Exercise price
Footnotes
F1, F2, F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

Each share of Series C Preferred Stock automatically converted 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 Series C Preferred Stock have no expiration date.

Footnote 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.

Footnote F3

These shares are directly held by Threshold Ventures I, L.P. ("Threshold I"). Threshold Ventures I General Partner, LLC ("Threshold I GP") is the general partner of Threshold I and may be deemed to have sole voting, investment and dispositive power over the shares held by Threshold I. Threshold I GP may be deemed to have sole voting, investment and dispositive power over the shares held by Threshold I GP. The Reporting Person is a managing member of Threshold I GP, and as such may be deemed to have shared voting, investment and dispositive power over such shares. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.

Footnote F4

These shares are directly held by Threshold Ventures I Partners Fund, LLC ("Threshold I Partners"). The Reporting Person is a voting member of Threshold I Partners, and as such may be deemed to have shared voting, investment and dispositive power over the shares held by Threshold I Partners. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.

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