0000950103-21-011667.txt : 20210730 0000950103-21-011667.hdr.sgml : 20210730 20210730211149 ACCESSION NUMBER: 0000950103-21-011667 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210728 FILED AS OF DATE: 20210730 DATE AS OF CHANGE: 20210730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EIN MARK CENTRAL INDEX KEY: 0001246840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39754 FILM NUMBER: 211134339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Doma Holdings, Inc. CENTRAL INDEX KEY: 0001722438 STANDARD INDUSTRIAL CLASSIFICATION: TITLE INSURANCE [6361] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 MISSION STREET STREET 2: SUITE 740 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (650) 419-3827 MAIL ADDRESS: STREET 1: 101 MISSION STREET STREET 2: SUITE 740 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 FORMER COMPANY: FORMER CONFORMED NAME: Capitol Investment Corp. V DATE OF NAME CHANGE: 20171113 4 1 dp155502_4-ein.xml FORM 4 X0306 4 2021-07-28 0 0001722438 Doma Holdings, Inc. DOMA 0001246840 EIN MARK 101 MISSION ST. SUITE 740 SAN FRANCISCO CA 94105 1 0 0 0 Common stock 2021-07-28 4 M 0 4101051 A 4101051 I By Capitol Acquisition Management V, LLC Class B common stock 2021-07-28 4 D 0 1235344 D Common stock 1235344 4101051 I By Capitol Acquisition Management V, LLC Class B common stock 2021-07-28 4 M 0 4101051 D Common stock 4101051 0 I By Capitol Acquisition Management V, LLC The Class B common stock automatically converted into shares of Class A common stock of the Issuer following the completion of the merger by and among, Capitol, Capitol V Merger Sub, Inc. and Former Doma (the "Merger") on a one-for-one basis, subject to adjustment, which such closing occurred on July 28, 2021. At the completion of the Merger, Class A common stock was renamed common stock. The Class B common stock was forfeited and cancelled for no consideration pursuant to the Sponsor Support Agreement between Capitol Acquisition Management V LLC ("Capitol Management V"), Capitol Investment Corp V. ("Capitol"), Doma Holdings, Inc., which was formerly known as States Title Holding, Inc. ("Former Doma") and certain other parties thereto, dated March 2, 2021. Exhibit 24 - Power of Attorney /s/ Christian Ameri, as Attorney-in-Fact for Mark D. Ein. 2021-07-30 EX-24 2 dp155502_ex24.htm EXHIBIT 24

 

POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints each of Eric Watson, Christian Ameri and Margery Lee as the undersigned’s true and lawful attorneys-in-fact to:

 

(1) execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or member of the Board of Directors of Doma Holdings, Inc. (the “Company”), Forms 3, 4 and 5, including any amendments thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder (the “Exchange Act”);

 

(2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and execute any amendment or amendments thereto and timely file such form with the United States Securities and Exchange Commission and the applicable stock exchange or similar authority; and

 

(3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of any of such attorneys-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by any of such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as any of such attorneys-in-fact may approve in his discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to act separately and to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that any of such attorneys-in-fact, or the substitute or substitutes of any of such attorneys-in-fact, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Exchange Act.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 26th day of July, 2021.

 

Signature: /s/ Mark D. Ein
Name: Mark D. Ein