0001104659-21-134152.txt : 20211104 0001104659-21-134152.hdr.sgml : 20211104 20211104113944 ACCESSION NUMBER: 0001104659-21-134152 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211102 FILED AS OF DATE: 20211104 DATE AS OF CHANGE: 20211104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Threshold Ventures I, L.P. CENTRAL INDEX KEY: 0001598990 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 211378848 BUSINESS ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-9000 MAIL ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: DFJ Venture XI, L.P. DATE OF NAME CHANGE: 20140203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Threshold Ventures I General Partner, LLC CENTRAL INDEX KEY: 0001598987 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 211378846 BUSINESS ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-9000 MAIL ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: DFJ Venture XI Partners, LLC DATE OF NAME CHANGE: 20140203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stavropoulos Andreas CENTRAL INDEX KEY: 0001613908 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 211378844 MAIL ADDRESS: STREET 1: C/O DRAPER FISHER JURVETSON STREET 2: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Threshold Ventures I Partners Fund, LLC CENTRAL INDEX KEY: 0001598991 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 211378847 BUSINESS ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-9000 MAIL ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: DFJ Venture XI Partners Fund, LLC DATE OF NAME CHANGE: 20140203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stein Josh CENTRAL INDEX KEY: 0001606417 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 211378845 MAIL ADDRESS: STREET 1: C/O DRAPER FISHER JURVETSON STREET 2: 2882 SAND HILL ROAD SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Doximity, Inc. CENTRAL INDEX KEY: 0001516513 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 272485512 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 500 THIRD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (650) 549-4330 MAIL ADDRESS: STREET 1: 500 THIRD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 4 1 tm2131928-1_4.xml OWNERSHIP DOCUMENT X0306 4 2021-11-02 0 0001516513 Doximity, Inc. DOCS 0001598990 Threshold Ventures I, L.P. 2882 SAND HILL RD #150 MENLO PARK CA 94025 0 0 1 0 0001598991 Threshold Ventures I Partners Fund, LLC 2882 SAND HILL RD #150 MENLO PARK CA 94025 0 0 1 0 0001598987 Threshold Ventures I General Partner, LLC 2882 SAND HILL RD #150 MENLO PARK CA 94025 0 0 1 0 0001606417 Stein Josh 2882 SAND HILL RD #150 MENLO PARK CA 94025 0 0 1 0 0001613908 Stavropoulos Andreas 2882 SAND HILL RD #150 MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2021-11-02 4 C 0 4667276 A 4667276 D Class A Common Stock 2021-11-02 4 C 0 518586 A 518586 I By Threshold Ventures I Partners Fund, LLC Class B Common Stock 2021-11-02 4 C 0 4667276 0 D Class A Common Stock 4667276 0 D Class B Common Stock 2021-11-02 4 C 0 518586 0 D Class A Common Stock 518586 0 I By Threshold Ventures I Partners Fund, LLC 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. 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. Josh Stein and Andreas Stavropoulos, the managing members of Threshold I GP, may be deemed to have shared voting, investment and dispositive power over such shares. Such individuals and entities disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein. These shares are directly held by Threshold Ventures I Partners Fund, LLC ("Threshold I Partners"). Josh Stein and Andreas Stavropoulos, the voting members of Threshold I Partners, may be deemed to have shared voting, investment and dispositive power over the shares held by Threshold I Partners. Such individuals disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein. 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 each 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 such 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. THRESHOLD VENTURES I, L.P. By: Threshold Ventures I General Partner, LLC, its General Partner By: /s/ Josh Stein, Managing Member 2021-11-03 THRESHOLD VENTURES I PARTNERS FUND, LLC By: /s/ Josh Stein, Voting Member 2021-11-03 THRESHOLD VENTURES I GENERAL PARTNER, LLC By: /s/ Josh Stein, Managing Member 2021-11-03 JOSH STEIN /s/ Josh Stein 2021-11-03 ANDREAS STAVROPOULOS /s/ Andreas Stavropoulos 2021-11-03