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