0001516513-24-000003.txt : 20240202
0001516513-24-000003.hdr.sgml : 20240202
20240202160309
ACCESSION NUMBER: 0001516513-24-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240201
FILED AS OF DATE: 20240202
DATE AS OF CHANGE: 20240202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wampler Kira Scherer
CENTRAL INDEX KEY: 0001862897
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40508
FILM NUMBER: 24591275
MAIL ADDRESS:
STREET 1: C/O DOXIMITY, INC.
STREET 2: 500 3RD STREET, SUITE 510
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Doximity, Inc.
CENTRAL INDEX KEY: 0001516513
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
ORGANIZATION NAME: 06 Technology
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
wk-form4_1706907778.xml
FORM 4
X0508
4
2024-02-01
0
0001516513
Doximity, Inc.
DOCS
0001862897
Wampler Kira Scherer
C/O DOXIMITY, INC.
500 THIRD STREET
SAN FRANCISCO
CA
94107
1
0
0
0
0
Class A Common Stock
2024-02-01
4
C
0
2500
A
12758
D
Class A Common Stock
2024-02-01
4
S
0
2500
27.05
D
10258
D
Stock Option (Right to Buy)
1.54
2024-02-01
4
M
0
2500
0
D
2030-06-09
Class B Common Stock
2500
512200
D
Class B Common Stock
2024-02-01
4
M
0
2500
0
A
Class A Common Stock
2500
2500
D
Class B Common Stock
2024-02-01
4
C
0
2500
0
D
Class A Common Stock
2500
0
D
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.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on August 24, 2023.
The stock option vests in 36 equal monthly installments after March 27, 2020, subject to the Reporting Person's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on June 10, 2020.
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 Issuer's initial public offering; 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.
/s/ Jennifer Chaloemtiarana, Attorney-in-Fact
2024-02-02