0001516513-24-000027.txt : 20240517 0001516513-24-000027.hdr.sgml : 20240517 20240517173443 ACCESSION NUMBER: 0001516513-24-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240515 FILED AS OF DATE: 20240517 DATE AS OF CHANGE: 20240517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bryson Anna CENTRAL INDEX KEY: 0001865395 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40508 FILM NUMBER: 24961538 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_1715981670.xml FORM 4 X0508 4 2024-05-15 0 0001516513 Doximity, Inc. DOCS 0001865395 Bryson Anna DOXIMITY, INC. 500 THIRD STREET SAN FRANCISCO CA 94107 0 1 0 0 Chief Financial Officer 0 Class A Common Stock 2024-05-15 4 F 0 3169 23.51 D 240685 D Class A Common Stock 2024-05-16 4 C 0 48000 A 288685 D Stock Option (Right to Buy) 1.54 2024-05-16 4 M 0 48000 0 D 2030-06-09 Class B Common Stock 48000 16990 D Class B Common Stock 2024-05-16 4 M 0 48000 0 A Class A Common Stock 48000 48000 D Class B Common Stock 2024-05-16 4 C 0 48000 0 D Class A Common Stock 48000 0 D Represents shares of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), withheld by the Issuer in satisfaction of tax withholding obligations in connection with the vesting of restricted stock units previously granted to the Reporting Person. Such withholding is mandated by an election of the Issuer made in advance and does not represent a discretionary trade by the Reporting Person. 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 at the option of the holder. The stock option vests in 48 equal monthly installments after May 1, 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 2024-05-17