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