0001722438-21-000033.txt : 20211006 0001722438-21-000033.hdr.sgml : 20211006 20211006184216 ACCESSION NUMBER: 0001722438-21-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211005 FILED AS OF DATE: 20211006 DATE AS OF CHANGE: 20211006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Summers Lawrence Henry CENTRAL INDEX KEY: 0001626636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39754 FILM NUMBER: 211310663 MAIL ADDRESS: STREET 1: JOHN F. KENNEDY SCHOOL OF GOVERNMENT STREET 2: MAILBOX 8, 79 JFK STREET CITY: CAMBRIDGE STATE: MA ZIP: 02138 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Doma Holdings, Inc. CENTRAL INDEX KEY: 0001722438 STANDARD INDUSTRIAL CLASSIFICATION: TITLE INSURANCE [6361] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 MISSION STREET STREET 2: SUITE 740 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (650) 419-3827 MAIL ADDRESS: STREET 1: 101 MISSION STREET STREET 2: SUITE 740 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 FORMER COMPANY: FORMER CONFORMED NAME: Capitol Investment Corp. V DATE OF NAME CHANGE: 20171113 4 1 wf-form4_163356012180628.xml FORM 4 X0306 4 2021-10-05 0 0001722438 Doma Holdings, Inc. DOMA 0001626636 Summers Lawrence Henry 101 MISSION ST. SUITE 740 SAN FRANCISCO CA 94105 1 0 0 0 Common stock 2021-10-05 4 A 0 32190 0 A 569360 D Common stock 692889 I By LHSummers Economic Consulting LLC Grant of Doma Holdings, Inc.'s (the "Company") common stock to the reporting person in the form of restricted stock units ("RSUs") pursuant to the Company's Omnibus Incentive Plan (the "Plan"). Represents a grant to a non-employee director under the Plan. These RSUs will be settled solely by delivery of shares of Company common stock and vest as follows: in one-third increments on each of July 29, 2022, July 29, 2023 and July 29, 2024, subject to continued service through such date as applicable. /s/ Christian Ameri, Attorney-in-Fact for Lawrence Henry Summers 2021-10-06