0001209191-21-050506.txt : 20210809
0001209191-21-050506.hdr.sgml : 20210809
20210809202325
ACCESSION NUMBER: 0001209191-21-050506
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210728
FILED AS OF DATE: 20210809
DATE AS OF CHANGE: 20210809
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foundation Capital Management Co. VIII, L.L.C.
CENTRAL INDEX KEY: 0001645076
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211158064
BUSINESS ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 614 0500
MAIL ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foundation Capital VIII, L.P.
CENTRAL INDEX KEY: 0001645077
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211158066
BUSINESS ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 614 0500
MAIL ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foundation Capital Leadership Fund II, L.P.
CENTRAL INDEX KEY: 0001804258
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211158063
BUSINESS ADDRESS:
STREET 1: 550 HIGH STREET, 3RD FLOOR
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-614-0500
MAIL ADDRESS:
STREET 1: 550 HIGH STREET, 3RD FLOOR
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foundation Capital VIII Principals Fund, L.L.C.
CENTRAL INDEX KEY: 0001645178
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211158065
BUSINESS ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 614 0500
MAIL ADDRESS:
STREET 1: 250 MIDDLEFIELD ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foundation Capital Management Co. LF II, L.L.C.
CENTRAL INDEX KEY: 0001804257
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 211158062
BUSINESS ADDRESS:
STREET 1: 550 HIGH STREET, 3RD FLOOR
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-614-0500
MAIL ADDRESS:
STREET 1: 550 HIGH STREET, 3RD FLOOR
CITY: PALO ALTO
STATE: CA
ZIP: 94301
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-07-28
0
0001722438
Doma Holdings, Inc.
DOMA
0001645077
Foundation Capital VIII, L.P.
550 HIGH STREET, 3RD FLOOR
PALO ALTO
CA
94301
0
0
1
0
0001645178
Foundation Capital VIII Principals Fund, L.L.C.
550 HIGH STREET, 3RD FLOOR
PALO ALTO
CA
94301
0
0
1
0
0001645076
Foundation Capital Management Co. VIII, L.L.C.
550 HIGH STREET, 3RD FLOOR
PALO ALTO
CA
94301
0
0
1
0
0001804258
Foundation Capital Leadership Fund II, L.P.
550 HIGH STREET, 3RD FLOOR
PALO ALTO
CA
94301
0
0
1
0
0001804257
Foundation Capital Management Co. LF II, L.L.C.
550 HIGH STREET, 3RD FLOOR
PALO ALTO
CA
94301
0
0
1
0
Common Stock
33533929
D
Common Stock
722769
D
Common Stock
10520957
D
These securities are owned by Foundation Capital VIII, L.P. ("FC8"). Foundation Capital Management Co,. VIII, L.L.C. ("FCM8") serves as the sole general partner of FC8 and, as such, FCM8 possesses voting and dispositive power over the shares held by FC8, and may be deemed to have indirect beneficial ownership of the shares held by FC8. FCM8 disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
These securities are owned by Foundation Capital VIII Principals Fund, LLC ("FC8P"). FCM8 serves as the sole manager of FC8P and, as such, FCM8 possesses voting and dispositive power over the shares held by FC8P, and may be deemed to have indirect beneficial ownership of the shares held by FC8P. FCM8 disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
These securities are owned by Foundation Capital Leadership Fund II, L.P. ("FCL2"), Foundation Capital Management Co,. LF II, L.L.C. ("FCMLF2") serves as the sole general partner of FCL2 and, as such, FCMLF2 possesses voting and dispositive power over the shares held by FCL2, and may be deemed to have indirect beneficial ownership of the shares held by FCL2. FCMLF2 disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
The Reporting Persons expressly disclaim membership in any "group" for purposes of Section 13 or Section 16 of the Securities Exchange Act, and the filing of this Form 3 shall not be deemed an admission that the Reporting Persons or their affiliates are members of such a group.
Foundation Capital VIII, L.P., By: Foundation Capital Management Co. VIII, L.L.C., its General Partner, By: /s/ Charles Moldow, Manager
2021-08-09
Foundation Capital VIII Principals Fund, L.L.C., By: Foundation Capital Management Co. VIII, L.L.C., its Manager, By: /s/ Charles Moldow, Manager
2021-08-09
Foundation Capital Management Co. VIII, L.L.C., By: /s/ Charles Moldow, Manager
2021-08-09
Foundation Capital Leadership Fund II, L.P., By: Foundation Capital Management Co. LF II, L.L.C., its General Partner, By: /s/ Charles Moldow, Manager
2021-08-09
Foundation Capital Management Co. LF II, L.L.C., By: Charles Moldow, Manager
2021-08-09