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