0001437749-23-022166.txt : 20230804
0001437749-23-022166.hdr.sgml : 20230804
20230804165551
ACCESSION NUMBER: 0001437749-23-022166
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230803
FILED AS OF DATE: 20230804
DATE AS OF CHANGE: 20230804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simkoff Maxwell
CENTRAL INDEX KEY: 0001868802
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 231144714
MAIL ADDRESS:
STREET 1: 101 MISSION ST.
STREET 2: SUITE 740
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Saslaw-Simkoff Revocable Trust
CENTRAL INDEX KEY: 0001875424
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39754
FILM NUMBER: 231144713
BUSINESS ADDRESS:
STREET 1: 101 MISSION ST.
STREET 2: SUITE 740
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 703-789-5646
MAIL ADDRESS:
STREET 1: 101 MISSION ST.
STREET 2: SUITE 740
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
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
rdgdoc.xml
SIMKOFF_MAXWELL_2023-08-03
X0508
4
2023-08-03
0001722438
Doma Holdings, Inc.
DOMA
0001868802
Simkoff Maxwell
101 MISSION ST.
SUITE 1050
SAN FRANCISCO
CA
94105
1
1
1
Chief Executive Officer
0001875424
Saslaw-Simkoff Revocable Trust
101 MISSION ST.
SUITE 1050
SAN FRANCISCO
CA
94105
1
0
Common stock
2023-08-03
4
A
0
135000
0
A
337255
D
Common stock
1801350
I
The Saslaw-Simkoff Revocable Trust
Common stock
28235
I
Maxwell Simkoff 2023 GRAT
Common stock
28235
I
Jennifer Saslaw 2023 GRAT
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"). The "Vesting Commencement Date" is August 3, 2023. These RSUs will be settled solely by delivery of shares of Company common stock and vest as follows: 50% of the RSUs will vest on the six-month anniversary of the Vesting Commencement Date and the remainder will vest in 4 consecutive, equal, quarterly installments such that the award is fully vested on the 18-month anniversary of the Vesting Commencement Date, provided the reporting person is continuously employed through such date as applicable.
These shares are owned directly by The Saslaw-Simkoff Revocable Trust and indirectly by Maxwell Simkoff as trustee of the trust. The reporting person disclaims beneficial ownership except to the extent of his pecuniary interest therein.
These shares are owned directly by the Maxwell Simkoff 2023 GRAT. The reporting person disclaims beneficial ownership except to the extent of his pecuniary interest therein.
These shares are held for the benefit of the reporting person's wife. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
/s/ Christian Ameri, as Attorney-in-Fact for Maxwell Simkoff
2023-08-04
/s/ Christian Ameri, as Attorney-in-Fact for Maxwell Simkoff, Trustee
2023-08-04