0001722438-23-000094.txt : 20230612 0001722438-23-000094.hdr.sgml : 20230612 20230612161137 ACCESSION NUMBER: 0001722438-23-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230608 FILED AS OF DATE: 20230612 DATE AS OF CHANGE: 20230612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Maxine CENTRAL INDEX KEY: 0001868801 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39754 FILM NUMBER: 231008166 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 wk-form4_1686600689.xml FORM 4 X0407 4 2023-06-08 0 0001722438 Doma Holdings, Inc. DOMA 0001868801 Williams Maxine 101 MISSION ST. SUITE 1050 SAN FRANCISCO CA 94105 1 0 0 0 0 Common stock 2023-06-08 4 A 0 65563 0 A 151125 D Common stock 10730 I By The MW Revocable Trust 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. The "Date of Grant" was June 8, 2023. These RSUs will be settled solely by delivery of shares of Company common stock and vest in full on the earlier of (i) the one-year anniversary of the Date of Grant and (ii) the date of the Company's next annual meeting of stockholders held after the Date of Grant, in each case, subject to continued service through such date as applicable. /s/ Christian Ameri, as Attorney-in-Fact for Maxine Williams 2023-06-12