Threshold Ventures I, L.P. 4

Accession 0001628280-21-013079

CIK 0001516513other

View on SEC.gov Company Profile

Filed

Jun 27, 8:00 PM ET

Accepted

Jun 28, 6:54 PM ET

Size

19.8 KB

Accession

0001628280-21-013079

Insider Transaction Report

Form 4

Period: 2021-06-28

Doximity, Inc.DOCS

Threshold Ventures I, L.P.

10% Owner

Transactions

Conversion
Class B Common Stock
2021-06-28+4,667,276→ 4,667,276 total
→ Class A Common Stock (4,667,276 underlying)
Conversion
Class B Common Stock
2021-06-28+518,586→ 518,586 total(indirect: By LLC)
→ Class A Common Stock (518,586 underlying)
Conversion
Series C Preferred Stock
2021-06-28−518,586→ 0 total(indirect: By LLC)
→ Class B Common Stock (518,586 underlying)
Conversion
Series C Preferred Stock
2021-06-28−4,667,276→ 0 total
→ Class B Common Stock (4,667,276 underlying)

Stein Josh

10% Owner

Transactions

Conversion
Class B Common Stock
2021-06-28+4,667,276→ 4,667,276 total
→ Class A Common Stock (4,667,276 underlying)
Conversion
Series C Preferred Stock
2021-06-28−518,586→ 0 total(indirect: By LLC)
→ Class B Common Stock (518,586 underlying)
Conversion
Class B Common Stock
2021-06-28+518,586→ 518,586 total(indirect: By LLC)
→ Class A Common Stock (518,586 underlying)
Conversion
Series C Preferred Stock
2021-06-28−4,667,276→ 0 total
→ Class B Common Stock (4,667,276 underlying)

Threshold Ventures I General Partner, LLC

10% Owner

Transactions

Conversion
Class B Common Stock
2021-06-28+518,586→ 518,586 total(indirect: By LLC)
→ Class A Common Stock (518,586 underlying)
Conversion
Series C Preferred Stock
2021-06-28−4,667,276→ 0 total
→ Class B Common Stock (4,667,276 underlying)
Conversion
Series C Preferred Stock
2021-06-28−518,586→ 0 total(indirect: By LLC)
→ Class B Common Stock (518,586 underlying)
Conversion
Class B Common Stock
2021-06-28+4,667,276→ 4,667,276 total
→ Class A Common Stock (4,667,276 underlying)

Threshold Ventures I Partners Fund, LLC

10% Owner

Transactions

Conversion
Series C Preferred Stock
2021-06-28−518,586→ 0 total(indirect: By LLC)
→ Class B Common Stock (518,586 underlying)
Conversion
Class B Common Stock
2021-06-28+4,667,276→ 4,667,276 total
→ Class A Common Stock (4,667,276 underlying)
Conversion
Series C Preferred Stock
2021-06-28−4,667,276→ 0 total
→ Class B Common Stock (4,667,276 underlying)
Conversion
Class B Common Stock
2021-06-28+518,586→ 518,586 total(indirect: By LLC)
→ Class A Common Stock (518,586 underlying)

Footnotes (4)

[F1]Each share of Series C Preferred Stock automatically converted into one share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), on a one-for-one basis, immediately prior to the closing of the Issuer's initial public offering ("IPO"). The shares of Series C Preferred Stock have no expiration date.
[F2]Each share of Class B Common Stock is convertible into one share of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at any time at the option of the holder. Each share of Class B Common Stock held by the Reporting Person will automatically convert into one share of Class A Common Stock, upon the following: (1) the sale or transfer of such share of Class B Common Stock, except for certain permitted transfers described in the Issuer's amended and restated certificate of incorporation; (2) the death or incapacity of the Reporting Person; and (3) on the final conversion date, defined as the earlier of (a) the tenth anniversary of the effectiveness of the registration statement in connection with the IPO; or (b) the date specified by a vote of the holders of at least 66 2/3% of the outstanding shares of Class B Common Stock, voting as a single class.
[F3]These shares are directly held by Threshold Ventures I, L.P. ("Threshold I"). Threshold Ventures I General Partner, LLC ("Threshold I GP") is the general partner of Threshold I and may be deemed to have sole voting, investment and dispositive power over the shares held by Threshold I. Threshold I GP may be deemed to have sole voting, investment and dispositive power over the shares held by Threshold I GP. Josh Stein and Andreas Stavropoulos, the managing members of Threshold I GP, may be deemed to have shared voting, investment and dispositive power over such shares. Such individuals and entities disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
[F4]These shares are directly held by Threshold Ventures I Partners Fund, LLC ("Threshold I Partners"). Josh Stein and Andreas Stavropoulos, the voting members of Threshold I Partners, may be deemed to have shared voting, investment and dispositive power over the shares held by Threshold I Partners. Such individuals disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.

Documents

1 file

4
wf-form4_162492083209097.xmlPrimary
FORM 4

Issuer

Doximity, Inc.

CIK 0001516513

→

Entity typeother

IncorporatedDE

Related Parties

filerCIK 0001598990

Filing Metadata

Form type: 4
Filed: Jun 27, 8:00 PM ET
Accepted: Jun 28, 6:54 PM ET
Size: 19.8 KB

View on SEC.gov