Andreas Stavropoulos - Jun 28, 2021 Form 4 Insider Report for Doximity, Inc. (DOCS)

Role
10%+ Owner
Signature
/s/ Andreas Stavropoulos
Stock symbol
DOCS
Transactions as of
Jun 28, 2021
Transactions value $
$0
Form type
4
Date filed
6/29/2021, 05:55 PM
Previous filing
Jun 29, 2021

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction DOCS Series C Preferred Stock Conversion of derivative security $0 -4.67M -100% $0.00* 0 Jun 28, 2021 Class B Common Stock 4.67M By Threshold Ventures I, L.P. F1, F2, F3
transaction DOCS Series C Preferred Stock Conversion of derivative security $0 -519K -100% $0.00* 0 Jun 28, 2021 Class B Common Stock 519K By Threshold Ventures I Partners Fund, LLC F1, F2, F4
transaction DOCS Class B Common Stock Conversion of derivative security $0 +4.67M $0.00 4.67M Jun 28, 2021 Class A Common Stock 4.67M By Threshold Ventures I, L.P. F1, F2, F3
transaction DOCS Class B Common Stock Conversion of derivative security $0 +519K $0.00 519K Jun 28, 2021 Class A Common Stock 519K By Threshold Ventures I Partners Fund, LLC F1, F2, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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. The Reporting Person is a managing member of Threshold I GP, and as such may be deemed to have shared voting, investment and dispositive power over such shares. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
F4 These shares are directly held by Threshold Ventures I Partners Fund, LLC ("Threshold I Partners"). The Reporting Person is a voting member of Threshold I Partners, and as such may be deemed to have shared voting, investment and dispositive power over the shares held by Threshold I Partners. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.