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Doximity, Inc. Director's Dealing 2021

Dec 7, 2021

30441_dirs_2021-12-06_8890951c-a845-4374-9bdd-9f5ab15d7d02.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Doximity, Inc. (DOCS)
CIK: 0001516513
Period of Report: 2021-12-02

Reporting Person: INTERWEST PARTNERS X LP (10% Owner)
Reporting Person: InterWest Management Partners X, LLC (10% Owner)
Reporting Person: NASR KHALED (10% Owner)
Reporting Person: Desai Keval (10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-12-02 Class A Common Stock C 4300000 Acquired 4300000 Direct
2021-12-02 Class A Common Stock J 4300000 $0.00 Disposed 0 Direct
2021-12-02 Class A Common Stock J 1101094 $0.00 Acquired 1101094 Indirect
2021-12-02 Class A Common Stock J 1101094 $0.00 Disposed 0 Indirect
2021-12-02 Class A Common Stock J 41070 $0.00 Acquired 81696 Indirect
2021-12-02 Class A Common Stock J 27527 $0.00 Acquired 54756 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-12-02 Class B Common Stock $ C 4300000 Disposed Class A Common Stock (4300000) Direct

Footnotes

F1: Each share of Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), converted into one share of Class A Common Stock, par value $0.001 per share (the "Class A Common Stock"), at the option of the holder.

F2: Represents pro rata in-kind distribution by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance with the terms of the InterWest Partners X, LP Limited Partnership Agreement. Includes 1,101,094 shares distributed to InterWest Management Partners X, LLC ("IMP10") its general partner.

F3: Represents pro rata in-kind distribution by IMP10 without consideration to its members in accordance with the terms of the InterWest Management Partners X, LLC Operating Agreement. Includes 41,070 shares distributed to Khaled A. Nasr ("Nasr"), 27,527 shares distributed to Keval Desai ("Desai") and 249,778 shares distributed to Gilbert H. Kliman ("Kliman"), as reported on Kliman's separate Form 4 in his own name.

F4: These shares are directly held by IW10. IMP10 is the general partner of IW10. Gilbert H. Kliman is the Managing Director of IMP10. Keval Desai and Khaled Nasr are Venture Members of IMP10. Each of IMP10, Gilbert H. Kliman, Keval Desai and Khaled Nasr may be deemed to beneficially own the shares held by IW10, and each of IMP10, Gilbert H. Kliman, Keval Desai and Khaled Nasr disclaims beneficial ownership of only the shares held by IW10, except to the extent of its or his pecuniary interest therein.

F5: Each share of Class B Common Stock is convertible into one share of 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.