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Doximity, Inc. Director's Dealing 2021

Jun 29, 2021

30441_dirs_2021-06-28_9dad4a3f-b144-43ca-999e-58f46876ba03.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: 2021-02-16

Reporting Person: Tangney Jeffrey (Director, Chief Executive Officer, 10% Owner)
Reporting Person: Tangney Annuity Trust, LLC (10% Owner)
Reporting Person: Tangney Schweikert Family Trust (10% Owner)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-02-16 Stock Option (Right to Buy) $8.26 A 3750000 Acquired 2031-02-15 Class B Common Stock (3750000.0) Direct
2021-04-21 Class B Common Stock $ G 20000000 Disposed Class A Common Stock (20000000.0) Indirect
2021-04-21 Class B Common Stock $ G 20000000 Acquired Class A Common Stock (20000000.0) Indirect
2021-06-28 Series A Preferred Stock $ C 1042700 Disposed Class B Common Stock (1042700.0) Indirect
2021-06-28 Series B Preferred Stock $ C 77054 Disposed Class B Common Stock (77054.0) Indirect
2021-06-28 Series C Preferred Stock $ C 550964 Disposed Class B Common Stock (550964.0) Indirect
2021-06-28 Class B Common Stock $ C 1670718 Acquired Class A Common Stock (1670718.0) Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $ Class A Common Stock (6421666.0) 6421666 Direct

Footnotes

F1: This transaction occurred prior to the Issuer's initial public offering ("IPO"), and is being reported on Form 4 solely for purposes of compliance with Rule 16a-2(a) under the Securities Exchange Act of 1934, as amended. The securities covered by such transaction were previously included on the Reporting Person's Form 3.

F2: The stock option vests in 60 equal monthly installments after April 1, 2022, subject to Mr. Tangney's continuous service relationship with the Issuer through each applicable vesting date. The stock option was granted on February 16, 2021 for shares of the Company's common stock which was subsequently reclassified as Class B Common Stock, par value $0.001 per share (the "Class B Common Stock"), and subject to a two-for-one forward stock split.

F3: 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.

F4: These shares are owned directly by Jeffrey Tangney.

F5: These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust. Mr. Tangney is an officer, director and ten percent owner of the Issuer.

F6: These shares are owned directly by Tangney Annuity Trust, LLC, a ten percent owner of the Issuer, and indirectly by Mr. Tangney as trustee of such trust.

F7: Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the "Preferred Stock") automatically converted into one share of Class B Common Stock on a one-for-one basis, immediately prior to the closing of the IPO. The shares of Preferred Stock have no expiration date.