Form 4/A for DOCS Doximity, Inc.
Accepted 2023-11-30 00:00:00 ET · period of report 2021-11-10 · accession 0001516513-23-000091 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DMAI | 2023-11-30 | 2021-11-10+ | DOCS | Tangney Schweikert Family Trust | 10% | G - Gift | $0.00 | -260.0K | 110.0K | -70% | $0 |
| DA | 2023-11-30 | 2021-11-10 | DOCS | Tangney Schweikert Family Trust | 10% | G - Gift | $0.00 | +150.0K | 250.0K | +150% | $0 |
| DAI | 2023-11-30 | 2021-11-10 | DOCS | Tangney Schweikert Family Trust | 10% | C - Cnv Deriv | — | +260.0K | 260.0K | New | — |
| DA | 2023-11-30 | 2021-11-10 | DOCS | Tangney Schweikert Family Trust | 10% | C - Cnv Deriv | — | +100.0K | 100.0K | New | — |
| DAI | 2023-11-30 | 2021-11-10 | DOCS | Tangney Schweikert Family Trust | 10% | C - Cnv Deriv | $0.00 | -260.0K | 24.20M | -1% | $0 |
| DA | 2023-11-30 | 2021-11-10 | DOCS | Tangney Schweikert Family Trust | 10% | C - Cnv Deriv | $0.00 | -100.0K | 6.32M | -2% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-11-17 | G | D | 110,000 | $0.00 | 0 | I | — | — | (F6) Represents a bona fide gift of shares of Class A Common Stock to a charitable donor advised fund. |
| 2 | Common | Class A Common Stock | 2021-11-10 | G | A | 150,000 | $0.00 | 250,000 | D | — | — | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F5) On November 10, 2021, the Tangney Schweikert Family Trust transferred 150,000 shares of Class A Common Stock to Mr. Tangney for no consideration. (F3) These shares are owned directly by Jeffrey Tangney. |
| 3 | Common | Class A Common Stock | 2021-11-10 | G | D | 150,000 | $0.00 | 110,000 | I By Tangney Schweikert Family Trust | — | — | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F5) On November 10, 2021, the Tangney Schweikert Family Trust transferred 150,000 shares of Class A Common Stock to Mr. Tangney for no consideration. (F4) These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer and of which Mr. Tangney is trustee. Mr. Tangney disclaims beneficial ownership over the shares held by the Tangney Schweikert Family Trust, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise. |
| 4 | Common | Class A Common Stock | 2021-11-10 | C | A | 260,000 | — | 260,000 | I By Tangney Schweikert Family Trust | — | — | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F2) 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. (F4) These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer and of which Mr. Tangney is trustee. Mr. Tangney disclaims beneficial ownership over the shares held by the Tangney Schweikert Family Trust, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise. |
| 5 | Common | Class A Common Stock | 2021-11-10 | C | A | 100,000 | — | 100,000 | D By Tangney Schweikert Family Trust | — | — | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F2) 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. (F3) These shares are owned directly by Jeffrey Tangney. (F4) These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer and of which Mr. Tangney is trustee. Mr. Tangney disclaims beneficial ownership over the shares held by the Tangney Schweikert Family Trust, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise. |
| 6 | Derivative | Class B Common Stock | 2021-11-10 | C | D | 260,000 | $0.00 | 24,203,330 | I | — · — to — | 260,000 Class A Common Stock | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F7) 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 Issuer's initial public offering; 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. |
| 7 | Derivative | Class B Common Stock | 2021-11-10 | C | D | 100,000 | $0.00 | 6,321,666 | D By Tangney Schweikert Family Trust | — · — to — | 100,000 Class A Common Stock | (F1) This Form 4/A amends and restates the original Form 4, filed on November 19, 2021, as amended by the Forms 4/A filed on November 19, 2021 and December 8, 2021 (collectively, the "Prior Forms"). This Form 4/A is being filed to (i) correctly report certain transaction dates as November 10, 2021, which were incorrectly reported in the Prior Forms and (ii) include certain transactions, which were inadvertently omitted from one or more of the Prior Forms. (F3) These shares are owned directly by Jeffrey Tangney. (F4) These shares are owned directly by the Tangney Schweikert Family Trust, a ten percent owner of the Issuer and of which Mr. Tangney is trustee. Mr. Tangney disclaims beneficial ownership over the shares held by the Tangney Schweikert Family Trust, except to the extent, if any, of his pecuniary interest therein, and nothing in this report shall be deemed an admission that Mr. Tangney has beneficial ownership over any such shares for Section 16 purposes or otherwise. (F7) 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 Issuer's initial public offering; 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. |