SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
1. Name and Address of Reporting Person*
C/O EMERGENCE CAPITAL |
5 PIER, STE. 102 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Doximity, Inc.
[ DOCS ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 08/14/2024
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Class A Common Stock |
08/14/2024 |
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C
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1,928,000 |
A |
$0.00
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1,928,000 |
I |
By Emergence Capital Partners II, L.P.
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Class A Common Stock |
08/14/2024 |
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J
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1,928,000 |
D |
$0.00
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0 |
I |
By Emergence Capital Partners II, L.P.
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Class A Common Stock |
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5,544
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D |
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Class A Common Stock |
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238,061
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I |
See footnote
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Class A Common Stock |
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775,000 |
I |
By Emergence Capital Opportunity I, L.P.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Class B Common Stock |
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08/14/2024 |
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C
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1,928,000 |
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Class A Common Stock |
1,928,000 |
$0.00
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8,678,728 |
I |
By Emergence Capital Partners II, L.P.
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Explanation of Responses: |
Remarks: |
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/s/ Kristina Landers, by Power of Attorney from Kevin Spain |
08/16/2024 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
2024 POWER OF ATTORNEY
1. Appointment, Powers and Revocation. Each undersigned, and if such undersigned is not a natural person, acting by and through one of its authorized representatives (each such undersigned person or entity, a “Grantor”), effective from the date set forth opposite the name of such Grantor on the signature pages hereto (such date, for each Grantor, is hereinafter referred to as such Grantor’s “Effective Date”), hereby constitutes and appoints each of the employees, partners or managers of Emergence Equity Management, Inc. (together with its subsidiaries and affiliates, “Emergence Partners”) listed on Schedule A attached hereto, which schedule may be amended from time to time by the Chief Financial Officer of Emergence Partners to remove any such employee, manager or partner or to add any new employee, partner or manager of Emergence Partners (each such employee, partner or manager, an “Attorney-In-Fact”) as the Grantor’s true and lawful attorney-in-fact and agent, with full power of substitution and re-substitution, for the Grantor and in the Grantor’s place and stead, in any and all capacities to:
(a) sign any and all instruments, certificates and documents required to be executed on behalf of the Grantor as an individual (if applicable) or in the Grantor’s capacity as a general partner, manager, member, managing member or authorized signatory, as the case may be, on behalf of any of the following (i) Emergence Partners, (ii) any of the funds or accounts managed, advised or sponsored by Emergence Partners (the “Emergence Funds”) and (iii) any of the entities formed to act as the direct or indirect general partner, manager, managing member or equivalent of such funds or accounts (the “Emergence General Partners”, together with Emergence Partners and the Emergence Funds collectively, the “Emergence Entities”), in each case, pursuant to the Securities Act of 1933, as amended, (the “Securities Act”), and any and all rules and regulations promulgated thereunder (including, without limitation, filings pursuant to Rule 144 (Form 144)) or the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all rules and regulations promulgated thereunder (including, without limitation, filings pursuant to Section 16 (Forms 3, 4 and 5) and Section 13 (Schedule 13D, Schedule 13G, Form 13F and Form 13H) of the Exchange Act); and
(b) file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Securities Act, the Exchange Act or by the Financial Industry Regulatory Authority, granting unto such Attorney-In-Fact full power and authority to do and perform each and every act and thing requisite and necessary fully to all intents and purposes as the Grantor might or could do in person thereby, and ratifying and confirming all that such Attorney-In-Fact, or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof, or may have done in connection with the matters described above.
By this power of attorney, each Grantor hereby revokes all previous powers of attorney granted by him, her or it to any Attorney-In-Fact or any other employee, representative or agent of Emergence Partners relating to the matters described above.
2. Effective Date and Termination. This power of attorney shall be effective as to each Grantor as of such Grantor’s Effective Date and shall remain in full force and effect with respect to each Grantor and each Attorney-In-Fact until:
(a)in the case of any Grantor that is an individual, the earlier of the date on which this power of attorney is revoked in writing by such Grantor solely as it relates to himself or herself and such Grantor’s Termination Date (as defined below);
(b)in the case of any Grantor that is an entity, the earlier of the date on which this power of attorney is revoked in writing by such Grantor solely as it relates to itself and the filing by such entity of a certificate of cancellation or notice of dissolution with the jurisdiction in which it was organized evidencing
such entity’s complete dissolution and termination under the laws of such jurisdiction; and
(c)in the case of any Attorney-In-Fact, the earlier of the date on which such person is no longer listed on Schedule A attached hereto as an “Attorney-In-Fact” or such Attorney-In-Fact’s Termination Date.
For purposes of the foregoing, “Termination Date” means (i) with respect to any Grantor or Attorney-In- Fact that is a member or manager of any Emergence General Partner, the date on which such Grantor becomes a “retired member” of any Emergence General Partner or, if later, the date on which his, her or its employment with Emergence Partners terminates for any reason and (ii) with respect to any other Grantor or Attorney-In-Fact, the date on which his, her or its employment with Emergence Partners terminates for any reason.
3. Miscellaneous. Each of the Grantors may execute this power of attorney in separate counterparts, and each counterpart shall be deemed to be an original instrument. This Agreement shall be governed by the laws of the State of Delaware, without regard for choice-of-law provisions.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
IN WITNESS WHEREOF, this Power of Attorney has been signed as of the respective dates set forth below.
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS II, L.P. |
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By: Emergence Equity Partners II, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Managing Director |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS II, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Managing Director |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS III, L.P. |
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By: Emergence Equity Partners III, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EZP OPPORTUNITY, L.P. |
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By: Emergence Equity Partners III, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS III, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS IV, L.P. |
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By: Emergence Equity Partners IV, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS IV, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS V, L.P. |
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By: Emergence Equity Partners V, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS V, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS VI, L.P. |
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By: Emergence Equity Partners VI, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL OPPORTUNITY I, L.P. |
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By: Emergence Equity Partners VI, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS VI, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE GP PARTNERS, LLC |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY MANAGEMENT, INC. |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: President |
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Dated: May 23, 2024 |
Gordon Ritter |
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By: /s/ Gordon Ritter |
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Dated: May 23, 2024 |
Santiago Subotovsky |
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By: /s/ Santiago Subotovsky |
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Dated: May 23, 2024 |
Kevin Spain |
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By: /s/ Kevin Spain |
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Dated: May 23, 2024 |
Joseph Floyd |
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By: /s/ Joseph Floyd |
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Dated: May 23, 2024 |
Jacob Saper |
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By: /s/ Jacob Saper |
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Schedule A
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Kristy Landers |
Julie Bell |
2024 POWER OF ATTORNEY
1. Appointment, Powers and Revocation. Each undersigned, and if such undersigned is not a natural person, acting by and through one of its authorized representatives (each such undersigned person or entity, a “Grantor”), effective from the date set forth opposite the name of such Grantor on the signature pages hereto (such date, for each Grantor, is hereinafter referred to as such Grantor’s “Effective Date”), hereby constitutes and appoints each of the employees, partners or managers of Emergence Equity Management, Inc. (together with its subsidiaries and affiliates, “Emergence Partners”) listed on Schedule A attached hereto, which schedule may be amended from time to time by the Chief Financial Officer of Emergence Partners to remove any such employee, manager or partner or to add any new employee, partner or manager of Emergence Partners (each such employee, partner or manager, an “Attorney-In-Fact”) as the Grantor’s true and lawful attorney-in-fact and agent, with full power of substitution and re-substitution, for the Grantor and in the Grantor’s place and stead, in any and all capacities to:
(a) sign any and all instruments, certificates and documents required to be executed on behalf of the Grantor as an individual (if applicable) or in the Grantor’s capacity as a general partner, manager, member, managing member or authorized signatory, as the case may be, on behalf of any of the following (i) Emergence Partners, (ii) any of the funds or accounts managed, advised or sponsored by Emergence Partners (the “Emergence Funds”) and (iii) any of the entities formed to act as the direct or indirect general partner, manager, managing member or equivalent of such funds or accounts (the “Emergence General Partners”, together with Emergence Partners and the Emergence Funds collectively, the “Emergence Entities”), in each case, pursuant to the Securities Act of 1933, as amended, (the “Securities Act”), and any and all rules and regulations promulgated thereunder (including, without limitation, filings pursuant to Rule 144 (Form 144)) or the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all rules and regulations promulgated thereunder (including, without limitation, filings pursuant to Section 16 (Forms 3, 4 and 5) and Section 13 (Schedule 13D, Schedule 13G, Form 13F and Form 13H) of the Exchange Act); and
(b) file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Securities Act, the Exchange Act or by the Financial Industry Regulatory Authority, granting unto such Attorney-In-Fact full power and authority to do and perform each and every act and thing requisite and necessary fully to all intents and purposes as the Grantor might or could do in person thereby, and ratifying and confirming all that such Attorney-In-Fact, or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof, or may have done in connection with the matters described above.
By this power of attorney, each Grantor hereby revokes all previous powers of attorney granted by him, her or it to any Attorney-In-Fact or any other employee, representative or agent of Emergence Partners relating to the matters described above.
2. Effective Date and Termination. This power of attorney shall be effective as to each Grantor as of such Grantor’s Effective Date and shall remain in full force and effect with respect to each Grantor and each Attorney-In-Fact until:
(a)in the case of any Grantor that is an individual, the earlier of the date on which this power of attorney is revoked in writing by such Grantor solely as it relates to himself or herself and such Grantor’s Termination Date (as defined below);
(b)in the case of any Grantor that is an entity, the earlier of the date on which this power of attorney is revoked in writing by such Grantor solely as it relates to itself and the filing by such entity of a certificate of cancellation or notice of dissolution with the jurisdiction in which it was organized evidencing
such entity’s complete dissolution and termination under the laws of such jurisdiction; and
(c)in the case of any Attorney-In-Fact, the earlier of the date on which such person is no longer listed on Schedule A attached hereto as an “Attorney-In-Fact” or such Attorney-In-Fact’s Termination Date.
For purposes of the foregoing, “Termination Date” means (i) with respect to any Grantor or Attorney-In- Fact that is a member or manager of any Emergence General Partner, the date on which such Grantor becomes a “retired member” of any Emergence General Partner or, if later, the date on which his, her or its employment with Emergence Partners terminates for any reason and (ii) with respect to any other Grantor or Attorney-In-Fact, the date on which his, her or its employment with Emergence Partners terminates for any reason.
3. Miscellaneous. Each of the Grantors may execute this power of attorney in separate counterparts, and each counterpart shall be deemed to be an original instrument. This Agreement shall be governed by the laws of the State of Delaware, without regard for choice-of-law provisions.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
IN WITNESS WHEREOF, this Power of Attorney has been signed as of the respective dates set forth below.
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS II, L.P. |
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By: Emergence Equity Partners II, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Managing Director |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS II, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Managing Director |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS III, L.P. |
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By: Emergence Equity Partners III, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EZP OPPORTUNITY, L.P. |
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By: Emergence Equity Partners III, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS III, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS IV, L.P. |
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By: Emergence Equity Partners IV, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS IV, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS V, L.P. |
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By: Emergence Equity Partners V, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS V, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL PARTNERS VI, L.P. |
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By: Emergence Equity Partners VI, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE CAPITAL OPPORTUNITY I, L.P. |
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By: Emergence Equity Partners VI, L.P., its sole general partner |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY PARTNERS VI, L.P. |
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By: Emergence GP Partners, LLC, its sole general partner |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE GP PARTNERS, LLC |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: Manager |
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Dated: May 23, 2024 |
EMERGENCE EQUITY MANAGEMENT, INC. |
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By: /s/ Gordon Ritter |
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Name: Gordon Ritter |
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Title: President |
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Dated: May 23, 2024 |
Gordon Ritter |
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By: /s/ Gordon Ritter |
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Dated: May 23, 2024 |
Santiago Subotovsky |
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By: /s/ Santiago Subotovsky |
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Dated: May 23, 2024 |
Kevin Spain |
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By: /s/ Kevin Spain |
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Dated: May 23, 2024 |
Joseph Floyd |
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By: /s/ Joseph Floyd |
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Dated: May 23, 2024 |
Jacob Saper |
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By: /s/ Jacob Saper |
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Schedule A
|
Kristy Landers |
Julie Bell |
Doximity (NYSE:DOCS)
Historical Stock Chart
From Sep 2024 to Oct 2024
Doximity (NYSE:DOCS)
Historical Stock Chart
From Oct 2023 to Oct 2024