Amended Statement of Ownership (sc 13g/a)
February 15 2022 - 06:46AM
Edgar (US Regulatory)
United
States
Securities
and Exchange Commission
Washington,
D.C. 20549
Schedule
13G
(Rule
13d-102)
Information
to be Included in Statements Filed Pursuant
to
§ 240.13d-1(b), (c) and (d) and Amendments Thereto Filed
Pursuant
to § 240.13d-2
UNDER
THE SECURITIES EXCHANGE ACT OF 1934
(Amendment
No. 1)*
Doma
Holdings, Inc.
(Name
of Issuer)
Common
Stock, par value $0.0001
(Title
of Class of Securities)
25703A104
(CUSIP
Number)
December
31, 2021
(Date
of Event Which Requires Filing of this Statement)
Check
the appropriate box to designate the rule pursuant to which this Schedule is filed:
*
The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject
class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover
page.
The
information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18
of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 25703A104
|
Schedule 13G
|
Page 1 of 6
|
1
|
Names of Reporting Persons
Capitol Acquisition Management V LLC
|
2
|
Check the Appropriate
Box if a Member of a Group
|
(a) ☐
(b)
☐
|
|
|
|
3
|
SEC Use Only
|
4
|
Citizenship or Place of Organization
Delaware
|
Number
of Shares
Beneficially Owned
by Each Reporting
Person With
|
5
|
Sole Voting Power
0
|
6
|
Shared Voting Power
7,458,047
|
7
|
Sole Dispositive Power
0
|
8
|
Shared Dispositive Power
7,458,047
|
9
|
Aggregate Amount Beneficially Owned by Each Reporting Person
7,458,047
|
10
|
Check if the Aggregate Amount in Row (9) Excludes Certain Shares
Not Applicable
|
11
|
Percent of Class Represented by Amount in Row 9
2.3%
|
12
|
Type of Reporting Person
OO (Limited Liability Company)
|
CUSIP No. 14064F100
|
Schedule 13G
|
Page 2 of 6
|
1
|
Names of Reporting Persons
Mark D. Ein
|
2
|
Check the Appropriate
Box if a Member of a Group
|
(a) ☐
(b)
☐
|
|
|
|
3
|
SEC Use Only
|
4
|
Citizenship or Place of Organization
United States
|
Number of Shares
Beneficially Owned
by Each Reporting
Person With
|
5
|
Sole Voting Power
0
|
6
|
Shared Voting Power
7,458,047
|
7
|
Sole Dispositive Power
0
|
8
|
Shared Dispositive Power
7,458,047
|
9
|
Aggregate Amount Beneficially Owned by Each Reporting Person
7,458,047
|
10
|
Check if the Aggregate Amount in Row (9) Excludes Certain Shares
Not Applicable
|
11
|
Percent of Class Represented by Amount in Row 9
2.3%
|
12
|
Type of Reporting Person
IN
|
CUSIP No. 14064F100
|
Schedule 13G
|
Page 3 of 6
|
|
ITEM
1.
|
(a)
Name of Issuer:
|
Doma
Holdings, Inc. (the “Issuer”).
|
(b)
|
Address
of Issuer’s Principal Executive Offices:
|
101
Mission St., Suite 740, San Francisco, CA 94105.
|
ITEM
2.
|
(a)
Name of Person Filing:
|
Each
of the following is hereinafter individually referred to as a “Reporting Person” and collectively as the “Reporting
Persons.” This statement is filed on behalf of:
Capitol
Acquisition Management V LLC; and
Mark
D. Ein.
|
(b)
|
Address
or Principal Business Office:
|
The
principal business address of the Reporting Persons is 1300 17th Street North, Suite 820, Arlington, VA 22209.
|
(c)
|
Citizenship
of each Reporting Person is:
|
Capitol
Acquisition Management V LLC is organized under the laws of the state of Delaware. Mark D. Ein is a citizen of the United States.
|
(d)
|
Title
of Class of Securities:
|
Common
stock, par value $0.0001 per share (“Common Stock”).
14064F100
Not
applicable.
CUSIP No. 14064F100
|
Schedule 13G
|
Page 4 of 6
|
(a-c)
The
ownership information presented below represents beneficial ownership of the shares of Common Stock as of December 31, 2021, based upon
322,574,242 shares of Common Stock outstanding as of November 8, 2021, based on the Issuer’s Quarterly Report on Form 10-Q filed
with the Securities and Exchange Commission on November 10, 2021.
Reporting Person
|
|
Amount
beneficially
owned
|
|
|
Percent
of class:
|
|
|
Sole power to vote or to direct the vote:
|
|
|
Shared power to vote or to direct the vote:
|
|
|
Sole power to dispose or to direct the disposition
of:
|
|
|
Shared
power to
dispose or
to direct
the
disposition
of:
|
|
Capitol Acquisition Management V LLC
|
|
|
7,458,047
|
|
|
|
2.3
|
%
|
|
|
0
|
|
|
|
7,458,047
|
|
|
|
0
|
|
|
|
7,458,047
|
|
Mark D. Ein
|
|
|
7,458,047
|
|
|
|
2.3
|
%
|
|
|
0
|
|
|
|
7,458,047
|
|
|
|
0
|
|
|
|
7,458,047
|
|
Capitol
Acquisition Management V LLC is the record holder of 4,101,026 shares of Common Stock and currently exercisable warrants to purchase
3,357,021 shares of Common Stock.
Mark
D. Ein is the managing member of Capitol Acquisition Management V LLC. As a result, Mark D. Ein may be deemed to share beneficial ownership
of the shares of Common Stock beneficially owned by Capitol Acquisition Management V LLC.
|
ITEM
5.
|
Ownership
of Five Percent or Less of a Class.
|
If
this statement is being filed to report the fact that as of the date hereof the Reporting Persons have ceased to be the beneficial owners
of more than five percent of the class of securities, check the following: ☒
|
ITEM
6.
|
Ownership
of More than Five Percent on Behalf of Another Person.
|
Not
applicable.
|
ITEM
7.
|
Identification
and Classification of the Subsidiary Which Acquired the Security Being Reported on By the
Parent Holding Company.
|
Not
applicable.
|
ITEM
8.
|
Identification
and Classification of Members of the Group.
|
Not
applicable.
|
ITEM
9.
|
Notice
of Dissolution of Group.
|
Not
applicable.
Not
applicable.
CUSIP No. 14064F100
|
Schedule 13G
|
Page 5 of 6
|
SIGNATURE
After
reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete
and correct.
Date: February 10, 2022
|
|
|
|
|
|
|
Capitol Acquisition Management V LLC
|
|
|
|
|
By:
|
/s/ Mark D. Ein
|
|
Name:
|
Mark D. Ein
|
|
Title:
|
Managing Member
|
|
|
|
|
Mark D. Ein
|
|
|
|
|
By:
|
/s/ Mark D. Ein
|
CUSIP No. 14064F100
|
Schedule 13G
|
Page 6 of 6
|
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