# EDGAR Filing Document

**Accession Number:** 0001585858
**File Stem:** 0001516513-23-000019
**Filing Date:** 2023-2
**Character Count:** 8699
**Document Hash:** bbd5077aabaf8f7d0e4d54becf1d108d
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001516513-23-000019.hdr.sgml**: 20230216

**ACCESSION NUMBER**: 0001516513-23-000019

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230214

**FILED AS OF DATE**: 20230216

**DATE AS OF CHANGE**: 20230216

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Cabral Timothy S
- **CENTRAL INDEX KEY:** 0001585858

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40508
- **FILM NUMBER:** 23638692

**MAIL ADDRESS:**
- **STREET 1:** C/O VEEVA SYSTEMS INC.
- **STREET 2:** 4280 HACIENDA DRIVE
- **CITY:** PLEASANTON
- **STATE:** CA
- **ZIP:** 94588
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Doximity, Inc.
- **CENTRAL INDEX KEY:** 0001516513
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
- **IRS NUMBER:** 272485512
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 0331

**BUSINESS ADDRESS:**
- **STREET 1:** 500 THIRD STREET
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94107
- **BUSINESS PHONE:** (650) 549-4330

**MAIL ADDRESS:**
- **STREET 1:** 500 THIRD STREET
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94107

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] 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**<sup>*</sup><br>Cabral Timothy S<br><sub>(Last) (First) (Middle)</sub><br>C/O DOXIMITY, INC.<br>500 THIRD STREET<br><sub>(Street)</sub><br>SAN FRANCISCO, CA 94107<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-14 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [ ] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Doximity, Inc. [ DOCS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Class A Common Stock | 2023-02-14 |  | C<sup>(1)</sup> |  | 10000 | A | <sup>(1)</sup> | 14714 | D |  |
| Class A Common Stock | 2023-02-14 |  | S<sup>(2)</sup> |  | 10000 | D | 32.5458<sup>(3)</sup> | 4714 | D |  |
| Class A Common Stock | 2023-02-15 |  | C<sup>(1)</sup> |  | 7500 | A | <sup>(1)</sup> | 12214 | D |  |
| Class A Common Stock | 2023-02-15 |  | S<sup>(2)</sup> |  | 7500 | D | $35 | 4714 | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option (Right to Buy) | $2.21 | 2023-02-14 |  | M |  |  | 10000 | <sup>(4)</sup> | 2030-09-01 | Class B Common Stock<sup>(5)</sup> | 10000.0 | $0 | 526000 | D |  |
| Class B Common Stock | <sup>(5)</sup> | 2023-02-14 |  | M |  | 10000 |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 10000.0 | $0 | 10000 | D |  |
| Class B Common Stock | <sup>(5)</sup> | 2023-02-14 |  | C<sup>(1)</sup> |  |  | 10000 | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 10000.0 | $0 | 0 | D |  |
| Stock Option (Right to Buy) | $2.21 | 2023-02-15 |  | M |  |  | 7500 | <sup>(4)</sup> | 2030-09-01 | Class B Common Stock<sup>(5)</sup> | 7500.0 | $0 | 518500 | D |  |
| Class B Common Stock | <sup>(5)</sup> | 2023-02-15 |  | M |  | 7500 |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 7500.0 | $0 | 7500 | D |  |
| Class B Common Stock | <sup>(5)</sup> | 2023-02-15 |  | C<sup>(1)</sup> |  |  | 7500 | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 7500.0 | $0 | 0 | D |  |

---

### Footnotes:

(1) 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.

(2) The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on November 16, 2022.

(3) The price represents the weighted-average price of the shares sold in multiple transactions ranging from $32.1950 to $32.9000 per share, inclusive. The Reporting Person undertakes to provide the Issuer, a security holder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(4) The stock option vests in 36 equal monthly installments after September 2, 2020, subject to the Reporting Person's continuous service relationship with the Issuer through each applicable vesting date.  The stock option was granted on September 2, 2020.

(5) 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.

**Signature:** /s/ Jennifer Chaloemtiarana, Attorney-in-Fact  
**Date:** 2023-02-16

### Remarks:

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.**