<SEC-DOCUMENT>0001628280-21-012795.txt : 20210623
<SEC-HEADER>0001628280-21-012795.hdr.sgml : 20210623
<ACCEPTANCE-DATETIME>20210623203720
ACCESSION NUMBER:		0001628280-21-012795
CONFORMED SUBMISSION TYPE:	3
PUBLIC DOCUMENT COUNT:		2
CONFORMED PERIOD OF REPORT:	20210623
FILED AS OF DATE:		20210623
DATE AS OF CHANGE:		20210623

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			NASR KHALED
		CENTRAL INDEX KEY:			0001276600

	FILING VALUES:
		FORM TYPE:		3
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-40508
		FILM NUMBER:		211040260

	MAIL ADDRESS:	
		STREET 1:		467 FIRST STREET
		STREET 2:		SUITE 201
		CITY:			LOS ALTOS
		STATE:			X1
		ZIP:			94022

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			INTERWEST PARTNERS X LP
		CENTRAL INDEX KEY:			0001443898
		STATE OF INCORPORATION:			CA

	FILING VALUES:
		FORM TYPE:		3
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-40508
		FILM NUMBER:		211040263

	BUSINESS ADDRESS:	
		STREET 1:		C/O INTERWEST PARTNERS
		STREET 2:		467 FIRST STREET SUITE 201
		CITY:			LOS ALTOS
		STATE:			CA
		ZIP:			94022
		BUSINESS PHONE:		650-854-8585

	MAIL ADDRESS:	
		STREET 1:		C/O INTERWEST PARTNERS
		STREET 2:		467 FIRST STREET SUITE 201
		CITY:			LOS ALTOS
		STATE:			CA
		ZIP:			94022

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Desai Keval
		CENTRAL INDEX KEY:			0001553019

	FILING VALUES:
		FORM TYPE:		3
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-40508
		FILM NUMBER:		211040261

	MAIL ADDRESS:	
		STREET 1:		467 FIRST STREET
		STREET 2:		SUITE 201
		CITY:			LOS ALTOS
		STATE:			X1
		ZIP:			94022

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			InterWest Management Partners X, LLC
		CENTRAL INDEX KEY:			0001460207
		STATE OF INCORPORATION:			CA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		3
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-40508
		FILM NUMBER:		211040262

	BUSINESS ADDRESS:	
		STREET 1:		467 FIRST STREET
		STREET 2:		SUITE 201
		CITY:			LOS ALTOS
		STATE:			CA
		ZIP:			94022
		BUSINESS PHONE:		650-854-8585

	MAIL ADDRESS:	
		STREET 1:		467 FIRST STREET
		STREET 2:		SUITE 201
		CITY:			LOS ALTOS
		STATE:			CA
		ZIP:			94022

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:			1211

	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
</SEC-HEADER>
<DOCUMENT>
<TYPE>3
<SEQUENCE>1
<FILENAME>wf-form3_162449502535363.xml
<DESCRIPTION>FORM 3
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0206</schemaVersion>

    <documentType>3</documentType>

    <periodOfReport>2021-06-23</periodOfReport>

    <noSecuritiesOwned>0</noSecuritiesOwned>

    <issuer>
        <issuerCik>0001516513</issuerCik>
        <issuerName>Doximity, Inc.</issuerName>
        <issuerTradingSymbol>DOCS</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001443898</rptOwnerCik>
            <rptOwnerName>INTERWEST PARTNERS X LP</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O INTERWEST PARTNERS</rptOwnerStreet1>
            <rptOwnerStreet2>467 FIRST STREET, SUITE 201</rptOwnerStreet2>
            <rptOwnerCity>LOS ALTOS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001460207</rptOwnerCik>
            <rptOwnerName>InterWest Management Partners X, LLC</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O INTERWEST PARTNERS</rptOwnerStreet1>
            <rptOwnerStreet2>467 FIRST STREET, SUITE 201</rptOwnerStreet2>
            <rptOwnerCity>LOS ALTOS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001553019</rptOwnerCik>
            <rptOwnerName>Desai Keval</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O INTERWEST PARTNERS</rptOwnerStreet1>
            <rptOwnerStreet2>467 FIRST STREET, SUITE 201</rptOwnerStreet2>
            <rptOwnerCity>LOS ALTOS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001276600</rptOwnerCik>
            <rptOwnerName>NASR KHALED</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O INTERWEST PARTNERS</rptOwnerStreet1>
            <rptOwnerStreet2>467 FIRST STREET, SUITE 201</rptOwnerStreet2>
            <rptOwnerCity>LOS ALTOS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable></nonDerivativeTable>

    <derivativeTable>
        <derivativeHolding>
            <securityTitle>
                <value>Series A Preferred Stock</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>0.0</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <footnoteId id="F1"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Class B Common Stock</value>
                    <footnoteId id="F2"/>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>13296504.0</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                    <footnoteId id="F3"/>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>
        <derivativeHolding>
            <securityTitle>
                <value>Series B Preferred Stock</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>0.0</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <footnoteId id="F1"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Class B Common Stock</value>
                    <footnoteId id="F2"/>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>5412972.0</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                    <footnoteId id="F3"/>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>
        <derivativeHolding>
            <securityTitle>
                <value>Series C Preferred Stock</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>0.0</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <footnoteId id="F1"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Class B Common Stock</value>
                    <footnoteId id="F2"/>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>2736772.0</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                    <footnoteId id="F3"/>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock (collectively, the &quot;Preferred Stock&quot;) shall automatically convert into one share of Class B Common Stock, par value $0.001 per share (the &quot;Class B Common Stock&quot;), on a one-for-one basis, immediately prior to the closing of the Issuer's initial public offering (&quot;IPO&quot;). The shares of Preferred Stock have no expiration date.</footnote>
        <footnote id="F2">Each share of Class B Common Stock is convertible into one share of Class A Common Stock, par value $0.001 per share (the &quot;Class A Common Stock&quot;), 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.</footnote>
        <footnote id="F3">These shares are directly held by InterWest Partners X, L.P. (&quot;InterWest&quot;).  InterWest Management Partners X, LLC (&quot;IMP X&quot;) is the general partner of InterWest.  Gilbert H. Kliman is the Managing Director of IMP X.  Keval Desai and Khaled Nasr are Venture Members of IMP X.  Each of IMP X, Gilbert H. Kliman, Keval Desai and Khaled Nasr may be deemed to beneficially own the shares held by InterWest, and each of IMP X, Gilbert H. Kliman, Keval Desai and Khaled Nasr disclaims beneficial ownership of such shares, except to the extent of its or his pecuniary interest therein.</footnote>
    </footnotes>

    <remarks>Gilbert H. Kliman, a Managing Director of IMP X, is also a Director of the Issuer and has filed a separate Form 3 in his own name.
Exhibit 24 - Power of Attorney</remarks>

    <ownerSignature>
        <signatureName>/s/ Karen A. Wilson, Attorney-in-Fact for InterWest Partners X, L.P.</signatureName>
        <signatureDate>2021-06-23</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Karen A. Wilson, Attorney-in-Fact for InterWest Management Partners X, LLC</signatureName>
        <signatureDate>2021-06-23</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Karen A. Wilson, Attorney-in-Fact for Keval Desai</signatureName>
        <signatureDate>2021-06-23</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Karen A. Wilson, Attorney-in-Fact for Khaled Nasr</signatureName>
        <signatureDate>2021-06-23</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-24
<SEQUENCE>2
<FILENAME>ex-24.htm
<DESCRIPTION>INTERWEST PARTNERS X, L.P. POA 1
<TEXT>
<!-- Document created using Workiva -->
<html>
<body>
<pre>
POWER OF ATTORNEY



KNOW ALL BY THESE PRESENTS:

The undersigned, InterWest Partners X, LP, hereby constitutes and appoints Karen A. Wilson as its true and lawful Attorney-in-Fact, with full power in its name and on its behalf, to take all actions and do all things necessary with respect to all matters arising in connection with the ownership reporting requirements of the securities laws of the United States, including the execution and delivery of all documents in connection therewith.

The undersigned agrees to indemnify said Attorney-in-Fact against, and hold her free and harmless from, and all loss, cost, expense, damage or liability which she may incur or sustain as a result of any action taken by her in good faith pursuant to this Power of Attorney.

This Power of Attorney shall remain in full force and effect until revoked in writing by the undersigned and the authority granted herein may be relied upon by any person until such person has actually received written notice of revocation.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this 26th day of September, 2016.


INTERWEST PARTNERS X, LP



/s/ Gilbert H. Kliman
________________________________
By:  Gilbert H. Kliman, Managing Director of InterWest Management Partners X, LLC, its General Partner
____________________________________________

POWER OF ATTORNEY

KNOW ALL BY THESE PRESENTS:

The undersigned, InterWest Management Partners X, LLC, hereby constitutes and appoints Karen A. Wilson as its true and lawful Attorney-in-Fact, with full power in its name and on its behalf, to take all actions and do all things necessary with respect to all matters arising in connection with the ownership reporting requirements of the securities laws of the United States, including the execution and delivery of all documents in connection therewith.

The undersigned agrees to indemnify said Attorney-in-Fact against, and hold her free and harmless from, and all loss, cost, expense, damage or liability which she may incur or sustain as a result of any action taken by her in good faith pursuant to this Power of Attorney.

This Power of Attorney shall remain in full force and effect until revoked in writing by the undersigned and the authority granted herein may be relied upon by any person until such person has actually received written notice of revocation.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this 26th day of September, 2016.

INTERWEST MANAGEMENT PARTNERS X, LLC

/s/ Gilbert H. Kliman
_______________________________
By: Gilbert H. Kliman, Managing Director

_____________________________________________

POWER OF ATTORNEY

KNOW ALL BY THESE PRESENTS:

The undersigned, Keval Desai, hereby constitutes and appoints Karen A. Wilson as his true and lawful Attorney-in-Fact, with full power in his name and on his behalf, to take all actions and do all things necessary with respect to all matters arising in connection with the ownership reporting requirements of the securities laws of the United States, including the execution and delivery of all documents in connection therewith.

The undersigned agrees to indemnify said Attorney-in-Fact against, and hold her free and harmless from, and all loss, cost, expense, damage or liability which she may incur or sustain as a result of any action taken by her in good faith pursuant to this Power of Attorney.

This Power of Attorney shall remain in full force and effect until revoked in writing by the undersigned and the authority granted herein may be relied upon by any person until such person has actually received written notice of revocation.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this 25th day of June, 2012.

KEVAL DESAI

/s/ Keval Desai
_____________________________________________

POWER OF ATTORNEY

KNOW ALL BY THESE PRESENTS:

The undersigned, Khaled A. Nasr, hereby constitutes and appoints Karen A. Wilson as his true and lawful Attorney-in-Fact, with full power in his name and on his behalf, to take all actions and do all things necessary with respect to all matters arising in connection with the ownership reporting requirements of the securities laws of the United States, including the execution and delivery of all documents in connection therewith.

The undersigned agrees to indemnify said Attorney-in-Fact against, and hold her free and harmless from, and all loss, cost, expense, damage or liability which she may incur or sustain as a result of any action taken by her in good faith pursuant to this Power of Attorney.

This Power of Attorney shall remain in full force and effect until revoked in writing by the undersigned and the authority granted herein may be relied upon by any person until such person has actually received written notice of revocation.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this 31st day of May, 2007.

KHALED A. NASR

/s/ Khaled A. Nasr
___________________________
</pre>
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</SEC-DOCUMENT>
