Initial Statement of Beneficial Ownership (3)
August 03 2021 - 7:45PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
LENX ST Investor, LLC |
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/28/2021
|
3. Issuer Name and Ticker or Trading Symbol
Doma Holdings, Inc. [DOMA]
|
(Last)
(First)
(Middle)
700 NW 107TH AVE SUITE 400 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Street)
MIAMI, FL 33172
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock (1) | 82242689 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Received in exchange for shares of common stock of Doma Holdings, Inc., which was formerly known as States Title Holding, Inc. ("Former Doma"), in connection with the merger by and among Capitol Investment Corp V., Capitol V Merger Sub, Inc. and Former Doma (the "Merger"). The securities are directly owned by LENX ST Investor, LLC, the sole member of which is LEN X, LLC ("LENX"), which is a wholly-owned subsidiary of Lennar Corporation ("Lennar"), a publicly traded company with its stock listed on the NYSE. LENX and Lennar are indirect beneficial owners and disclaim beneficial ownership except to the extent of their pecuniary interest therein. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
LENX ST Investor, LLC 700 NW 107TH AVE SUITE 400 MIAMI, FL 33172 |
| X |
|
|
Len X, LLC 700 NW 107TH AVE SUITE 400 MIAMI, FL 33172 |
| X |
|
|
LENNAR CORP /NEW/ 700 NW 107TH AVE SUITE 400 MIAMI, FL 33172 |
| X |
|
|
Signatures
|
/s/ Mark Sustana as VP, GC and Secretary of Lennar Corporation | | 8/3/2021 |
**Signature of Reporting Person | Date |
/s/ Mark Sustana as VP of LEN X, LLC | | 8/3/2021 |
**Signature of Reporting Person | Date |
/s/ Mark Sustana as VP of LENX ST Investor, LLC | | 8/3/2021 |
**Signature of Reporting Person | Date |
Capitol Investment Corp V (NYSE:CAP)
Historical Stock Chart
From Aug 2024 to Sep 2024
Capitol Investment Corp V (NYSE:CAP)
Historical Stock Chart
From Sep 2023 to Sep 2024