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Doma Holdings, Inc. – ‘S-4/A’ on 6/15/21 – ‘EX-99.1’

On:  Tuesday, 6/15/21, at 5:20pm ET   ·   Accession #:  1628280-21-12274   ·   File #:  333-254470

Previous ‘S-4’:  ‘S-4/A’ on 5/25/21   ·   Latest ‘S-4’:  This Filing   ·   19 References:   

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 6/15/21  Capitol Investment Corp. V        S-4/A                 66:25M                                    Workiva Inc Wde… FA01/FA

Pre-Effective Amendment to Registration Statement – Securities for a Merger   —   Form S-4   —   SA’33

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: S-4/A       Pre-Effective Amendment to Registration Statement   HTML   3.58M 
                - Securities for a Merger                                        
 2: EX-4.5      Instrument Defining the Rights of Security Holders  HTML     29K 
 3: EX-5.1      Opinion of Counsel re: Legality                     HTML     31K 
 4: EX-8.1      Opinion of Counsel re: Tax Matters                  HTML     30K 
 5: EX-10.42    Material Contract                                   HTML     63K 
 6: EX-10.43    Material Contract                                   HTML     62K 
 7: EX-10.44    Material Contract                                   HTML     63K 
 8: EX-10.45    Material Contract                                   HTML     58K 
 9: EX-23.1     Consent of Expert or Counsel                        HTML     19K 
10: EX-23.2     Consent of Expert or Counsel                        HTML     18K 
11: EX-99.1     Miscellaneous Exhibit                               HTML     25K 
14: EX-99.10    Miscellaneous Exhibit                               HTML     20K 
12: EX-99.8     Miscellaneous Exhibit                               HTML     20K 
13: EX-99.9     Miscellaneous Exhibit                               HTML     20K 
21: R1          Cover Page                                          HTML     38K 
22: R2          Balance Sheets                                      HTML     88K 
23: R3          Balance Sheets (Parentheticals)                     HTML     42K 
24: R4          Statements of Operations                            HTML     50K 
25: R5          Statements of Operations (Parentheticals)           HTML     21K 
26: R6          Statements of Changes in Stockholders? Equity       HTML     76K 
27: R7          Statements of Changes in Stockholders? Equity       HTML     21K 
                (Parentheticals)                                                 
28: R8          Statements of Cash Flows                            HTML     85K 
29: R9          Description of Organization and Business            HTML     62K 
                Operations                                                       
30: R10         Restatement of Previously Issued Financial          HTML     79K 
                Statements                                                       
31: R11         Summary of Significant Accounting Policies          HTML     92K 
32: R12         Initial Public Offering                             HTML     42K 
33: R13         Private Placement                                   HTML     22K 
34: R14         Related Party Transactions                          HTML     29K 
35: R15         Commitments and Contingencies                       HTML     32K 
36: R16         Permanent Equity and Temporary Equity               HTML     32K 
37: R17         Income Tax                                          HTML     53K 
38: R18         Fair Value Measurements                             HTML     82K 
39: R19         Subsequent Events                                   HTML     22K 
40: R20         Summary of Significant Accounting Policies          HTML     94K 
                (Policies)                                                       
41: R21         Restatement of Previously Issued Financial          HTML     74K 
                Statements (Tables)                                              
42: R22         Summary of Significant Accounting Policies          HTML     49K 
                (Tables)                                                         
43: R23         Income Tax (Tables)                                 HTML     53K 
44: R24         Fair Value Measurements (Tables)                    HTML     75K 
45: R25         Description of Organization and Business            HTML    108K 
                Operations (Details)                                             
46: R26         Restatement of Previously Issued Financial          HTML     26K 
                Statements (Details)                                             
47: R27         Restatement of Previously Issued Financial          HTML    113K 
                Statements - Adjusted Financials (Details)                       
48: R28         Summary of Significant Accounting Policies          HTML     35K 
                (Details)                                                        
49: R29         Summary of Significant Accounting Policies -        HTML     40K 
                Earnings per Share (Details)                                     
50: R30         Initial Public Offering (Details)                   HTML     51K 
51: R31         Private Placement (Details)                         HTML     31K 
52: R32         Related Party Transactions (Details)                HTML     56K 
53: R33         Commitments and Contingencies (Details)             HTML     34K 
54: R34         Permanent Equity and Temporary Equity (Details)     HTML     70K 
55: R35         Income Tax (Details)                                HTML     28K 
56: R36         Income Tax (Details) - Schedule of deferred tax     HTML     29K 
                assets                                                           
57: R37         Income Tax (Details) - Schedule of income tax       HTML     39K 
                provision                                                        
58: R38         Income Tax (Details) - Schedule of reconciliation   HTML     32K 
                of the federal income tax rate                                   
59: R39         Fair Value Measurements (Details) - Schedule of     HTML     54K 
                air value on a recurring basis                                   
60: R40         Fair Value Measurements - Measurement Inputs        HTML     32K 
                (Details)                                                        
61: R41         Fair Value Measurements - Change in Fair Value of   HTML     31K 
                Warrants (Details)                                               
62: R42         Subsequent Events (Details)                         HTML     22K 
64: XML         IDEA XML File -- Filing Summary                      XML    102K 
20: XML         XBRL Instance -- cic-20210615_htm                    XML   1.49M 
63: EXCEL       IDEA Workbook of Financial Reports                  XLSX     80K 
16: EX-101.CAL  XBRL Calculations -- cic-20210615_cal                XML     75K 
17: EX-101.DEF  XBRL Definitions -- cic-20210615_def                 XML    461K 
18: EX-101.LAB  XBRL Labels -- cic-20210615_lab                      XML    949K 
19: EX-101.PRE  XBRL Presentations -- cic-20210615_pre               XML    639K 
15: EX-101.SCH  XBRL Schema -- cic-20210615                          XSD    133K 
65: JSON        XBRL Instance as JSON Data -- MetaLinks              212±   303K 
66: ZIP         XBRL Zipped Folder -- 0001628280-21-012274-xbrl      Zip   4.70M 


‘EX-99.1’   —   Miscellaneous Exhibit


This Exhibit is an HTML Document rendered as filed.  [ Alternative Formats ]



 <!   C:   C: 
  Document  
Exhibit 99.1
capinvestmentv2021061418001.jpg
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1. Toapprovetheagreementandplanofmerger,dated asofMarch2,2021(the“MergerAgreement”). 2.To approve the proposed amended and restated certificateofincorporationofCapitolInvestmentCorp. V(“Capitol”). 3.Toapprove,onanon-bindingadvisorybasis,thefollowingmaterialdifference betweenthecertificateofincorporationofCapitolthatwillbeineffectuponthe closingofthetransactionsandCapitol’scurrentcertificateofincorporation: 3a.Thenameofthenewpublicentitywillbe“Doma Holdings,Inc.”asopposedto“CapitolInvestment Corp.V”. 3b.Capitol, to be renamed “Doma Holdings, Inc.” (“New Doma”), will have 2,000,000,000 authorized shares of common stock and 100,000,000authorizedsharesofpreferredstock,asopposedtoCapitol currentlyhaving400,000,000authorizedsharesofClassAcommonstock, 50,000,000authorizedsharesofClassBcommonstock,and1,000,000 sharesofpreferredstock. 3c.Theremovalofvariousprovisionsapplicableonly tospecialpurposeacquisitioncompaniesthatthe currentcertificateofincorporationcontains. 4.To approve the issuance of (x) shares of common stock of New Doma pursuant to the terms of the MergerAgreementand (y)sharesof commonstock ofNewDomatocertaininstitutionalinvestorsinconnectionwithaconcurrent privateplacement. 5.ToapprovetheNewDomaEquityIncentivePlan. 6.ToapprovetheNewDomaEmployeeStockPurchase Plan. 7.Toelectthefollowingdirectorswho,upontheconsummationofthebusiness combination,willbethedirectorsofNewDoma,intheclassessetforthbelow: Class I(toserveuntil the2024annualmeetingoruntil theirsuccessorsare electedandqualifiedortheirearlierresignation,removal,ordeath): MaxSimkoff SerenaWolfe MatthewE.Zames Class II(toserveuntilthe2022annualmeetingoruntiltheirsuccessorsare electedandqualifiedortheirearlierresignation,removal,ordeath): StuartMiller CharlesMoldow KarenRichardson Class III(toserveuntilthe2023annualmeetingoruntiltheirsuccessorsare electedandqualifiedortheirearlierresignation,removal,ordeath): ShardaCherwoo LawrenceSummers MaxineWilliams 8. To approve the adjournment of the special meeting bythechairmanthereoftoalaterdate,ifnecessary,if Capitolisunabletoconsummatethebusinesscombi- nationforanyreason. MARKHEREFORADDRESSCHANGEANDNOTEONBACK CAPITOL INVESTMENT CORP. V FOLD HERE • DO NOT SEPARATE • INSERT IN ENVELOPE PROVIDED Signature___________________________________ Signature, if held jointly______________________________________ Date_____________2021. Signature should agree with name printed hereon. If stock is held in the name of more than one person, EACH joint owner should sign. Executors, administrators, trustees,guardians,andattorneysshouldindicatethecapacityinwhichtheysign.Attorneysshouldsubmitpowersofattorney. Pleasemark yourvotes likethis X 18280CAPITOLINVESTMENTCORP.V_PROXYCARDREV1Front CONTROLNUMBER PROXY PLEASE DO NOT RETURN THE PROXY CARD IF YOU ARE VOTING ELECTRONICALLY. INTERNET – www.cstproxyvote.com UsetheInternettovoteyourproxy.Have yourproxycardavailablewhenyouaccess theabovewebsite.Followthepromptstovote yourshares. Vote at the Meeting – Ifyouplantoattendthevirtualonlineannual meeting,youwillneedyour12digitcontrol numbertovoteelectronicallyattheannual meeting.Toattendtheannualmeeting,visit: https://www.cstproxy.com/ capinvestmentcorpv/sm2021 MAIL –Mark,signanddateyourproxycard andreturnitinthepostage-paidenvelope provided. Your Internet vote authorizes the named proxies to vote your shares in the same manner as if you marked, signed and returned your proxy card. Votes submitted electronically over the Internet must be received by 11:59 p.m., Eastern Time, on [•], 2021. YOUR VOTE IS IMPORTANT. PLEASE VOTE TODAY. IMMEDIATE - 24 Hours a Day, 7 Days a Week or by Mail Vote by Internet - Q U I CK E A SY FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR AGAINST ABSTAIN FOR FOR FOR WITHHOLD WITHHOLD WITHHOLD



capinvestmentv2021061418002.jpg
slide2
CAPITOL INVESTMENT CORP. V SPECIAL MEETING IN LIEU OF THE 2021 ANNUAL MEETING OF STOCKHOLDERS YOUR VOTE IS IMPORTANT THIS PROXY IS SOLICITED BY THE BOARD OF DIRECTORS FOR THE GENERAL MEETING TO BE HELD ON , 2021 PROXY 18280CAPITOLINVESTMENTCORP.V_PROXYCARDREV1Back Theundersigned,revokinganypreviousproxiesrelatingtotheseshares,herebyacknowledgesreceiptoftheNoticeand ProxyStatement/Prospectus inconnectionwithaspecialmeeting in lieuof the2021annualmeetingofstockholdersof CapitolInvestmentCorpV(“Capitol”)tobeheldata.m.NewYorkCitytime,on,2021virtuallyvialivewebcastat https://www.cstproxy.com/capinvestmentcorpv/sm2021,andherebyappointsMarkD.EinandL.DysonDryden,and eachofthem(withfullpowertoactalone),theattorneysandproxiesoftheundersigned,withpowerofsubstitutiontoeach, tovoteallsharesofCapitolcommonstockregisteredinthenameprovided,whichtheundersignedisentitledtovoteatthe generalmeeting,andatanyadjournmentsthereof,withallthepowerstheundersignedwouldhaveifpersonallypresent. Withoutlimitingthegeneralauthorizationherebygiven,saidproxiesare,andeachofthemis,instructedtovoteoractas followsontheproposalssetforthinthisProxyStatement/Prospectus. THIS PROXY WILL BE VOTED AS DIRECTED. IF NO DIRECTIONS ARE GIVEN, THIS PROXY WILL BE VOTED “FOR” PROPOSAL 1 (THE BUSINESS COMBINATION PROPOSAL) BELOW, “FOR” PROPOSAL 2 (THE CHARTER PROPOSAL) BELOW, “FOR” EACH OF PROPOSALS 3A, 3B, AND 3C (THE ADVISORY CHARTER PROPOSALS) BELOW, “FOR” PROPOSAL 4 (THE STOCK ISSUANCE PROPOSAL) BELOW “FOR” PROPOSAL 5 (THE NEW INCENTIVE PLAN PROPOSAL) BELOW, “FOR” PROPOSAL 6 (THE ESPP PROPOSAL) BELOW, “FOR” THE ELECTION OF ALL OF THE DIRECTORS IN PROPOSAL 7 (THE DIRECTOR ELECTION PROPOSAL) BELOW, AND “FOR” PROPOSAL 8 (THE ADJOURNMENT PROPOSAL) BELOW. THE CAPITOL BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” PROPOSAL 1 (THE BUSINESS COMBINATION PROPOSAL) BELOW, “FOR” PROPOSAL 2 (THE CHARTER PROPOSAL) BELOW, “FOR” EACH OF PROPOSALS 3A, 3B, AND 3C (THE ADVISORY CHARTER PROPOSALS) BELOW, “FOR” PROPOSAL 4 (THE STOCK ISSUANCE PROPOSAL) BELOW “FOR” PROPOSAL 5 (THE NEW INCENTIVE PLAN PROPOSAL) BELOW, “FOR” PROPOSAL 6 (THE ESPP PROPOSAL) BELOW, “FOR” THE ELECTION OF ALL OF THE DIRECTORS IN PROPOSAL 7 (THE DIRECTOR ELECTION PROPOSAL) BELOW, AND “FOR” PROPOSAL 8 (THE ADJOURNMENT PROPOSAL) BELOW. THE APPROVAL OF EACH OF THE BUSINESS COMBINATION PROPOSAL, CHARTER PROPOSAL, STOCK ISSUANCE PROPOSAL, INCENTIVE PLAN PROPOSAL, ESPP PROPOSAL, AND DIRECTOR ELECTION PROPOSAL IS A CONDITION TO THE CONSUMMATION OF THE BUSINESS COMBINATION. PLEASE MARK, DATE AND RETURN THIS PROXY PROMPTLY. ANY VOTES RECEIVED AFTER A MATTER HAS BEEN VOTED UPON WILL NOT BE COUNTED. FORADDRESSCHANGE: ___________________________________ ___________________________________ ___________________________________ (Continued, and to be marked, dated and signed, on the other side) Important Notice Regarding the Availability of Proxy Materials for the Special Meeting in lieu of the 2021 Annual Meeting of Stockholders to be held on , 2021: The notice of special meeting and the accompanying proxy statement/prospectus are available at https://www.cstproxy.com/capinvestmentcorpv/sm2021


13 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/01/24  Doma Holdings, Inc.               10-K       12/31/23  134:14M                                    RDG Filings/FA
 3/08/23  Doma Holdings, Inc.               10-K       12/31/22  131:16M
 8/30/22  Doma Holdings, Inc.               POS AM                 2:644K
 7/21/22  Doma Holdings, Inc.               424B3                  3:182K
 7/21/22  Doma Holdings, Inc.               8-K:5,7,9   7/19/22   13:336K
 3/14/22  Doma Holdings, Inc.               POS AM               118:15M                                    Workiva Inc Wde… FA01/FA
 3/04/22  Doma Holdings, Inc.               424B3                 11:3M
 3/04/22  Doma Holdings, Inc.               10-K       12/31/21  128:15M
11/08/21  Doma Holdings, Inc.               424B3                  1:89K
11/08/21  Doma Holdings, Inc.               8-K:5,9    11/02/21    1:27K
 9/03/21  Doma Holdings, Inc.               S-1/A                160:29M                                    Workiva Inc Wde… FA01/FA
 8/19/21  Doma Holdings, Inc.               S-1                  161:29M                                    Workiva Inc Wde… FA01/FA
 8/03/21  Doma Holdings, Inc.               8-K:1,2,3,4 7/28/21   11:1.5M                                   Workiva Inc Wde… FA01/FA


6 Previous Filings that this Filing References

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/25/21  Doma Holdings, Inc.               S-4/A                 56:23M                                    Workiva Inc Wde… FA01/FA
 3/19/21  Doma Holdings, Inc.               S-4         3/18/21   76:20M                                    Workiva Inc Wde… FA01/FA
 3/12/21  Doma Holdings, Inc.               8-K:2,3,9   3/08/21    3:48K                                    EdgarAgents LLC/FA
 3/03/21  Doma Holdings, Inc.               8-K:1,3,7,9 3/02/21    8:12M                                    EdgarAgents LLC/FA
12/07/20  Doma Holdings, Inc.               8-K:1,3,5,812/01/20   12:905K                                   EdgarAgents LLC/FA
11/19/20  Doma Holdings, Inc.               S-1/A                 21:4.5M                                   EdgarAgents LLC/FA
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