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Doma Holdings, Inc. – ‘S-4/A’ on 6/15/21 – ‘EX-4.5’

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-4.5’   —   Instrument Defining the Rights of Security Holders


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



 <!   C:   C: 
  Document  
Exhibit 4.5
NUMBER
C-
SHARES
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP ____________ 
DOMA HOLDINGS, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
COMMON STOCK
THIS CERTIFIES THAT_______________IS THE OWNER OF_________________
FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.0001 EACH OF THE COMMON STOCK OF
DOMA HOLDINGS, INC.
(THE “CORPORATION”)
transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this certificate properly endorsed.
This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.
Witness the seal of the Corporation and the facsimile signatures of its duly authorized officers.
 [Corporate Seal] 
SecretaryDelawareChief Executive Officer
    


DOMA HOLDINGS, INC. 
The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof of the Corporation and the qualifications, limitations, or restrictions of such preferences and/or rights.
This certificate and the shares represented hereby are issued and shall be held subject to all the provisions of the amended and restated certificate of incorporation of the Corporation and all amendments thereto and resolutions of the board of directors providing for the issue of securities (copies of which may be obtained from the secretary of the Corporation), to all of which the holder of this certificate by acceptance hereof assents.
The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:
TEN COMas tenants in commonUNIF GIFT MIN ACT —Custodian
      
TEN ENTas tenants by the entireties(Cust)(Minor)
     
JT TEN
as joint tenants with right of survivorship and
not as tenants in common
under Uniform Gifts to Minors Act
 
(State)
Additional abbreviations may also be used though not in the above list.
For value received,__________________hereby sells, assigns and transfers unto
(PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER(S) OF ASSIGNEE(S))
(PLEASE PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF ASSIGNEE(S))
________________ shares of the capital stock represented by the within certificate, and hereby irrevocably constitutes and appoints________________Attorney to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.
Dated:
Notice: The signature to this assignment must correspond with the name as written upon the face of the certificate in every particular, without alteration or enlargement or any change whatever.
Signature(s) Guaranteed:
By
THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15 (OR ANY SUCCESSOR RULE).
    

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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Filing Submission 0001628280-21-012274   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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