Doma (DOMA) Form 3 Capitol Investment Corp. V / MARK EIN ownership change

SEC Form 3

FORM 3

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

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Capitol Acquisition Management V, LLC

(Last) (First) (Middle)

1300 17TH STREET NORTH,

SUITE 820

(Street)

ARLINGTON VA 22209

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
12/01/2020

3. Issuer Name and Ticker or Trading Symbol
Capitol Investment Corp. V [ CAP ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

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)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: 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
Class B Common Stock	(1)	(1)	Class A Common Stock	5,336,395	(1)	I	See footnote(2)

1. Name and Address of Reporting Person^*

Capitol Acquisition Management V, LLC

(Last) (First) (Middle)

1300 17TH STREET NORTH,

SUITE 820

(Street)

ARLINGTON VA 22209

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

EIN MARK

(Last) (First) (Middle)

C/O CAPITOL INVESTMENT CORP. V

1300 17TH STREET NORTH, SUITE 820

(Street)

ARLINGTON VA 22209

(City) (State) (Zip)

Explanation of Responses:

1. The Class B common stock will automatically convert into shares of Class A common stock at the completion of the Issuer's initial business combination on a one-for-one basis, subject to adjustment.

2. Represents shares held by Capitol Acquisition Management V LLC, which is controlled by Mr. Ein.

Remarks:

Exhibit 24 - Power of Attorney.

	Capitol Acquisition Management V LLC /s/ L. Dyson Dryden, Attorney-in-Fact for Mark D. Ein, Managing Member	12/01/2020
	/s/ L. Dyson Dryden, Attorney-in-Fact for Mark D. Ein	12/01/2020
	** Signature of Reporting Person	Date
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 5 (b)(v).
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