SEC Form 4 · accession 0001209191-18-027189
DOCUSIGN, INC. · DOCU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
May 1, 2018
Accepted (ET)
May 1, 2018 · 6:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001261333
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | May 1, 2018 | C | 2,658,418 | — | A | 2,764,846 | I | See footnote |
| Common StockF3,F4 | May 1, 2018 | C | 1,264,222 | — | A | 4,029,068 | I | See footnote |
| Common StockF3,F5 | May 1, 2018 | C | 8,546,742 | — | A | 12,575,810 | I | See footnote |
| Common StockF3,F6 | May 1, 2018 | C | 1,392,050 | — | A | 13,967,860 | I | See footnote |
| Common StockF3,F7 | May 1, 2018 | C | 1,533,237 | — | A | 15,501,097 | I | See footnote |
| Common StockF3,F8 | May 1, 2018 | C | 195,759 | — | A | 15,696,856 | I | See footnote |
| Common StockF9,F10 | May 1, 2018 | S | 784,843 | $29.00 | D | 14,912,013 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF11,F1 | — | May 1, 2018 | C | 2,601,373 | D | — | — | Common Stock | 2,658,418 | 0 | I |
| Series A-1 Preferred StockF11,F3 | — | May 1, 2018 | C | 1,264,222 | D | — | — | Common Stock | 1,264,222 | 0 | I |
| Series B Preferred StockF11,F3 | — | May 1, 2018 | C | 8,546,742 | D | — | — | Common Stock | 8,546,742 | 0 | I |
| Series B-1 Preferred StockF3 | — | May 1, 2018 | C | 1,392,050 | D | — | — | Common Stock | 1,392,050 | 0 | I |
| Series C Preferred StockF11,F3 | — | May 1, 2018 | C | 1,533,237 | D | — | — | Common Stock | 1,533,237 | 0 | I |
| Series D Preferred StockF11,F3 | — | May 1, 2018 | C | 195,759 | D | — | — | Common Stock | 195,759 | 0 | I |
Explanation of responses
- F1Each share of Series A Preferred Stock converted into 1.02192925205 shares of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
- F10Includes 14,169,398 shares held by Ignition Venture Partners II, L.P. and 742,615 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F11The shares were held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F2Includes 2,627,157 shares held by Ignition Venture Partners II, L.P. and 137,689 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F3Each share of Series A-1 Preferred Stock, Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock and Series D Preferred Stock converted into one share of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
- F4Includes 3,828,421 shares held by Ignition Venture Partners II, L.P. and 200,647 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F5Includes 11,949,537 shares held by Ignition Venture Partners II, L.P. and 626,273 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F6Includes 13,272,263 shares held by Ignition Venture Partners II, L.P. and 695,597 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F7Includes 14,729,146 shares held by Ignition Venture Partners II, L.P. and 771,951 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F8Includes 14,915,156 shares held by Ignition Venture Partners II, L.P. and 781,700 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
- F9Includes 39,085 shares sold by Ignition Managing Directors Fund II, LLC and 745,758 shares sold by Ignition Venture Partners II, L.P.