SEC Form 4 · accession 0001209191-19-007097

DOCUSIGN, INC. · DOCU

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — General Counsel and Secretary

Period of report

Jan 31, 2019

Accepted (ET)

Feb 4, 2019 · 7:12 pm EST

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
Common Stock	Jan 31, 2019	M	89,322	$12.19	A	267,851	D
Common Stock	Jan 31, 2019	M	100	$12.19	A	267,951	D
Common Stock	Jan 31, 2019	M	111	$13.43	A	268,062	D
Common Stock	Jan 31, 2019	M	33,333	$16.65	A	301,395	D
Common Stock	Jan 31, 2019	M	23,499	$17.97	A	324,894	D
Common Stock^F2	Jan 31, 2019	S	146,365	$50.01	D	178,529	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (Right to Buy)^F3	$12.19	Jan 31, 2019	M	89,322	D	—	Sep 10, 2024	Common Stock	89,322	12,812	D
Stock Option (Right to Buy)^F3	$12.19	Jan 31, 2019	M	100	D	—	Sep 10, 2024	Common Stock	100	0	D
Stock Option (Right to Buy)^F3	$13.43	Jan 31, 2019	M	111	D	—	Mar 10, 2025	Common Stock	111	0	D
Stock Option (Right to Buy)^F4	$16.65	Jan 31, 2019	M	33,333	D	—	Jun 10, 2025	Common Stock	33,333	6,667	D
Stock Option (Right to Buy)^F5	$17.97	Jan 31, 2019	M	23,499	D	—	Dec 13, 2025	Common Stock	23,499	76,501	D

F1The transaction was effected pursuant to a Rule 10b5-1 plan.
F2The shares were sold at prices ranging from $50.00 to $50.03. The reporting person will provide upon request to the SEC, the issuer or security holder of the issuer, full information regarding the number of shares sold at each separate price.
F3Fully vested.
F41/12th of the shares subject to the option shall vest monthly from 2/1/18.
F51/48th of the shares subject to the option shall vest monthly from 11/2/15.