0001261333-22-000082.txt : 20220601 0001261333-22-000082.hdr.sgml : 20220601 20220601174918 ACCESSION NUMBER: 0001261333-22-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220528 FILED AS OF DATE: 20220601 DATE AS OF CHANGE: 20220601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Irving Blake CENTRAL INDEX KEY: 0001492275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 22988547 MAIL ADDRESS: STREET 1: 14455 N. HAYDEN RD. CITY: SCOTTSDALE STATE: AZ ZIP: 85260 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOCUSIGN, INC. CENTRAL INDEX KEY: 0001261333 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 912183967 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 221 MAIN ST., SUITE 1550 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-489-4940 MAIL ADDRESS: STREET 1: 221 MAIN ST., SUITE 1550 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 FORMER COMPANY: FORMER CONFORMED NAME: DOCUSIGN INC DATE OF NAME CHANGE: 20030826 4 1 wf-form4_165412014209039.xml FORM 4 X0306 4 2022-05-28 0 0001261333 DOCUSIGN, INC. DOCU 0001492275 Irving Blake C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 2022-05-28 4 M 0 279 0 A 12230 D Restricted Stock Units 2022-05-28 4 M 0 279 0 D Common Stock 279.0 0 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock. The RSUs will vest in equal quarterly installments over one year, with a vesting commencement date of May 28, 2021, in each case subject to the Reporting Person being a service provider through each such date. The RSUs do not expire; they either vest or are canceled prior to vesting date. /s/ Lisa Yun, Attorney-in-fact 2022-06-01 EX-24 2 ex-24.htm POA IRVING MARCH 2022

LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS

Know all by these presents, that the undersigned hereby makes, constitutes and appoints each of Tram Phi, Brian
Kelly, Lisa Yun, Derrick Chapman, and Erika Boyd of DocuSign, Inc., a Delaware corporation (the "Company") as the
undersigned's true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the
name, place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including any amendments thereto) with
respect to the securities of the Company, with the SEC, any national securities exchanges and the Company, as considered
necessary or advisable under Section 16(a) of the Exchange Act and the rules and regulations promulgated thereunder, as
amended from time to time;
(2) seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on
transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and
trustees, and the undersigned hereby authorizes any such person to release any such information to the undersigned and
approves and ratifies any such release of information; and
(3) perform any and all other acts which in the discretion of such attorney-in-fact are necessary or desirable for
and on behalf of the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such attorney-in-fact to act in their discretion on
information provided to such attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on behalf of the undersigned pursuant to
this Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his
or her discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for the undersigned's responsibility
to comply with the requirements of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such
requirements, or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the
Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility for compliance with the
undersigned's obligations under the Exchange Act, including without limitation the reporting requirements under Section 16
of the Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-in-fact full power and authority to do and perform
all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the foregoing matters as
fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that such attorney-in-fact
of, for and on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing
delivered to such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of

March 18, 2022
Date

Blake Irving
Print Name

/s/ Blake Irving
Signature