0001261333-20-000207.txt : 20200914 0001261333-20-000207.hdr.sgml : 20200914 20200914211337 ACCESSION NUMBER: 0001261333-20-000207 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200914 FILED AS OF DATE: 20200914 DATE AS OF CHANGE: 20200914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wilderotter Mary Agnes CENTRAL INDEX KEY: 0001180610 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 201174544 MAIL ADDRESS: STREET 1: 115 ALPINE TERRACE CITY: OAKLAND STATE: CA ZIP: 94618 FORMER NAME: FORMER CONFORMED NAME: WILDEROTTER MAGGIE DATE OF NAME CHANGE: 20020815 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_160013240442106.xml FORM 4 X0306 4 2020-09-14 0 0001261333 DOCUSIGN, INC. DOCU 0001180610 Wilderotter Mary Agnes C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 19821 D Restricted Stock Units Common Stock 5225.0 5225 D This Form 4 is being voluntarily filed to report the moving of RSU awards previously reported in Table I to Table II. No other transactions are being reported in this Form 4. The total shares reported as directly held in Table I, Column 5 of this Form 4 reflect a decrease of 5,225 shares representing unvested restricted stock units that were previously reported in Table I. These restricted stock units are now reported in Table II of this Form 4. Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock. The RSUs will vest in twelve equal quarterly installments over three years, with a vesting commencement date of March 17, 2018, 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/ Apple Palarca, Attorney-in-fact 2020-09-14 EX-24 2 ex-24.htm POA WILDEROTTER SEPT 2020

LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes and appoints each of (i) Brian
Kelly, Apple Palarca, Poonam Singh and Erika Boyd of DocuSign, Inc., a Delaware corporation (the "Company")
and (ii) Katherine Duncan, Lilly Icard and Laurie Blain of Fenwick & West LLP, the Company's legal counsel 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 Company's securities 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 requirement 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 this
3rd day of September 2020.
/s/ Mary Agnes Wilderotter
Mary Agnes Wilderotter