0001261333-21-000205.txt : 20211130 0001261333-21-000205.hdr.sgml : 20211130 20211130162456 ACCESSION NUMBER: 0001261333-21-000205 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211128 FILED AS OF DATE: 20211130 DATE AS OF CHANGE: 20211130 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: 211459979 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_163830748247075.xml FORM 4 X0306 4 2021-11-28 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 2021-11-28 4 M 0 279 0 A 26677 D Restricted Stock Units 2021-11-28 4 M 0 279 0 D Common Stock 279.0 558 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/ Brian Kelly, Attorney-in-fact 2021-11-30