0000899243-20-009269.txt : 20200323
0000899243-20-009269.hdr.sgml : 20200323
20200323175501
ACCESSION NUMBER: 0000899243-20-009269
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200319
FILED AS OF DATE: 20200323
DATE AS OF CHANGE: 20200323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salem Enrique T
CENTRAL INDEX KEY: 0001295402
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 20735980
MAIL ADDRESS:
STREET 1: SYMANTEC CORPORATION
STREET 2: 20330 STEVENS CREEK BLVD.
CITY: CUPERTINO
STATE: CA
ZIP: 95014
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-03-19
0
0001261333
DOCUSIGN, INC.
DOCU
0001295402
Salem Enrique T
C/O BAIN CAPITAL VENTURE INVESTORS, LLC
200 CLARENDON STREET
BOSTON
MA
02116
1
0
0
0
Common Stock
2020-03-19
4
S
0
372351
78.60
D
3000000
I
See Footnotes
Common Stock
89811
I
See Footnotes
Common Stock
65494
D
Represents shares of Common Stock held directly by BCIP Venture Associates ("BCIP Venture"), BCIP Venture Associates-B ("BCIP Venture-B"), BCIP Venture Associates II, L.P. ("BCIP Venture II"), BCIP Venture Associates II-B, L.P. ("BCIP Venture II-B"), Bain Capital Venture Fund 2012, L.P. ("Venture 2012"), Bain Capital Venture Fund 2014, L.P. ("Venture 2014") and Bain Capital Venture Coinvestment Fund, L.P. ("Coinvestment" and, collectively, the "Bain Venture Entities").
Bain Capital Venture Investors, LLC ("BCVI") is the ultimate general partner of each of Venture 2012, Venture 2014 and Coinvestment and governs the investment strategy and decision making process with respect to investments held by each of BCIP Venture, BCIP Venture-B, BCIP Venture II and BCIP Venture II-B. Mr. Salem is a member of the Executive Committee and a Managing Director of BCVI. By virtue of the relationships described in this footnote, Mr. Salem may be deemed to share voting and dispositive power with respect to all of the shares of Common Stock held by the Bain Venture Entities. Mr. Salem disclaims beneficial ownership except to the extent of his pecuniary interest therein.
Represents shares of Common Stock held directly by NPI Capital, LLC. Mr. Salem is the managing member of NPI Capital, LLC.
/s/ Enrique T. Salem
2020-03-23