0001104659-23-080041.txt : 20230711 0001104659-23-080041.hdr.sgml : 20230711 20230711173346 ACCESSION NUMBER: 0001104659-23-080041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230707 FILED AS OF DATE: 20230711 DATE AS OF CHANGE: 20230711 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chatwani Robert CENTRAL INDEX KEY: 0001968977 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 231082862 MAIL ADDRESS: STREET 1: 221 MAIN STREET, SUITE 1550 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 tm2321079-5_4seq1.xml OWNERSHIP DOCUMENT X0407 4 2023-07-07 0 0001261333 DOCUSIGN, INC. DOCU 0001968977 Chatwani Robert C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 President General Mgr, Growth 0 Performance Stock Units 2023-07-07 4 A 0 17497 0.00 A Common Stock 17497 17497 D Performance Stock Units 2023-07-07 4 A 0 8748 0.00 A Common Stock 8748 8748 D Performance Stock Units 2023-07-07 4 A 0 8748 0.00 A Common Stock 8748 8748 D Each performance vested restricted stock unit ("PSU") represents a contingent right to receive one share of Issuer common stock. The PSUs will vest depending on the Company's total shareholder return ("TSR") over a three year performance period, relative to companies in the Nasdaq Composite Index, subject to continued service with certain limited exceptions. The maximum number of TSR based PSUs that may vest is capped at 200% of the target number of TSR based PSUs. The PSUs will vest depending on the Company's subscription revenue for the twelve month period ended January 31, 2024 (the "One Year Performance Period"). The maximum number of subscription revenue based PSUs that may vest is capped at 200% of the target number of subscription revenue based PSUs. To the extent achieved, 1/3 of any achieved subscription revenue based PSUs will vest following the one year anniversary of the date of grant and the balance will vest in eight equal quarterly installments thereafter, subject to continued service with certain limited exceptions. The PSUs will vest depending on the Company's free cash flow for the One Year Performance Period. The maximum number of free cash flow based PSUs that may vest is capped at 200% of the target number of free cash flow based PSUs. To the extent achieved, 1/3 of any achieved free cash flow based PSUs will vest following the one year anniversary of the date of grant and the balance will vest in eight equal quarterly installments thereafter, subject to continued service with certain limited exceptions. /s/ Lisa Yun, Attorney in Fact 2023-07-11