FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
DOCUSIGN INC [ DOCU ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/01/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 05/01/2018 | C | 52,839 | A | (1) | 170,024 | I | See footnote(2)(3)(4) | ||
Common Stock | 05/01/2018 | C | 12,378,326 | A | (5) | 12,548,350 | I | See footnote(2)(3)(6) | ||
Common Stock | 05/01/2018 | C | 2,831,576 | A | (5) | 15,379,926 | I | See footnote(2)(3)(7) | ||
Common Stock | 05/01/2018 | C | 1,688,236 | A | (5) | 17,068,162 | I | See footnote(3)(8)(9) | ||
Common Stock | 05/01/2018 | C | 215,549 | A | (5) | 17,283,711 | I | See footnote(3)(8)(10) | ||
Common Stock | 05/01/2018 | S | 858,327(11) | D | $29 | 16,425,384 | I | See footnote(3)(12)(13) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (1) | 05/01/2018 | C | 51,706 | (1) | (1) | Common Stock | 52,839 | $0.00 | 0 | I | See footnote(14) | |||
Series B Preferred Stock | (5) | 05/01/2018 | C | 12,378,326 | (5) | (5) | Common Stock | 12,378,326 | $0.00 | 0 | I | See footnote(14) | |||
Serise B-1 Preferred Stock | (5) | 05/01/2018 | C | 2,831,576 | (5) | (5) | Common Stock | 2,831,576 | $0.00 | 0 | I | See footnote(14) | |||
Series C Preferred Stock | (5) | 05/01/2018 | C | 1,688,236 | (5) | (5) | Common Stock | 1,688,236 | $0.00 | 0 | I | See footnote(15) | |||
Series D Preferred Stock | (5) | 05/01/2018 | C | 215,549 | (5) | (5) | Common Stock | 215,549 | $0.00 | 0 | I | See footnote(16) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Each share of Series A Preferred Stock converted into 1.02192925205 shares of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date. |
2. Includes 56,206 shares held by Sigma Partners 8, L.P., 1,793 shares held by Sigma Associates 8, L.P. and 593 shares held by Sigma Investors 8, L.P. Sigma Management 8, L.L.C. is the general partner of Sigma Associates 8, L.P., Sigma Investors 8, L.P. and Sigma Partners 8, L.P. (collectively, the "Sigma Funds 8"). Sigma Management 8, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Paul Flanagan, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 8, L.L.C., share this power. |
3. Includes 55,251 shares held by Jackson Square Ventures I, L.P. and 3,342 shares held by Jackson Square Associates I, L.P. Jackson Square Ventures, LLC is the managing member of Jackson Square Associates I, L.P. and Jackson Square Ventures I, L.P. and has sole voting and dispositive power over the shares held by Jackson Square Ventures I, L.P. and Jackson Square Associates I, L.P. Peter Solvik, Josh Breinlinger, Gregory Gretsch and Robert Spinner as managing members of Jackson Square Ventures, LLC, share this power. |
4. Includes 49,218 shares held by Sigma Partners 7, L.P., 3,036 shares held by Sigma Associates 7, L.P. and 585 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma Funds 7"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
5. Each share of Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and series E Preferred Stock converted into one share of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date. |
6. Includes 11,566,370 shares held by Sigma Partners 7, L.P., 730,486 shares held by Sigma Associates 7, L.P. and 134,309 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma Funds 7"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
7. Includes 14,203,886 shares held by Sigma Partners 7, L.P., 893,193 shares held by Sigma Associates 7, L.P. and 165,662 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma Funds 7"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
8. Includes 14,427,581 shares held by Sigma Partners 7, L.P., 907,259 shares held by Sigma Associates 7, L.P. and 168,270 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma Funds 7"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
9. Includes 1,437,786 shares held by Sigma Partners 8, L.P., 53,228 shares held by Sigma Associates 8, L.P. and 15,445 shares held by Sigma Investors 8, L.P. Sigma Management 8, L.L.C. is the general partner of Sigma Associates 8, L.P., Sigma Investors 8, L.P. and Sigma Partners 8, L.P. (collectively, the "Sigma Funds 8"). Sigma Management 8, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Paul Flanagan, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 8, L.L.C., share this power. |
10. Includes 1,644,491 shares held by Sigma Partners 8, L.P., 59,850 shares held by Sigma Associates 8, L.P. and 17,667 shares held by Sigma Investors 8, L.P. Sigma Management 8, L.L.C. is the general partner of Sigma Associates 8, L.P., Sigma Investors 8, L.P. and Sigma Partners 8, L.P. (collectively, the "Sigma Funds 8"). Sigma Management 8, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Paul Flanagan, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 8, L.L.C., share this power. |
11. Represents 721,379 shares sold by Sigma Partners 7, LP., 45,363 shares sold by Sigma Associates 7, L.P., 8,414 shares sold by Sigma Investors 7, L.P., 79,414 shares sold by Sigma Partners 8, L.P., 2,903 shares sold by Sigma Associates 8, L.P. and 854 shares sold by Sigma Investors 8, L.P. |
12. Includes 13,706,202 shares held by Sigma Partners 7, L.P., 861,896 shares held by Sigma Associates 7, L.P. and 159,856 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma Funds 7"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
13. Includes 1,565,077 shares held by Sigma Partners 8, L.P., 56,947 shares held by Sigma Associates 8, L.P. and 16,813 shares held by Sigma Investors 8, L.P. Sigma Management 8, L.L.C. is the general partner of Sigma Associates 8, L.P., Sigma Investors 8, L.P. and Sigma Partners 8, L.P. (collectively, the "Sigma Funds 8"). Sigma Management 8, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Paul Flanagan, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 8, L.L.C., share this power. |
14. The shares were held by the Sigma 7 Funds. |
15. The shares were held by the Sigma 7 Funds and the Sigma 8 Funds. |
16. The shares were held by the Sigma 8 Funds. |
Remarks: |
See Form 3 for Jackson Square Ventures, LLC for additional members of this joint filing. |
/s/ Gregory Gretsch, Managing Member | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
/s/ Gregory Gretsch, Managing Member of General Partner | 05/01/2018 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
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