0001209191-18-049123.txt : 20180831 0001209191-18-049123.hdr.sgml : 20180831 20180831180710 ACCESSION NUMBER: 0001209191-18-049123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180829 FILED AS OF DATE: 20180831 DATE AS OF CHANGE: 20180831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Irving Blake CENTRAL INDEX KEY: 0001492275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 181050875 MAIL ADDRESS: STREET 1: 14455 N. HAYDEN RD. CITY: SCOTTSDALE STATE: AZ ZIP: 85260 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 1000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 866-219-4318 MAIL ADDRESS: STREET 1: 221 MAIN ST., SUITE 1000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-08-29 0 0001261333 DOCUSIGN INC DOCU 0001492275 Irving Blake C/O DOCUSIGN, INC. SUITE 1000 SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 2018-08-29 4 A 0 5893 0.00 A 5893 D Represents shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person pursuant to the Issuer's Non-Employee Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Common Stock. The RSUs will vest in twelve equal quarterly installments over three years, with a vesting commencement date of August 29, 2018, in each case subject to the reporting person being a service provider through such date. /s/ Yanira Wong 2018-08-31