0001261333-19-000102.txt : 20191115 0001261333-19-000102.hdr.sgml : 20191115 20191115175911 ACCESSION NUMBER: 0001261333-19-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191113 FILED AS OF DATE: 20191115 DATE AS OF CHANGE: 20191115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLRICH SCOTT V. CENTRAL INDEX KEY: 0001517211 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 191225573 MAIL ADDRESS: STREET 1: C/O DOCUSIGN, INC. STREET 2: 221 MAIN ST., SUITE 1000 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 wf-form4_157385873630602.xml FORM 4 X0306 4 2019-11-13 0 0001261333 DOCUSIGN, INC. DOCU 0001517211 OLRICH SCOTT V. C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 Chief Operating Officer Common Stock 2019-11-13 4 S 0 2000 66.69 D 497770 D The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person. /s/ Apple Palarca, Attorney-in-fact 2019-11-15