0001261333-21-000015.txt : 20210216 0001261333-21-000015.hdr.sgml : 20210216 20210216183120 ACCESSION NUMBER: 0001261333-21-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210212 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alhadeff Loren CENTRAL INDEX KEY: 0001765953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 21641684 MAIL ADDRESS: STREET 1: C/O DOCUSIGN, INC. STREET 2: 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_161351826191517.xml FORM 4 X0306 4 2021-02-12 0 0001261333 DOCUSIGN, INC. DOCU 0001765953 Alhadeff Loren C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 Chief Revenue Officer Common Stock 2021-02-12 4 M 0 5000 16.65 A 89696 D Common Stock 2021-02-12 4 S 0 100 252.11 D 89596 D Common Stock 2021-02-12 4 S 0 200 254.195 D 89396 D Common Stock 2021-02-12 4 S 0 435 255.5076 D 88961 D Common Stock 2021-02-12 4 S 0 601 256.5872 D 88360 D Common Stock 2021-02-12 4 S 0 700 257.5629 D 87660 D Common Stock 2021-02-12 4 S 0 500 258.664 D 87160 D Common Stock 2021-02-12 4 S 0 955 260.1631 D 86205 D Common Stock 2021-02-12 4 S 0 1100 261.3373 D 85105 D Common Stock 2021-02-12 4 S 0 409 262.3723 D 84696 D Option (Right to Buy) 16.65 2021-02-12 4 M 0 5000 0 D 2025-06-11 Common Stock 5000.0 69943 D The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person. The shares were sold at prices ranging from $254.03 to $254.36. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $255.12 to $255.96. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $256.15 to $257.12. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $257.23 to $257.91. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $258.35 to $259.21. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $259.72 to $260.65. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $260.84 to $261.79. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. The shares were sold at prices ranging from $261.94 to $262.92. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. This stock option was fully vested on the transaction date. /s/ Poonam Singh, Attorney-in-fact 2021-02-16