0001261333-21-000033.txt : 20210308
0001261333-21-000033.hdr.sgml : 20210308
20210308170721
ACCESSION NUMBER: 0001261333-21-000033
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210305
FILED AS OF DATE: 20210308
DATE AS OF CHANGE: 20210308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gaylor Cynthia
CENTRAL INDEX KEY: 0001737543
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 21722821
MAIL ADDRESS:
STREET 1: C/O PIVOTAL SOFTWARE, INC.
STREET 2: 875 HOWARD STREET, FIFTH FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
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_161524122075372.xml
FORM 4
X0306
4
2021-03-05
0
0001261333
DOCUSIGN, INC.
DOCU
0001737543
Gaylor Cynthia
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Financial Officer
Common Stock
2021-03-05
4
M
0
803
0
A
8107
D
Common Stock
2021-03-05
4
F
0
66
210.62
D
8041
D
Restricted Stock Units
2021-03-05
4
M
0
803
0
D
Common Stock
803.0
2412
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock.
The RSUs will vest in twelve equal quarterly installments over three years, with a vesting commencement date of December 5, 2018, in each case subject to the Reporting Person being a service provider through each such date. The RSUs are subject to accelerated vesting in the event of a termination of employment of the Reporting Person including under certain circumstances following a change in control of the Issuer.
The RSUs do not expire; they either vest or are canceled prior to vesting date.
/s/ Poonam Singh, Attorney-in-fact
2021-03-08