0001261333-21-000185.txt : 20211013 0001261333-21-000185.hdr.sgml : 20211013 20211013184600 ACCESSION NUMBER: 0001261333-21-000185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211012 FILED AS OF DATE: 20211013 DATE AS OF CHANGE: 20211013 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: 211322136 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_163416513871369.xml FORM 4 X0306 4 2021-10-12 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 2021-10-12 4 M 0 12500 16.21 A 237269 D Common Stock 2021-10-12 4 S 0 1100 250.96 D 236169 D Common Stock 2021-10-12 4 S 0 1800 252.0667 D 234369 D Common Stock 2021-10-12 4 S 0 1600 252.9338 D 232769 D Common Stock 2021-10-12 4 S 0 3477 254.0841 D 229292 D Common Stock 2021-10-12 4 S 0 766 254.6913 D 228526 D Common Stock 2021-10-12 4 S 0 900 255.9344 D 227626 D Common Stock 2021-10-12 4 S 0 1400 257.2686 D 226226 D Common Stock 2021-10-12 4 S 0 600 258.65 D 225626 D Common Stock 2021-10-12 4 S 0 500 259.21 D 225126 D Common Stock 2021-10-12 4 S 0 200 260.19 D 224926 D Common Stock 2021-10-12 4 S 0 157 261.95 D 224769 D Common Stock 2021-10-12 4 S 0 66 251.0329 D 45259 I By Trust Common Stock 2021-10-12 4 S 0 100 252.2368 D 45159 I By Trust Common Stock 2021-10-12 4 S 0 162 252.9994 D 44997 I By Trust Common Stock 2021-10-12 4 S 0 244 254.1846 D 44753 I By Trust Common Stock 2021-10-12 4 S 0 49 255.831 D 44704 I By Trust Common Stock 2021-10-12 4 S 0 93 256.983 D 44611 I By Trust Common Stock 2021-10-12 4 S 0 59 258.4536 D 44552 I By Trust Common Stock 2021-10-12 4 S 0 28 259.2464 D 44524 I By Trust Common Stock 2021-10-12 4 S 0 24 260.3396 D 44500 I By Trust Common Stock 2021-10-12 4 S 0 10 261.95 D 44490 I By Trust Stock Option (Right to Buy) 16.21 2021-10-12 4 M 0 12500 0 D 2027-04-16 Common Stock 12500.0 525000 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 $250.43 to $251.38. 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 $251.45 to $252.44. 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 $252.48 to $253.29. 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 $253.56 to $254.51. 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 $254.56 to $254.92. 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. The shares were sold at prices ranging from $255.69 to $256.61. 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 $256.84 to $257.71. 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 $258.01 to $258.92. 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. The shares were sold at prices ranging from $259.03 to $259.26. 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 $260.03 to $260.35. 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 $250.60 to $251.54. 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. These securities are held by The SVO Family Trust, of which the Reporting Person's spouse is trustee. The shares were sold at prices ranging from $251.66 to $252.65. 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 $252.67 to $253.54. 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 $253.76 to $254.68. 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 $255.38 to $256.01. 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 $256.60 to $257.41. 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 $257.95 to $258.89. 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 $259.22 to $259.26. 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 $260.32 to $260.35. 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/ Brian Kelly, Attorney-in-fact 2021-10-13