0001261333-21-000218.txt : 20211207 0001261333-21-000218.hdr.sgml : 20211207 20211207204801 ACCESSION NUMBER: 0001261333-21-000218 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211207 FILED AS OF DATE: 20211207 DATE AS OF CHANGE: 20211207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Springer Daniel D. CENTRAL INDEX KEY: 0001517205 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 211477373 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_163892806831583.xml FORM 4 X0306 4 2021-12-07 0 0001261333 DOCUSIGN, INC. DOCU 0001517205 Springer Daniel D. C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 1 1 0 0 President and CEO Common Stock 2021-12-07 4 P 0 3216 138.9293 A 3216 I By Trust Common Stock 2021-12-07 4 P 0 3700 140.2667 A 6916 I By Trust Common Stock 2021-12-07 4 P 0 1225 141.4721 A 8141 I By Trust Common Stock 2021-12-07 4 P 0 1400 142.8484 A 9541 I By Trust Common Stock 2021-12-07 4 P 0 5120 144.2052 A 14661 I By Trust Common Stock 2021-12-07 4 P 0 8607 144.9175 A 23268 I By Trust Common Stock 2021-12-07 4 P 0 6507 145.9528 A 29775 I By Trust Common Stock 2021-12-07 4 P 0 3900 146.9085 A 33675 I By Trust The shares were bought at prices ranging from $138.56 to $139.46. 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 bought at each separate price. These securities are held by The Daniel Springer Revocable Trust, of which the Reporting Person is trustee. The shares were bought at prices ranging from $139.88 to $140.75. 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 bought at each separate price. The shares were bought at prices ranging from $141.25 to $141.73. 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 bought at each separate price. The shares were bought at prices ranging from $142.46 to $143.44. 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 bought at each separate price. The shares were bought at prices ranging from $143.52 to $144.51. 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 bought at each separate price. The shares were bought at prices ranging from $144.52 to $145.42. 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 bought at each separate price. The shares were bought at prices ranging from $145.56 to $146.53. 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 bought at each separate price. The shares were bought at prices ranging from $146.62 to $147.38. 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 bought at each separate price. /s/ Brian Kelly, Attorney-in-fact 2021-12-07