0001261333-21-000232.txt : 20211216 0001261333-21-000232.hdr.sgml : 20211216 20211216181625 ACCESSION NUMBER: 0001261333-21-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 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: 211499022 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_163969657024114.xml FORM 4 X0306 4 2021-12-15 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 2021-12-15 5 G 0 E 4395 0 D 1585613 D Common Stock 2021-12-15 4 M 0 27699 0 A 1613312 D Common Stock 2021-12-15 4 F 0 13737 144.46 D 1599575 D Restricted Stock Units 2021-12-15 4 M 0 6719 0 D Common Stock 6719.0 13438 D Restricted Stock Units 2021-12-15 4 M 0 5382 0 D Common Stock 5382.0 32292 D Restricted Stock Units 2021-12-15 4 M 0 3337 0 D Common Stock 3337.0 33373 D Restricted Stock Units 2021-12-15 4 M 0 2182 0 D Common Stock 2182.0 30548 D Performance Stock Units 0.0 2021-12-15 4 M 0 5039 0 D Common Stock 5039.0 10079 D Performance Stock Units 0.0 2021-12-15 4 M 0 5040 0 D Common Stock 5040.0 10080 D Represents shares withheld by the Issuer to satisfy a tax obligation realized by the Reporting Person upon the vesting and settlement of restricted stock units ("RSU"). Each RSU represents a contingent right to receive one share of common stock of the Issuer upon vesting. The RSUs will vest in sixteen equal quarterly installments over four years, with a vesting commencement date of May 10, 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. The RSUs will vest in sixteen equal quarterly installments over four years, with a vesting commencement date of May 10, 2019, 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 will vest in sixteen equal quarterly installments over four years, with a vesting commencement date of May 10, 2020, in each case subject to the Reporting Person being a service provider through such date.The restricted stock units are subject to accelerated vesting in the event of a termination of employment of the Reporting Person including under certain circumstances following achange in control of the Issuer. The RSUs will vest in equal quarterly installments over four years, with a vesting commencement date of May 10, 2021, in each case subject to the Reporting Person being a service provider through each such date. The restricted stock units 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. Represents shares issuable on settlement of performance stock units ("PSUs") granted to the Reporting Person. Each PSU represents a contingent right to receive one share of Issuer's Common Stock. The PSUs vest subject to the achievement of certain performance conditions involving the Issuer's stock price, subject to Reporting Person's continued service with the Issuer through each such vesting date. Represents shares issuable on settlement of performance stock units granted to the Reporting Person. Each PSU represents a contingent right to receive one share of Issuer's Common Stock. The PSUs began vesting upon the achievement of specified performance metrics achieved during the Issuer's fiscal year ending January 31, 2019. Twenty-five percent of the PSUs vested on April 22, 2019, and the balance of the PSUs shall vest in twelve equal quarterly installments starting May 10, 2019, in each case subject to the Reporting Person's continued service with the Issuer through each such vesting date. /s/ Brian Kelly, Attorney-in-fact 2021-12-16