0001261333-23-000092.txt : 20231130
0001261333-23-000092.hdr.sgml : 20231130
20231130183541
ACCESSION NUMBER: 0001261333-23-000092
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231130
FILED AS OF DATE: 20231130
DATE AS OF CHANGE: 20231130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Irving Blake
CENTRAL INDEX KEY: 0001492275
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 231457022
MAIL ADDRESS:
STREET 1: 14455 N. HAYDEN RD.
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85260
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
wk-form4_1701387332.xml
FORM 4
X0508
4
2023-11-30
0
0001261333
DOCUSIGN, INC.
DOCU
0001492275
Irving Blake
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO
CA
94105
1
0
0
0
0
Common Stock
2023-11-30
4
M
0
997
0
A
16909
D
Restricted Stock Units
2023-11-30
4
M
0
997
0
D
Common Stock
997
1995
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock.
The RSUs have a vest commencement date of May 31, 2023 and will vest in equal quarterly installments over one year, provided that the fourth quarterly installment shall vest in full on the earlier of (i) the date of the Company's next annual meeting of stockholders and (ii) the one year anniversary of the grant, in each case, subject to the Reporting Person being a service provider through each such date.
The RSUs do not expire; they either vest or are canceled prior to vesting date.
/s/ Lisa Yun, Attorney-in-fact
2023-11-30