0001261333-19-000058.txt : 20190619
0001261333-19-000058.hdr.sgml : 20190619
20190619164103
ACCESSION NUMBER: 0001261333-19-000058
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190617
FILED AS OF DATE: 20190619
DATE AS OF CHANGE: 20190619
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LAVIGNE LOUIS J JR
CENTRAL INDEX KEY: 0001214127
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 19906464
MAIL ADDRESS:
STREET 1: C/O ALLERGAN, INC.
STREET 2: 2525 DUPONT DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92612
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_156097684904729.xml
FORM 4
X0306
4
2019-06-17
0
0001261333
DOCUSIGN, INC.
DOCU
0001214127
LAVIGNE LOUIS J JR
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO
CA
94105
1
0
0
0
Common Stock
2019-06-17
4
A
0
3791
0
A
16542
D
Common Stock
71557
I
By Trusts
Common Stock
47346
I
See footnote
Represents shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person pursuant to the Issuer's Non-Employee Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Common Stock. The RSUs will vest in equal quarterly installments over one year, with a vesting commencement date of June 17, 2019, in each case subject to the reporting person being a service provider through each such date.
The shares are held by Spring Development Group, LLC. The reporting person is the managing member of Spring Development Group, LLC and has sole voting and dispositive power over the shares held by Spring Development Group, LLC.
/s/ Apple Palarca, Attorney-in-fact
2019-06-19