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