0001261333-21-000004.txt : 20210129 0001261333-21-000004.hdr.sgml : 20210129 20210129171454 ACCESSION NUMBER: 0001261333-21-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200131 FILED AS OF DATE: 20210129 DATE AS OF CHANGE: 20210129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHERIDAN MICHAEL J CENTRAL INDEX KEY: 0001229077 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 21572301 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 5 1 wf-form5_161195847928839.xml FORM 5 X0306 5 2020-01-31 1 0 0 0001261333 DOCUSIGN, INC. DOCU 0001229077 SHERIDAN MICHAEL J C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 Former Chief Financial Officer Common Stock 2019-12-30 5 G 0 1072 0 D 633768 D Common Stock 2020-01-15 5 G 0 400 0 D 633368 D Common Stock 2020-01-22 5 G 0 1928 0 D 631440 D Common Stock 2021-01-29 5 G 0 4000 0 D 0 I by Children Represents an unreported gift of Common Stock made by the Reporting Person. The Reporting Person's total holdings reflected in Column 5 of Table I of Forms 4 filed on April 17, 2020, June 11, 2020 and June 17, 2020 do not reflect the disposition of shares of Common Stock in connection with gifts reported in this Form 5. /s/ Poonam Singh, Attorney-in-fact 2021-01-28 EX-24 2 ex-24.htm POA SHERIDAN SEPT 2020

LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes and appoints each of (i) Brian Kelly, Apple Palarca, Poonam Singh and Erika Boyd of DocuSign, Inc., a Delaware corporation (the "Company") and (ii) Katherine Duncan, Lilly Icard and Laurie Blain of Fenwick & West LLP, the Company's legal counsel as
the undersigned's true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf
of and in the name, place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including any amendments
thereto) with respect to the Company's securities with the SEC, any national securities exchanges and the Company, as considered necessary or advisable under Section 16(a) of the Exchange Act and the rules and regulations
promulgated thereunder, as amended from time to time;
(2) seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to the undersigned and approves and ratifies any such release of information; and
(3) perform any and all other acts which in the discretion of such attorney-in-fact are necessary or desirable for and on behalf of the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such attorney-in-fact to act in their discretion on information provided to such attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for the undersigned's responsibility to comply with the requirement of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such requirements, or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigned's obligations under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the
foregoing matters as fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that such attorney-in-fact of, for and on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 3rd day of September 2020.
/s/ Michael J. Sheridan
Michael J. Sheridan