0000899243-22-001499.txt : 20220110
0000899243-22-001499.hdr.sgml : 20220110
20220110192013
ACCESSION NUMBER: 0000899243-22-001499
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220106
FILED AS OF DATE: 20220110
DATE AS OF CHANGE: 20220110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salem Enrique T
CENTRAL INDEX KEY: 0001295402
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 22522386
MAIL ADDRESS:
STREET 1: SYMANTEC CORPORATION
STREET 2: 20330 STEVENS CREEK BLVD.
CITY: CUPERTINO
STATE: CA
ZIP: 95014
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-01-06
0
0001261333
DOCUSIGN, INC.
DOCU
0001295402
Salem Enrique T
C/O BAIN CAPITAL VENTURE INVESTORS, LLC
200 CLARENDON STREET
BOSTON
MA
02116
1
0
0
0
Common Stock
2022-01-06
5
G
0
E
1500
0.00
D
161397
D
Common Stock
2022-01-06
4
M
0
5000
2.14
A
166397
D
Common Stock
2022-01-06
4
S
0
5000
145.06
D
161397
D
Common Stock
2022-01-07
4
M
0
5000
2.14
A
166397
D
Common Stock
2022-01-07
4
S
0
13500
136.3905
D
152897
D
Option (Right to Buy)
2.14
2022-01-06
4
M
0
5000
0.00
D
2023-07-26
Common Stock
5000
7500
D
Option (Right to Buy)
2.14
2022-01-07
4
M
0
5000
0.00
D
2023-07-26
Common Stock
5000
2500
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $136.02 to $136.61, inclusive. The reporting person undertakes to provide to DocuSign, Inc., any security holder of DocuSign, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein.
This stock option was fully vested on the transaction date.
/s/ Enrique T. Salem
2022-01-10