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