0001209191-19-020491.txt : 20190319 0001209191-19-020491.hdr.sgml : 20190319 20190319194030 ACCESSION NUMBER: 0001209191-19-020491 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190315 FILED AS OF DATE: 20190319 DATE AS OF CHANGE: 20190319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wolberg Kirsten O. CENTRAL INDEX KEY: 0001664367 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 19693244 MAIL ADDRESS: STREET 1: 900 NORTH MCCARTHY BLVD CITY: MILPITAS STATE: CA ZIP: 95035 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 1000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 866-219-4318 MAIL ADDRESS: STREET 1: 221 MAIN ST., SUITE 1000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-15 0 0001261333 DOCUSIGN INC DOCU 0001664367 Wolberg Kirsten O. C/O DOCUSIGN, INC. 221 MAIN ST, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 Chief Technology & Ops Officer Common Stock 2019-03-15 4 F 0 5459 56.47 D 188341 D Represents shares withheld by the issuer to satisfy a tax obligation realized by the reporting person upon the vesting and settlement of restricted stock units. /s/ Apple Palarca, Attorney-in-fact 2019-03-19