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