0001261333-19-000086.txt : 20190916
0001261333-19-000086.hdr.sgml : 20190916
20190916213218
ACCESSION NUMBER: 0001261333-19-000086
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190915
FILED AS OF DATE: 20190916
DATE AS OF CHANGE: 20190916
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: 191095900
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 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
wf-form4_156868392230072.xml
FORM 4
X0306
4
2019-09-15
0
0001261333
DOCUSIGN, INC.
DOCU
0001664367
Wolberg Kirsten O.
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Technology & Ops Officer
Common Stock
2019-09-15
4
F
0
8227
62.49
D
169767
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
2019-09-16