0001261333-19-000102.txt : 20191115
0001261333-19-000102.hdr.sgml : 20191115
20191115175911
ACCESSION NUMBER: 0001261333-19-000102
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191113
FILED AS OF DATE: 20191115
DATE AS OF CHANGE: 20191115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OLRICH SCOTT V.
CENTRAL INDEX KEY: 0001517211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38465
FILM NUMBER: 191225573
MAIL ADDRESS:
STREET 1: C/O DOCUSIGN, INC.
STREET 2: 221 MAIN ST., SUITE 1000
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
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_157385873630602.xml
FORM 4
X0306
4
2019-11-13
0
0001261333
DOCUSIGN, INC.
DOCU
0001517211
OLRICH SCOTT V.
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Operating Officer
Common Stock
2019-11-13
4
S
0
2000
66.69
D
497770
D
The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person.
/s/ Apple Palarca, Attorney-in-fact
2019-11-15