0001261333-21-000189.txt : 20211027 0001261333-21-000189.hdr.sgml : 20211027 20211027195644 ACCESSION NUMBER: 0001261333-21-000189 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211026 FILED AS OF DATE: 20211027 DATE AS OF CHANGE: 20211027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Phi Tram T CENTRAL INDEX KEY: 0001424551 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38465 FILM NUMBER: 211354609 MAIL ADDRESS: STREET 1: C/O DOCUSIGN, INC. STREET 2: 221 MAIN STREET, SUITE 1550 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_163537898876849.xml FORM 4 X0306 4 2021-10-26 0 0001261333 DOCUSIGN, INC. DOCU 0001424551 Phi Tram T C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO CA 94105 0 1 0 0 SVP, General Counsel Common Stock 2021-09-23 5 G 0 E 13395 0 D 5825 D Common Stock 2021-09-23 5 G 0 E 170 0 D 5655 D Common Stock 2021-10-26 4 S 0 1500 281.57 D 4155 D Common Stock 2021-09-23 5 G 0 E 13395 0 A 13395 I By Trust Common Stock 2021-09-23 5 G 0 E 85 0 A 85 I By Daughter Common Stock 2021-09-23 5 G 0 E 85 0 A 85 I By Son The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person. These securities are held by The Mendez Trust Agreement, dated October 26, 2010, of which the Reporting Person is a trustee. This transaction involved a gift of securities by the Reporting Person to her children, who share the Reporting Person's household. The Reporting Person disclaims beneficial ownership of the shares held by her children, and this report should not be deemed an admission that the Reporting Person is the beneficial owner of her children's shares for purposes of Section 16 or for any other purpose. /s/ Brian Kelly, Attorney-in-fact 2021-10-27