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