DocuSign Form 4 / SCOTT V. OLRICH ownership change

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

OLRICH SCOTT V.

(Last)

(First)

(Middle)

C/O DOCUSIGN, INC.

221 MAIN STREET, SUITE 1550

(Street)

SAN FRANCISCO

94105

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
DOCUSIGN, INC. [ DOCU ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Chief Operating Officer

3. Date of Earliest Transaction (Month/Day/Year)
10/12/2021

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	10/12/2021		M		12,500	A	$16.21	237,269	D
Common Stock	10/12/2021		S⁽¹⁾		1,100	D	$250.96⁽²⁾	236,169	D
Common Stock	10/12/2021		S⁽¹⁾		1,800	D	$252.0667⁽³⁾	234,369	D
Common Stock	10/12/2021		S⁽¹⁾		1,600	D	$252.9338⁽⁴⁾	232,769	D
Common Stock	10/12/2021		S⁽¹⁾		3,477	D	$254.0841⁽⁵⁾	229,292	D
Common Stock	10/12/2021		S⁽¹⁾		766	D	$254.6913⁽⁶⁾	228,526	D
Common Stock	10/12/2021		S⁽¹⁾		900	D	$255.9344⁽⁷⁾	227,626	D
Common Stock	10/12/2021		S⁽¹⁾		1,400	D	$257.2686⁽⁸⁾	226,226	D
Common Stock	10/12/2021		S⁽¹⁾		600	D	$258.65⁽⁹⁾	225,626	D
Common Stock	10/12/2021		S⁽¹⁾		500	D	$259.21⁽¹⁰⁾	225,126	D
Common Stock	10/12/2021		S⁽¹⁾		200	D	$260.19⁽¹¹⁾	224,926	D
Common Stock	10/12/2021		S⁽¹⁾		157	D	$261.95	224,769	D
Common Stock	10/12/2021		S⁽¹⁾		66	D	$251.0329⁽¹²⁾	45,259	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		100	D	$252.2368⁽¹⁴⁾	45,159	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		162	D	$252.9994⁽¹⁵⁾	44,997	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		244	D	$254.1846⁽¹⁶⁾	44,753	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		49	D	$255.831⁽¹⁷⁾	44,704	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		93	D	$256.983⁽¹⁸⁾	44,611	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		59	D	$258.4536⁽¹⁹⁾	44,552	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		28	D	$259.2464⁽²⁰⁾	44,524	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		24	D	$260.3396⁽²¹⁾	44,500	I	By Trust⁽¹³⁾
Common Stock	10/12/2021		S⁽¹⁾		10	D	$261.95	44,490	I	By Trust⁽¹³⁾

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Stock Option (Right to Buy)	$16.21	10/12/2021		M			12,500	⁽²²⁾	04/16/2027	Common Stock	12,500	$0	525,000	D

Explanation of Responses:

1. The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person.

2. The shares were sold at prices ranging from $250.43 to $251.38. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

3. The shares were sold at prices ranging from $251.45 to $252.44. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

4. The shares were sold at prices ranging from $252.48 to $253.29. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

5. The shares were sold at prices ranging from $253.56 to $254.51. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

6. The shares were sold at prices ranging from $254.56 to $254.92. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

7. The shares were sold at prices ranging from $255.69 to $256.61. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

8. The shares were sold at prices ranging from $256.84 to $257.71. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

9. The shares were sold at prices ranging from $258.01 to $258.92. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

10. The shares were sold at prices ranging from $259.03 to $259.26. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

11. The shares were sold at prices ranging from $260.03 to $260.35. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

12. The shares were sold at prices ranging from $250.60 to $251.54. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

13. These securities are held by The SVO Family Trust, of which the Reporting Person's spouse is trustee.

14. The shares were sold at prices ranging from $251.66 to $252.65. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

15. The shares were sold at prices ranging from $252.67 to $253.54. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

16. The shares were sold at prices ranging from $253.76 to $254.68. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

17. The shares were sold at prices ranging from $255.38 to $256.01. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

18. The shares were sold at prices ranging from $256.60 to $257.41. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

19. The shares were sold at prices ranging from $257.95 to $258.89. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

20. The shares were sold at prices ranging from $259.22 to $259.26. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

21. The shares were sold at prices ranging from $260.32 to $260.35. The Reporting Person will provide upon request to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price.

22. This stock option was fully vested on the transaction date.

Remarks:

	/s/ Brian Kelly, Attorney-in-fact	10/13/2021
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

DocuSign (DOCU) Form 4DOCUSIGN / SCOTT V. OLRICH ownership change