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*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol DOCUSIGN, INC. [ DOCU ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 01/03/2020 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 01/03/2020 | J | 1,817,812(1) | D | $0.00 | 0 | I | See footnote (1) | ||
Common Stock | 01/03/2020 | J | 397,426(2) | A | $0.00 | 397,426 | I | By Sigma Management 7, L.L.C. | ||
Common Stock | 01/03/2020 | J | 397,426(3) | D | $0.00 | 0 | I | By Sigma Management 7, L.L.C. | ||
Common Stock | 01/03/2020 | J | 57,230(4) | A | $0.00 | 176,721 | I | By Family Partnership | ||
Common Stock | 01/03/2020 | S | 17,061 | D | $75.1207(5) | 177,833 | I | By Trust | ||
Common Stock | 01/03/2020 | S | 12,939 | D | $75.5827(6) | 164,894 | I | By Trust | ||
Common Stock | 01/03/2020 | S | 13,690 | D | $74.84(7) | 48,910 | I | By Childrens' Trusts | ||
Common Stock | 7,561 | D | ||||||||
Common Stock | 6,458 | I | By Spouse |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Represents pro-rata in-kind distributions without consideration as follows: (a) 1,687,973 shares of common stock distributed by Sigma Partners 7, L.P. to its partners, (b) 109,352 shares of common stock distributed by Sigma Associates 7, L.P. to its partners, and (c) 20,487 shares of common stock distributed by Sigma Investors 7, L.P. to its partners. |
2. Represents 397,426 shares of common stock received by Sigma Management 7, L.L.C. through pro-rata in-kind distributions without consideration as follows: (a) 394,691 shares received from Sigma Partners 7, L.P., and (b) 2,735 shares received from Sigma Investors 7, L.P. Sigma Management 7, L.L.C. has sole voting and investment power over these shares. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power. |
3. Represents a pro-rata in-kind distribution of 397,426 shares of common stock by Sigma Management 7, L.L.C. to its members. |
4. Represents 57,230 shares of common stock received by Solvik Family Partners L.P. Fund 2 through pro-rata in-kind distributions without consideration as follows: (a) 3,069 shares received from Sigma Partners 7, L.P., (b) 43,716 shares received from Sigma Management 7, L.L.C., and (c) 10,445 shares received from Sigma Associates 7, L.P. |
5. Represents the weighted average sale price. The lowest price at which shares were sold was $74.44 and the highest price at which shares were sold was $75.43. The reporting person undertakes to provide upon request to the staff of the Securities Exchange Commission, the issuer or its stockholders, full information regarding the total number of shares sold at each separate price within the ranges set forth in footnotes (5), (6) and (7) to this Form 4. |
6. Represents the weighted average sale price. The lowest price at which shares were sold was $75.44 and the highest price at which shares were sold was $75.78. |
7. Represents the weighted average sale price. The lowest price at which shares were sold was $74.32 and the highest price at which shares were sold was $75.25. |
Remarks: |
/s/ Peter Solvik, by Apple Palarca, Attorney-in-Fact | 01/07/2020 | |
** 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. |