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DOCUSIGN, INC. — Director's Dealing 2018
May 3, 2018
30367_dirs_2018-05-03_e7af58d1-f8be-45bf-a74f-55687251dee8.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: DOCUSIGN INC (DOCU)
CIK: 0001261333
Period of Report: 2018-05-01
Reporting Person: Salem Enrique T (Director)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2018-05-01 | Common Stock | M | 18498 | — | Acquired | 18498 | Indirect |
| 2018-05-01 | Common Stock | M | 5541 | — | Acquired | 24039 | Indirect |
| 2018-05-01 | Common Stock | M | 1916890 | — | Acquired | 1940929 | Indirect |
| 2018-05-01 | Common Stock | M | 343417 | — | Acquired | 2284346 | Indirect |
| 2018-05-01 | Common Stock | M | 3011559 | — | Acquired | 5295905 | Indirect |
| 2018-05-01 | Common Stock | M | 89811 | — | Acquired | 89811 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2018-05-01 | Redeemable Convertible Series B Preferred Stock | $ | M | 18498 | Disposed | Common Stock (18498) | Indirect | |
| 2018-05-01 | Redeemable Convertible Series B-1 Preferred Stock | $ | M | 5541 | Disposed | Common Stock (5541) | Indirect | |
| 2018-05-01 | Redeemable Convertible Series D Preferred Stock | $ | M | 1916890 | Disposed | Common Stock (1916890) | Indirect | |
| 2018-05-01 | Redeemable Convertible Series E Preferred Stock | $ | M | 343417 | Disposed | Common Stock (343417) | Indirect | |
| 2018-05-01 | Redeemable Convertible Series F Preferred Stock | $ | M | 3011559 | Disposed | Common Stock (3011559) | Indirect | |
| 2018-05-01 | Redeemable Convertible Series D Preferred Stock | $ | M | 89811 | Disposed | Common Stock (89811) | Indirect |
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock | 57111 | Direct |
Footnotes
F1: These shares of redeemable convertible preferred stock automatically converted into shares of Common Stock on a 1-for-1 basis immediately upon the closing of the Issuer's initial public offering. These shares of redeemable convertible preferred stock had no expiration date.
F2: Represents securities of the Issuer held directly by Bain Capital Venture Fund 2012, L.P., Bain Capital Venture Fund 2014, L.P., Bain Capital Venture Coinvestment Fund, L.P., BCIP Venture Associates, BCIP Venture Associates-B, BCIP Venture Associates II, LP and BCIP Venture Associates II-B, LP, (collectively, the "Bain Venture Entities").
F3: The governance, investment strategy and decision-making process with respect to the investments held by the Bain Venture Entities is directed by the Executive Committee of Bain Capital Venture Investors, LLC ("BCVI"). Mr. Salem is a Managing Director of BCVI. By virtue of the relationships described in this footnote, Mr. Salem may be deemed to share voting and dispositive power with respect to all of the Issuer's securities held by the Bain Venture Entities. Mr. Salem disclaims beneficial ownership except to the extent of his pecuniary interest therein.
F4: Represents securities of the Issuer held directly by NPI Capital, LLC. Mr. Salem is the managing member of NPI Capital, LLC.