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DOCUSIGN, INC. — Director's Dealing 2018
May 1, 2018
30367_dirs_2018-05-01_963f2217-ce27-49d0-bc31-afeb2c45d8b8.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: Darling Scott C (Director)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2018-05-01 | Common Stock | C | 1987319 | — | Acquired | 2053078 | Indirect |
| 2018-05-01 | Common Stock | C | 948167 | — | Acquired | 3001245 | Indirect |
| 2018-05-01 | Common Stock | C | 4729005 | — | Acquired | 7730250 | Indirect |
| 2018-05-01 | Common Stock | C | 855646 | — | Acquired | 8585896 | Indirect |
| 2018-05-01 | Common Stock | C | 942427 | — | Acquired | 9528323 | Indirect |
| 2018-05-01 | Common Stock | C | 170295 | — | Acquired | 9698618 | Indirect |
| 2018-05-01 | Common Stock | S | 495547 | $29.00 | Disposed | 9203071 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2018-05-01 | Series A Preferred Stock | $ | C | 1944674 | Disposed | Common Stock (1987319) | Indirect | |
| 2018-05-01 | Series A-1 Preferred Stock | $ | C | 948167 | Disposed | Common Stock (948167) | Indirect | |
| 2018-05-01 | Series B Preferred Stock | $ | C | 4729005 | Disposed | Common Stock (4729005) | Indirect | |
| 2018-05-01 | Series B-1 Preferred Stock | $ | C | 855646 | Disposed | Common Stock (855646) | Indirect | |
| 2018-05-01 | Series C Preferred Stock | $ | C | 942427 | Disposed | Common Stock (942427) | Indirect | |
| 2018-05-01 | Series D Preferred Stock | $ | C | 170295 | Disposed | Common Stock (170295) | Indirect |
Footnotes
F1: Each share of Series A Preferred Stock converted into 1.02192925205 shares of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
F2: The shares are owned directly by Frazier Technology Ventures II, L.P. ("Frazier"). Frazier's sole general partner is FTVM II, L.P. ("FTVM II") and FTVM II's sole general partner is Frazier Technology Management, L.L.C. ("Frazier Tech Management"). Scott Darling is a managing member of Frazier Tech Management. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F3: Each share of Series A-1 Preferred Stock, Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock and Series D Preferred Stock converted into one share of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
F4: The shares were held by Frazier. Frazier's sole general partner is FTVM II and FTVM II's sole general partner is Frazier Tech Management. Scott Darling is a managing member of Frazier Tech Management. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.