DOCUSIGN, INC. — Director's Dealing 2018

Apr 26, 2018

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: DOCUSIGN INC (DOCU)
CIK: 0001261333
Period of Report: 2018-04-26

Reporting Person: O'Driscoll Rory (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	32717	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Series B Preferred Stock	$		Common Stock (924)		Indirect
Series B-1 Preferred Stock	$		Common Stock (277)		Indirect
Series C Preferred Stock	$		Common Stock (4707896)		Indirect
Series D Preferred Stock	$		Common Stock (85391)		Indirect
Series E Preferred Stock	$		Common Stock (17170)		Indirect

Footnotes

F1: The shares are held by Scale Venture Partners III, L.P. ("SVP III"). Scale Venture Management III, LLC ("SVM III") is the general partner of SVP III. Rory O'Driscoll, Stacy Bishop, Kate Mitchell and Andrew Vitus, are managing members of SVM III and share voting and dispositive power with respect to the shares held by SVP III. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.

F2: The Series B Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1-for-1 basis and will automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series B Preferred Stock does not have an expiration date.

F3: The Series B-1 Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1-for-1 basis and will automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series B-1 Preferred Stock does not have an expiration date.

F4: The Series C Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1-for-1 basis and will automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series C Preferred Stock does not have an expiration date.

F5: The Series D Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1-for-1 basis and will automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series D Preferred Stock does not have an expiration date.

F6: The Series E Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1-for-1 basis and will automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series E Preferred Stock does not have an expiration date.