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DOCUSIGN, INC. Director's Dealing 2018

Apr 26, 2018

30367_dirs_2018-04-26_b8234967-64ee-4fe0-8e41-9096b763e380.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

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

Reporting Person: LAVIGNE LOUIS J JR (Director)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 26652 Direct
Common Stock 11422 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series D Preferred Stock $ Common Stock (8981) Direct
Series D Preferred Stock $ Common Stock (44905) Indirect
Series D Preferred Stock $ Common Stock (35924) Indirect
Stock Option (Right to Buy) $2.14 2023-07-25 Common Stock (40000) Direct
Stock Option (Right to Buy) $13.43 2025-03-10 Common Stock (10000) Direct

Footnotes

F1: The shares are held by Spring Development Group, LLC. The reporting person is the managing member of Spring Development Group, LLC and has sole voting and dispositive power over the shares held by Spring Development Group, LLC.

F2: 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.

F3: Fully vested.

F4: The stock option vests in equal monthly installments over 48 months beginning on March 10, 2015, subject to the individual's continued service through each vesting date.