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: Darling Scott C (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	65759	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Series A Preferred Stock	$		Common Stock (1944674)		Indirect
Series A-1 Preferred Stock	$		Common Stock (948167)		Indirect
Series B Preferred Stock	$		Common Stock (4729005)		Indirect
Series B-1 Preferred Stock	$		Common Stock (855646)		Indirect
Series C Preferred Stock	$		Common Stock (942427)		Indirect
Series D Preferred Stock	$		Common Stock (170295)		Indirect

Footnotes

F1: 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.

F2: The Series A Preferred Stock is convertible, at the option of the holder, into shares of Common Stock on a 1.02192925205-for-1 basis and will automatically convert into shares of Common Stock on a 1.02192925205-for-1 basis immediately prior to the closing of the Issuer's initial public offering. The Series A Preferred Stock does not have an expiration date.

F3: The Series A-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 A-1 Preferred Stock does not have an expiration date.

F4: 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.

F5: 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.

F6: 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.

F7: 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.