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: Krach Keith J. (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	7754876	Direct
Common Stock	320000	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Series C Preferred Stock	$		Common Stock (299593)		Indirect
Series D Preferred Stock	$		Common Stock (52374)		Indirect
Stock Option (Right to Buy)	$16.65	2025-06-10	Common Stock (237988)		Direct
Stock Option (Right to Buy)	$18.02	2027-01-22	Common Stock (60000)		Direct

Footnotes

F1: Includes 183,832 shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person. Each RSU represents a contingent right to receive one share of Issuer's Common Stock. The RSUs will vest upon the satisfaction of two vesting requirements -- a time and service based requirement and a liquidity event requirement.

F2: 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.

F3: 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.

F4: Fully vested.

F5: The shares subject to the option vest on 1/11/20, subject to the reporting person continuing to be a service provider as of such date.