DOCUSIGN, INC. — Director's Dealing 2019

Mar 14, 2019

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: DOCUSIGN INC (DOCU)
CIK: 0001261333
Period of Report: 2019-01-31

Reporting Person: SHERIDAN MICHAEL J (Chief Financial Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2018-12-26	Common Stock	G	3000	$0.00	Disposed	687171	Direct
2018-12-26	Common Stock	G	1500	$0.00	Acquired	688671	Indirect
2019-01-02	Common Stock	G	1000	$0.00	Disposed	687671	Direct
2019-01-02	Common Stock	G	500	$0.00	Acquired	688171	Indirect

Footnotes

F1: This transaction involved a gift of securities by the reporting person to his children, who share the reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his children, and this report should not be deemed an admission that the reporting person is the beneficial owner of his children's shares for purposes of Section 16 or for any other purpose.