DOCUSIGN, INC. — Director's Dealing 2019

Jan 14, 2019

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: DOCUSIGN INC (DOCU)
CIK: 0001261333
Period of Report: 2019-01-10

Reporting Person: Meeker Mary G (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2019-01-10	Common Stock	J	77998	—	Disposed	15700	Indirect
2019-01-10	Common Stock	J	41553	—	Acquired	165819	Direct

Footnotes

F1: Represents a pro-rata in-kind distribution of Common Stock of the Issuer by KPCB DGF Associates, LLC ("DGF Associates") without consideration to its members (the "DGF Associates Distribution"). The reporting person is a managing member of DGF Associates and may be deemed to share voting and investment power over the securities held by DGF Associates. The reporting person disclaims beneficial ownership over such securities except to the extent of her pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.

F2: The shares are held directly by DGF Associates. The reporting person is a managing member of DGF Associates and may be deemed to share voting and investment power over the securities held by DGF Associates. The reporting person disclaims beneficial ownership over such securities except to the extent of her pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.

F3: Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the DGF Associates Distribution.

F4: Shares are held directly by the reporting person.