Statement of Changes in Beneficial Ownership (4)
July 11 2019 - 4:34PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Solvik Peter
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2. Issuer Name
and
Ticker or Trading Symbol
DOCUSIGN, INC.
[
DOCU
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O SIGMA PARTNERS, 2105 S. BASCOM AVE., SUITE 370
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3. Date of Earliest Transaction
(MM/DD/YYYY)
7/9/2019
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(Street)
CAMPBELL, CA 95008
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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7/9/2019
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S
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514532
(1)
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D
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$51.523
(2)
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1817812
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I
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See footnote
(3)
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Common Stock
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7/9/2019
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S
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20000
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D
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$51.523
(2)
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194894
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I
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By Trust
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Common Stock
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7/9/2019
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S
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7000
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D
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$51.523
(2)
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62600
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I
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By Childrens' Trusts
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Common Stock
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7561
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D
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Common Stock
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6458
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I
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By Spouse
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Common Stock
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119491
(4)
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I
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By Family Partnership
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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Represents 423,531 shares sold by Sigma Partners 7, LP., 27,283 shares sold by Sigma Associates 7, L.P., 5,125 shares sold by Sigma Investors 7, L.P., 55,251 shares sold by Jackson Square Ventures I, LP and 3,342 shares sold by Jackson Square Associates I, LP.
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(2)
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The shares were sold at prices ranging from $51.51 to $52.36. The reporting person will provide upon request to the SEC, the issuer or security holder of the issuer, full information regarding the number of shares sold at each separate price.
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(3)
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Includes 1,687,973 shares held by Sigma Partners 7, L.P., 109,352 shares held by Sigma Associates 7, L.P. and 20,487 shares held by Sigma Investors 7, L.P. Sigma Management 7, L.L.C. is the general partner of Sigma Associates 7, L.P., Sigma Investors 7, L.P. and Sigma Partners 7, L.P. (collectively, the "Sigma 7 Funds"). Sigma Management 7, L.L.C. has sole voting and investment power. Robert Davoli, Fahri Diner, Lawrence G. Finch, Gregory Gretsch, John Mandile, Peter Solvik, Robert Spinner and Wade Woodson, as managing members of Sigma Management 7, L.L.C., share this power.
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(4)
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Includes shares received through pro-rata distributions from Sigma Partners 7, L.P., Sigma Associates 7, L.P. and Sigma Investors 7, L.P. (the "Sigma Entities"). In prior reports, the reporting person reported beneficial ownership of all shares of the company's common stock held by the Sigma Entities.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Solvik Peter
C/O SIGMA PARTNERS
2105 S. BASCOM AVE., SUITE 370
CAMPBELL, CA 95008
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X
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Signatures
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/s/ Peter Solvik
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7/11/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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