Filing Details
- Accession Number:
- 0001209191-18-027472
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-05-02 19:34:16
- Reporting Period:
- 2018-05-01
- Accepted Time:
- 2018-05-02 19:34:16
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1261333 | Docusign Inc | DOCU | Services-Prepackaged Software (7372) | 912183967 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1366969 | Rory O'driscoll | 950 Tower Lane, Suite 1150 Foster City CA 94404 | Yes | No | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | Acquisiton | 2018-05-01 | 924 | $0.00 | 33,641 | No | 4 | C | Indirect | See footnote |
| Common Stock | Acquisiton | 2018-05-01 | 277 | $0.00 | 33,918 | No | 4 | C | Indirect | See footnote |
| Common Stock | Acquisiton | 2018-05-01 | 4,707,896 | $0.00 | 4,741,814 | No | 4 | C | Indirect | See footnote |
| Common Stock | Acquisiton | 2018-05-01 | 85,391 | $0.00 | 4,827,205 | No | 4 | C | Indirect | See footnote |
| Common Stock | Acquisiton | 2018-05-01 | 17,170 | $0.00 | 4,844,375 | No | 4 | C | Indirect | See footnote |
| Common Stock | Disposition | 2018-05-01 | 485,122 | $29.00 | 4,359,253 | No | 4 | S | Indirect | See footnote |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | C | Indirect | See footnote |
| No | 4 | C | Indirect | See footnote |
| No | 4 | C | Indirect | See footnote |
| No | 4 | C | Indirect | See footnote |
| No | 4 | C | Indirect | See footnote |
| No | 4 | S | Indirect | See footnote |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Series B Preferred Stock | Disposition | 2018-05-01 | 924 | $0.00 | 924 | $0.00 |
| Common Stock | Series B-1 Preferred Stock | Disposition | 2018-05-01 | 277 | $0.00 | 277 | $0.00 |
| Common Stock | Series C Preferred Stock | Disposition | 2018-05-01 | 4,707,896 | $0.00 | 4,707,896 | $0.00 |
| Common Stock | Series D Preferred Stock | Disposition | 2018-05-01 | 85,391 | $0.00 | 85,391 | $0.00 |
| Common Stock | Series E Preferred Stock | Disposition | 2018-05-01 | 17,170 | $0.00 | 17,170 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 0 | No | 4 | C | Indirect | ||
| 0 | No | 4 | C | Indirect | ||
| 0 | No | 4 | C | Indirect | ||
| 0 | No | 4 | C | Indirect | ||
| 0 | No | 4 | C | Indirect |
Footnotes
- Each share of Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock converted into one share of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
- The shares are held by Scale Venture Partners III, L.P. ("SVP III"). Scale Venture Management III, LLC ("SVM III") is the general partner of SVP III. Rory O'Driscoll, Stacy Bishop, Kate Mitchell and Andrew Vitus, are managing members of SVM III and share voting and dispositive power with respect to the shares held by SVP III. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
- The shares were held by SVP III. SVM III is the general partner of SVP III. Rory O'Driscoll, Stacy Bishop, Kate Mitchell and Andrew Vitus, are managing members of SVM III and share voting and dispositive power with respect to the shares held by SVP III. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
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