Statement of Changes in Beneficial Ownership (4)
15 Dicembre 2021 - 10:24PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
OLRICH SCOTT V. |
2. Issuer Name and Ticker or Trading Symbol
DOCUSIGN, INC.
[
DOCU
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Operating Officer |
(Last)
(First)
(Middle)
C/O DOCUSIGN, INC., 221 MAIN STREET, SUITE 1550 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/14/2021 |
(Street)
SAN FRANCISCO, CA 94105
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | 12/14/2021 | | M | | 12500 | A | $16.21 | 237269 | D | |
Common Stock | 12/14/2021 | | S(1) | | 441 | D | $137.7593 (2) | 236828 | D | |
Common Stock | 12/14/2021 | | S(1) | | 400 | D | $139.11 (3) | 236428 | D | |
Common Stock | 12/14/2021 | | S(1) | | 900 | D | $140.21 (4) | 235528 | D | |
Common Stock | 12/14/2021 | | S(1) | | 600 | D | $141.3317 (5) | 234928 | D | |
Common Stock | 12/14/2021 | | S(1) | | 2811 | D | $142.7177 (6) | 232117 | D | |
Common Stock | 12/14/2021 | | S(1) | | 2888 | D | $143.5164 (7) | 229229 | D | |
Common Stock | 12/14/2021 | | S(1) | | 3160 | D | $144.5212 (8) | 226069 | D | |
Common Stock | 12/14/2021 | | S(1) | | 1300 | D | $145.5031 (9) | 224769 | D | |
Common Stock | 12/14/2021 | | S(1) | | 47 | D | $138.2274 (10) | 43608 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 43 | D | $139.1258 (12) | 43565 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 40 | D | $140.635 (13) | 43525 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 44 | D | $141.7882 (14) | 43481 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 280 | D | $142.9762 (15) | 43201 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 266 | D | $144.059 (16) | 42935 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 55 | D | $144.9827 (17) | 42880 | I | By Trust (11) |
Common Stock | 12/14/2021 | | S(1) | | 60 | D | $145.8667 (18) | 42820 | I | By Trust (11) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (Right to Buy) | $16.21 | 12/14/2021 | | M | | | 12500 | (19) | 4/16/2027 | Common Stock | 12500.0 | $0 | 500000 | D | |
Explanation of Responses: |
(1) | The transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person. |
(2) | The shares were sold at prices ranging from $137.51 to $138.03. 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. |
(3) | The shares were sold at prices ranging from $138.60 to $139.51. 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. |
(4) | The shares were sold at prices ranging from $139.72 to $140.65. 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. |
(5) | The shares were sold at prices ranging from $140.81 to $141.63. 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. |
(6) | The shares were sold at prices ranging from $142.01 to $142.98. 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. |
(7) | The shares were sold at prices ranging from $143.03 to $144.01. 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. |
(8) | The shares were sold at prices ranging from $144.15 to $145.12. 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. |
(9) | The shares were sold at prices ranging from $145.16 to $146.05. 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. |
(10) | The shares were sold at prices ranging from $137.63 to $138.53. 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. |
(11) | These securities are held by The SVO Family Trust, of which the Reporting Person's spouse is trustee. |
(12) | The shares were sold at prices ranging from $138.76 to $139.53. 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. |
(13) | The shares were sold at prices ranging from $140.14 to $141.13. 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. |
(14) | The shares were sold at prices ranging from $141.42 to $142.23. 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. |
(15) | The shares were sold at prices ranging from $142.52 to $143.48. 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. |
(16) | The shares were sold at prices ranging from $143.53 to $144.46. 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. |
(17) | The shares were sold at prices ranging from $144.59 to $145.34. 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. |
(18) | The shares were sold at prices ranging from $145.68 to $145.97. 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. |
(19) | This stock option was fully vested on the transaction date. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
OLRICH SCOTT V. C/O DOCUSIGN, INC. 221 MAIN STREET, SUITE 1550 SAN FRANCISCO, CA 94105 |
|
| Chief Operating Officer |
|
Signatures
|
/s/ Brian Kelly, Attorney-in-fact | | 12/15/2021 |
**Signature of Reporting Person | Date |
Grafico Azioni DocuSign (NASDAQ:DOCU)
Storico
Da Giu 2024 a Lug 2024
Grafico Azioni DocuSign (NASDAQ:DOCU)
Storico
Da Lug 2023 a Lug 2024