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Filing Details

Accession Number:: 0001209191-18-027182
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2018-05-01 18:16:29
Reporting Period:: 2018-05-01

Accepted Time:: 2018-05-01 18:16:29
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
1733959	C Scott Darling	C/O Docusign, Inc. 221 Main St., Suite 1000 San Francisco CA 94105		Yes	No	No	No

Reported Non-Derivative Transactions

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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	1,987,319	$0.00	2,053,078	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-05-01	948,167	$0.00	3,001,245	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-05-01	4,729,005	$0.00	7,730,250	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-05-01	855,646	$0.00	8,585,896	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-05-01	942,427	$0.00	9,528,323	No	4	C	Indirect	See footnote
Common Stock	Acquisiton	2018-05-01	170,295	$0.00	9,698,618	No	4	C	Indirect	See footnote
Common Stock	Disposition	2018-05-01	495,547	$29.00	9,203,071	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	C	Indirect	See footnote
No	4	S	Indirect	See footnote

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Series A Preferred Stock	Disposition	2018-05-01	1,944,674	$0.00	1,987,319	$0.00
Common Stock	Series A-1 Preferred Stock	Disposition	2018-05-01	948,167	$0.00	948,167	$0.00
Common Stock	Series B Preferred Stock	Disposition	2018-05-01	4,729,005	$0.00	4,729,005	$0.00
Common Stock	Series B-1 Preferred Stock	Disposition	2018-05-01	855,646	$0.00	855,646	$0.00
Common Stock	Series C Preferred Stock	Disposition	2018-05-01	942,427	$0.00	942,427	$0.00
Common Stock	Series D Preferred Stock	Disposition	2018-05-01	170,295	$0.00	170,295	$0.00

Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect

Footnotes

Each share of Series A Preferred Stock converted into 1.02192925205 shares of common stock upon the closing of the Issuer's initial public offering. The shares had no expiration date.
The shares are owned directly by Frazier Technology Ventures II, L.P. ("Frazier"). Frazier's sole general partner is FTVM II, L.P. ("FTVM II") and FTVM II's sole general partner is Frazier Technology Management, L.L.C. ("Frazier Tech Management"). Scott Darling is a managing member of Frazier Tech Management. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
Each share of Series A-1 Preferred Stock, Series B Preferred Stock, Series B-1 Preferred Stock, Series C Preferred Stock and Series D 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 were held by Frazier. Frazier's sole general partner is FTVM II and FTVM II's sole general partner is Frazier Tech Management. Scott Darling is a managing member of Frazier Tech Management. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.