SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Hudspith William Neil

(Last) (First) (Middle)
C/O DOCUSIGN, INC.
221 MAIN ST., SUITE 1000

(Street)
SAN FRANCISCO CA 94105

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/26/2018
3. Issuer Name and Ticker or Trading Symbol
DOCUSIGN INC [ DOCU ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, Worldwide Field Ops
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 590,090(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (2) 03/25/2023 Common Stock 788,000 $2.14 D
Stock Option (Right to Buy) (2) 04/29/2024 Common Stock 100,000 $7.55 D
Stock Option (Right to Buy) (2) 04/29/2024 Common Stock 100 $7.55 D
Stock Option (Right to Buy) (2) 03/10/2025 Common Stock 111 $13.43 D
Stock Option (Right to Buy) (3) 06/10/2025 Common Stock 100,000 $16.65 D
Stock Option (Right to Buy) (2) 09/19/2026 Common Stock 100,000 $18.87 D
Explanation of Responses:
1. Represents shares issuable on settlement of restricted stock units ("RSUs") granted to the reporting person. Each RSU represents a contingent right to receive one share of Issuer's Common Stock. The RSUs will vest upon the satisfaction of two vesting requirements -- a time and service based requirement and a liquidity event requirement.
2. Fully vested.
3. 1/12th of the shares subject to the option shall vest monthly from 2/1/18.
Remarks:
/s/ Yanira Wong, Attorney-in-fact 04/26/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.