Ownership Submission
|
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL 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
|
|
OMB APPROVAL
|
|
OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
|
|
|
1. Name and Address of Reporting Person *
|
|
DOCUSIGN, INC.
|
|
2. Date of Event Requiring Statement (Month/Day/Year)
2024-08-28
|
3. Issuer Name and Ticker or Trading Symbol
DOCUSIGN, INC. [DOCU]
|
|
(Last)
|
(First)
|
(Middle)
|
|
C/O DOCUSIGN, INC. , 221 MAIN STREET, SUITE 1550
|
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
_____ Director
|
_____ 10% Owner
|
|
_____ Officer (give title below)
|
_____ Other (specify below)
|
|
Chief Revenue Officer /
|
|
5. If Amendment, Date Original Filed(Month/Day/Year)
|
(Street)
|
|
SAN FRANCISCO
|
CA
|
94105
|
|
6. Individual or Join/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
|
2. Amount of Securities Beneficially Owned
|
3. Ownership Form: Direct (D) or Indirect (I)
|
4. Nature of Indirect Beneficial Ownership
|
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
|
2. Date Exercisable and Expiration Date
|
3. Title and Amount of Securities Underlying Derivative Security
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
|
6. Nature of Indirect Beneficial Ownership
|
|
Date Exercisable
|
Expriation Date
|
Title
|
Amount or Number of Shares
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
DOCUSIGN, INC.
C/O DOCUSIGN, INC.
221 MAIN STREET, SUITE 1550
SAN FRANCISCO, CA94105
|
|
|
Chief Revenue Officer
|
|
Signatures
|
/s/ Lisa Yun, Attorney-in-fact
|
2024-09-06
|
|
**Signature of Reporting Person
|
Date
|
Explanation of Responses:
|
(*)
|
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).
|
|
(1)
|
The restricted stock units ("RSUs") will vest 25% over the first year, while the remaining will vest in twelve (12) equal quarterly installments over three years, with a vesting commencement date of August 10, 2024, in each case subject to the Reporting Person being a service provider through each such date. The RSUs are subject to accelerated vesting in the event of certain qualifying terminations of employment of the Reporting Person, including under certain circumstances following a change in control of the Issuer.
|
|
(2)
|
The RSUs do not expire; they either vest or are canceled prior to vesting date.
|
|
(3)
|
Each RSU represents a contingent right to receive one share of the Issuer's common stock.
|
|
(4)
|
The performance-vested restricted stock units ("PSUs") will vest depending on the Issuer's total shareholder return ("TSR") over a three-year performance period, relative to companies in the Nasdaq Composite Index, subject to the Reporting Person being a service provider with certain limited exceptions. The maximum number of TSR-based PSUs that may vest is capped at 200% of the target number of TSR-based PSUs.
|
|
(5)
|
Each PSU represents a contingent right to receive one share of the Issuer's common stock.
|
|
(6)
|
The PSUs will vest depending on the Issuer's subscription revenue for the twelve-month period ended January 31, 2025 (the "One-Year Performance Period"). The maximum number of subscription revenue-based PSUs that may vest is capped at 200% of the target number of subscription revenue-based PSUs. To the extent achieved, 1/3 of any achieved subscription revenue-based PSUs will vest on June 10, 2025 and the balance will vest in eight equal quarterly installments thereafter, subject to the Reporting Person being a service provider with certain limited exceptions.
|
|
(7)
|
The PSUs will vest depending on the Issuer's free cash flow for the One-Year Performance Period. The maximum number of free cash flow-based PSUs that may vest is capped at 200% of the target number of free cash flow-based PSUs. To the extent achieved, 1/3 of any achieved free cash flow-based PSUs will vest on June 10, 2025 and the balance will vest in eight equal quarterly installments thereafter, subject to the Reporting Person being a service provider with certain limited exceptions.
|
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
