0001288649-15-000011.txt : 20150515
0001288649-15-000011.hdr.sgml : 20150515
20150515165411
ACCESSION NUMBER: 0001288649-15-000011
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150515
DATE AS OF CHANGE: 20150515
EFFECTIVENESS DATE: 20150515
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOCUSIGN INC
CENTRAL INDEX KEY: 0001261333
IRS NUMBER: 912183967
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-240045
FILM NUMBER: 15870513
BUSINESS ADDRESS:
STREET 1: 221 MAIN ST., SUITE 1000
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: 866-219-4318
MAIL ADDRESS:
STREET 1: 221 MAIN ST., SUITE 1000
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
D
1
primary_doc.xml
X0707
D
LIVE
0001261333
DOCUSIGN INC
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
866-219-4318
DELAWARE
None
None
Corporation
true
2015
Keith
Krach
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Executive Officer
Director
Mike
Dinsdale
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Executive Officer
Reggie
Davis
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Executive Officer
Jonathan
Roberts
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Scott
Darling
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Pete
Solvik
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Dale
Stinton
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Rory
O'Driscoll
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Mary
Meeker
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Tom
Gonser
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Louis
Lavigne
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Enrique
Salem
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
John
Hinshaw
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Director
Neil
Hudspith
c/o DocuSign, Inc.
221 Main St., Suite 1000
San Francisco
CA
CALIFORNIA
94105
Executive Officer
Other Technology
Decline to Disclose
- 06b
false
2015-04-30
false
true
true
Series F Preferred Stock and the common stock issuable upon conversion thereof.
false
0
310000000
233099867
76900133
false
46
0
0
0
false
DOCUSIGN INC
/s/ Reggie Davis
Reggie Davis
Secretary
2015-05-15