Sec Form 4 Filing - IGNITION GP II, LLC @ DOCUSIGN INC - 2018-05-01

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
IGNITION GP II, LLC
2. Issuer Name and Ticker or Trading Symbol
DOCUSIGN INC [ DOCU]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
350 106TH AVENUE, 1ST FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
05/01/2018
(Street)
BELLEVUE, WA98004
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 05/01/2018 C 2,658,418 A 2,764,846 I See footnote ( 2 )
Common Stock 05/01/2018 C 1,264,222 A 4,029,068 I See footnote ( 4 )
Common Stock 05/01/2018 C 8,546,742 A 12,575,810 I See footnote ( 5 )
Common Stock 05/01/2018 C 1,392,050 A 13,967,860 I See footnote ( 6 )
Common Stock 05/01/2018 C 1,533,237 A 15,501,097 I See footnote ( 7 )
Common Stock 05/01/2018 C 195,759 A 15,696,856 I See footnote ( 8 )
Common Stock 05/01/2018 S 784,843 ( 9 ) D $ 29 14,912,013 I See footnote ( 10 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Series A Preferred Stock ( 1 ) 05/01/2018 C 2,601,373 ( 1 ) ( 1 ) Common Stock 2,658,418 $ 0 0 I See footnote ( 11 )
Series A-1 Preferred Stock ( 3 ) 05/01/2018 C 1,264,222 ( 3 ) ( 3 ) Common Stock 1,264,222 $ 0 0 I See footnote ( 11 )
Series B Preferred Stock ( 3 ) 05/01/2018 C 8,546,742 ( 3 ) ( 3 ) Common Stock 8,546,742 $ 0 0 I See footnote ( 11 )
Series B-1 Preferred Stock ( 3 ) 05/01/2018 C 1,392,050 ( 3 ) ( 3 ) Common Stock 1,392,050 $ 0 0 I See footnote ( 3 )
Series C Preferred Stock ( 3 ) 05/01/2018 C 1,533,237 ( 3 ) ( 3 ) Common Stock 1,533,237 $ 0 0 I See footnote ( 11 )
Series D Preferred Stock ( 3 ) 05/01/2018 C 195,759 ( 3 ) ( 3 ) Common Stock 195,759 $ 0 0 I See footnote ( 11 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
IGNITION GP II, LLC
350 106TH AVENUE, 1ST FLOOR
BELLEVUE, WA98004
X
IGNITION VENTURE PARTNERS II, L.P.
350 106TH AVENUE NE, 1ST FLOOR
BELLEVUE, WA98004
X
IGNITION MANAGING DIRECTORS FUND II, LLC
350 106TH AVE NE, 1ST FLOOR
BELLEVUE, WA98004
X
Signatures
/s/ Robert Headley, as Managing Director of Ignition GP II, LLC 05/01/2018
Signature of Reporting Person Date
/s/ Robert Headley, as Managing Director of Ignition GP II, LLC, the General Partner of Ignition Venture Partners II, L.P. 05/01/2018
Signature of Reporting Person Date
/s/ Robert Headley, as Managing Director of Ignition Managing Directors Fund II, LLC 05/01/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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.
( 2 )Includes 2,627,157 shares held by Ignition Venture Partners II, L.P. and 137,689 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 3 )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.
( 4 )Includes 3,828,421 shares held by Ignition Venture Partners II, L.P. and 200,647 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 5 )Includes 11,949,537 shares held by Ignition Venture Partners II, L.P. and 626,273 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 6 )Includes 13,272,263 shares held by Ignition Venture Partners II, L.P. and 695,597 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 7 )Includes 14,729,146 shares held by Ignition Venture Partners II, L.P. and 771,951 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 8 )Includes 14,915,156 shares held by Ignition Venture Partners II, L.P. and 781,700 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 9 )Includes 39,085 shares sold by Ignition Managing Directors Fund II, LLC and 745,758 shares sold by Ignition Venture Partners II, L.P.
( 10 )Includes 14,169,398 shares held by Ignition Venture Partners II, L.P. and 742,615 shares held by Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.
( 11 )The shares were held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. Ignition GP II, LLC possesses all voting and dispositive power with respect to shares held by Ignition Venture Partners II, L.P. A board of nine managing directors controls all voting and dispositive power with respect to Ignition GP II, LLC, including with respect to shares held by Ignition Venture Partners II, L.P. and Ignition Managing Directors Fund II, LLC. The board is comprised of Jonathan Roberts, Jon Anderson, John Connors, Robert Headley, Steve Hooper, Cameron Myhrvold, Brad Silverberg, Rich Tong and John Zagula.

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