0001567619-19-023333.txt : 20191218 0001567619-19-023333.hdr.sgml : 20191218 20191218170313 ACCESSION NUMBER: 0001567619-19-023333 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191216 FILED AS OF DATE: 20191218 DATE AS OF CHANGE: 20191218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS BRIAN CENTRAL INDEX KEY: 0001257430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bill.com Holdings, Inc. CENTRAL INDEX KEY: 0001786352 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 832261725 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1810 EMBARCADERO ROAD CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: (650) 621-7700 MAIL ADDRESS: STREET 1: 1810 EMBARCADERO ROAD CITY: PALO ALTO STATE: CA ZIP: 94303 4 1 doc1.xml FORM 4 X0306 4 2019-12-16 0 0001786352 Bill.com Holdings, Inc. BILL 0001257430 JACOBS BRIAN C/O EMERGENCE EQUITY PARTNERS 160 BOVET ROAD, SUITE 300 SAN MATEO CA 94402 1 0 0 0 Common Stock 2019-12-16 4 C 0 339098 0 A 339098 I See Footnote Common Stock 2019-12-16 4 C 0 3393582 0 A 3393582 I See Footnote Common Stock 2019-12-16 4 C 0 1213374 0 A 1213374 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 246896 0 D Common Stock 246896 0 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 2471963 0 D Common Stock 2471963 0 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 844837 0 D Common Stock 844837 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 36914 0 D Common Stock 36914 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 368975 0 D Common Stock 368975 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 147546 0 D Common Stock 147546 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 45627 0 D Common Stock 45627 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 456071 0 D Common Stock 456071 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 182374 0 D Common Stock 182374 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 8296 0 D Common Stock 8296 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 82923 0 D Common Stock 82923 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 33159 0 D Common Stock 33159 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 1365 0 D Common Stock 1365 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 13650 0 D Common Stock 13650 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 5458 0 D Common Stock 5458 0 I See Footnote Immediately upon the close of the Issuer's initial public offering all shares of the Issuer's convertible preferred stock automatically converted into shares of its Common Stock on a 1:1 basis. The shares are held by Emergence Capital Associates, L.P. Emergence GP Partners, LLC is the sole general partner of Emergence Equity Partners, L.P., which is the sole general partner of each of Emergence Capital Associates, L.P., Emergence Capital Partners, L.P. and Emergence Capital Partners-P.A., L.P. (the "Emergence Capital Entities"). Jason Green and Gordon Ritter are managers of Emergence GP Partners, LLC. Brian Jacobs, a member of the Issuer's board of directors, is a manager of Emergence Equity Partners, L.P. The Reporting Person disclaims Section 16 beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any, 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. The shares are held by Emergence Capital Partners, L.P. Emergence GP Partners, LLC is the sole general partner of Emergence Equity Partners, L.P., which is the sole general partner of the Emergence Capital Entities. Jason Green and Gordon Ritter are managers of Emergence GP Partners, LLC. Brian Jacobs, a member of the Issuer's board of directors, is a manager of Emergence Equity Partners, L.P. The Reporting Person disclaims Section 16 beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any, 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. The shares are held by Emergence Capital Partners-P.A., L.P. Emergence GP Partners, LLC is the sole general partner of Emergence Equity Partners, L.P., which is the sole general partner of the Emergence Capital Entities. Jason Green and Gordon Ritter are managers of Emergence GP Partners, LLC. Brian Jacobs, a member of the Issuer's board of directors, is a manager of Emergence Equity Partners, L.P. The Reporting Person disclaims Section 16 beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any, 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. /s/ Rajesh Aji, Attorney-in-Fact 2019-12-18