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