0001567619-19-023330.txt : 20191218 0001567619-19-023330.hdr.sgml : 20191218 20191218165958 ACCESSION NUMBER: 0001567619-19-023330 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: Chao David K CENTRAL INDEX KEY: 0001347096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293081 MAIL ADDRESS: STREET 1: 2420 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 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 0001347096 Chao David K C/O DCM INVESTMENT MANAGEMENT 2420 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 1 0 1 0 Common Stock 2019-12-16 4 C 0 244958 0 A 244958 I See Footnote Common Stock 2019-12-16 4 C 0 9632457 0 A 9632457 I See Footnote Series A Convertible Preferred Stock 2019-12-16 4 C 0 65720 0 D Common Stock 65720 0 I See Footnote Series A Convertible Preferred Stock 2019-12-16 4 C 0 2584280 0 D Common Stock 2584280 0 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 57320 0 D Common Stock 57320 0 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 2253980 0 D Common Stock 2253980 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 19947 0 D Common Stock 19947 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 784389 0 D Common Stock 784389 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 23758 0 D Common Stock 23758 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 934218 0 D Common Stock 934218 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 41092 0 D Common Stock 41092 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 1615846 0 D Common Stock 1615846 0 I See Footnote Series F Convertible Preferred Stock 2019-12-16 4 C 0 28237 0 D Common Stock 28237 0 I See Footnote Series F Convertible Preferred Stock 2019-12-16 4 C 0 1110383 0 D Common Stock 1110383 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 8884 0 D Common Stock 8884 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 349361 0 D Common Stock 349361 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 DCM Affiliates Fund IV, L.P. DCM Investment Management IV, L.P. is the general partner of DCM Affiliates Fund IV, L.P. and DCM IV, L.P. (collectively, the "DCM Entities"). DCM International IV, Ltd. is the general partner of DCM Investment Management IV, L.P. David Chao, the director of DCM International IV, Ltd. and a member of the Issuer's board of directors, may be deemed to have sole voting and investment power with respect to the shares held by the DCM Entities. The shares are held by DCM IV, L.P. DCM Investment Management IV, L.P. is the general partner of the DCM Entities. DCM International IV, Ltd. is the general partner of DCM Investment Management IV, L.P. David Chao, the director of DCM International IV, Ltd. and a member of the Issuer's board of directors, may be deemed to have sole voting and investment power with respect to the shares held by the DCM Entities. /s. Matthew C. Bonner, Attorney-in-Fact 2019-12-18