0001567619-19-023331.txt : 20191218 0001567619-19-023331.hdr.sgml : 20191218 20191218170059 ACCESSION NUMBER: 0001567619-19-023331 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: August Capital Management V, L.L.C. CENTRAL INDEX KEY: 0001547399 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293092 BUSINESS ADDRESS: STREET 1: 2480 SAND HILL ROAD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650.234.9900 MAIL ADDRESS: STREET 1: 2480 SAND HILL ROAD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: August Capital V, L.P. CENTRAL INDEX KEY: 0001452198 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293093 BUSINESS ADDRESS: STREET 1: 2480 SAND HILL RD. STREET 2: SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-234-9900 MAIL ADDRESS: STREET 1: 2480 SAND HILL RD. STREET 2: SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: August Capital V Special Opportunities, L.P. CENTRAL INDEX KEY: 0001452199 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293094 BUSINESS ADDRESS: STREET 1: 2480 SAN HILL RD. STREET 2: SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-234-9900 MAIL ADDRESS: STREET 1: 2480 SAN HILL RD. STREET 2: SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hartenbaum Howard CENTRAL INDEX KEY: 0001547424 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39149 FILM NUMBER: 191293095 MAIL ADDRESS: STREET 1: 2480 SAND HILL ROAD, SUITE 101 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 0001547399 August Capital Management V, L.L.C. C/O AUGUST CAPITAL PMB #456, 660 4TH STREET SAN FRANCISCO CA 94107 0 0 1 0 0001452198 August Capital V, L.P. C/O AUGUST CAPITAL PMB #456, 660 4TH STREET SAN FRANCISCO CA 94107 0 0 1 0 0001452199 August Capital V Special Opportunities, L.P. C/O AUGUST CAPITAL PMB #456, 660 4TH STREET SAN FRANCISCO CA 94107 0 0 1 0 0001547424 Hartenbaum Howard C/O AUGUST CAPITAL PMB #456, 660 4TH STREET SAN FRANCISCO CA 94107 0 0 1 0 Common Stock 2019-12-16 4 C 0 6958994 0 A 6958994 I See Footnote Common Stock 2019-12-16 4 C 0 773770 0 A 773770 I See Footnote Series B Convertible Preferred Stock 2019-12-16 4 C 0 3595890 0 D Common Stock 3595890 0 I See Footnote Series C Convertible Preferred Stock 2019-12-16 4 C 0 582972 0 D Common Stock 582972 0 I See Footnote Series D Convertible Preferred Stock 2019-12-16 4 C 0 736437 0 D Common Stock 736437 0 I See Footnote Series E Convertible Preferred Stock 2019-12-16 4 C 0 1211306 0 D Common Stock 1211306 0 I See Footnote Series F Convertible Preferred Stock 2019-12-16 4 C 0 832389 0 D Common Stock 832389 0 I See Footnote Series G Convertible Preferred Stock 2019-12-16 4 C 0 773770 0 D Common Stock 773770 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. Held by August Capital V, L.P. for itself and as nominee for August Capital Strategic Partners V, L.P. and related individuals, collectively the August Capital entities. August Capital Management V, L.L.C. ("ACM V") is the general partner of the August Capital entities and may be deemed to have sole voting power and sole investment power over the shares held by the August Capital entities. David Hornik, a member of the Issuer's board of directors, and Howard Hartenbaum are the members of ACM V and may be deemed to have shared voting and investment power with respect to the shares held by the August Capital entities. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities. The shares are held by August Capital V Special Opportunities, L.P. for itself and as nominee for August Capital Strategic Partners V, L.P. and related individuals, collectively the August Capital entities. ACM V is the general partner of the August Capital entities and may be deemed to have sole voting power and sole investment power over the shares held by the August Capital entities. David Hornik, a member of the Issuer's board of directors, and Howard Hartenbaum are the members of ACM V and may be deemed to have shared voting and investment power with respect to the shares held by the August Capital entities. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities. This report is one of two reports, each on a separate Form 4, but related to the same transactions being filed by the August Capital entities and their applicable members. /s/ Abigail Hipps, Attorney-in-Fact 2019-12-16