0001209191-20-023305.txt : 20200403
0001209191-20-023305.hdr.sgml : 20200403
20200403171901
ACCESSION NUMBER: 0001209191-20-023305
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200401
FILED AS OF DATE: 20200403
DATE AS OF CHANGE: 20200403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hornik David
CENTRAL INDEX KEY: 0001547378
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39149
FILM NUMBER: 20774646
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: 0630
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-04-01
0
0001786352
Bill.com Holdings, Inc.
BILL
0001547378
Hornik David
C/O BILL.COM HOLDINGS, INC.
1800 EMBARCADERO ROAD
PALO ALTO
CA
94306
1
0
1
0
Common Stock
2020-04-01
4
M
0
1250
A
1250
D
Common Stock
6958994
I
See Footnote
Common Stock
773770
I
See Footnote
Restricted Stock Units
2020-04-01
4
M
0
1250
0.00
D
Common Stock
1250
3750
D
Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of the Issuer's Common Stock.
The shares are 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.
The RSUs shall vest in four (4) equal quarterly installments over the 12-month period beginning January 1, 2020, subject to continued service on each applicable vesting date.
/s/ Abigail Hipps, Attorney-in-Fact
2020-04-03