0001209191-21-069104.txt : 20211210 0001209191-21-069104.hdr.sgml : 20211210 20211210173549 ACCESSION NUMBER: 0001209191-21-069104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211209 FILED AS OF DATE: 20211210 DATE AS OF CHANGE: 20211210 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: 211486427 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: 6220 AMERICA CENTER DR. STREET 2: SUITE 100 CITY: SAN JOSE STATE: CA ZIP: 95002 BUSINESS PHONE: (650) 621-7700 MAIL ADDRESS: STREET 1: 6220 AMERICA CENTER DR. STREET 2: SUITE 100 CITY: SAN JOSE STATE: CA ZIP: 95002 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-09 0 0001786352 Bill.com Holdings, Inc. BILL 0001547378 Hornik David C/O BILL.COM HOLDINGS, INC. 6220 AMERICA CENTER DR., SUITE 100 SAN JOSE CA 95002 1 0 0 0 Common Stock 2021-08-30 5 G 0 E 10000 0.00 D 47449 D Common Stock 2021-12-09 4 M 0 953 A 48402 D Restricted Stock Units 2021-12-09 4 M 0 953 0.00 D Common Stock 953 0 D Represents shares of the Issuer's Common Stock that the Reporting Person donated as a gift to a donor advised fund. Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of the Issuer's Common Stock. The RSUs shall be 100% vested on the earlier of (a) the date of the next annual stockholders meeting and (b) one year from the date of grant, subject to continued service on such vesting date. /s/ Rajesh Aji, Attorney-in-Fact 2021-12-10