SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

DCM Affiliates Fund IV, L.P.

(Last)

(First)

(Middle)

C/O DCM INVESTMENT MANAGEMENT

2420 SAND HILL ROAD, SUITE 200

(Street)

MENLO PARK

94025

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
Bill.com Holdings, Inc. [ BILL ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
	Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
12/16/2019

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	12/16/2019		C⁽¹⁾		244,958	A	$0	244,958	I	See Footnote⁽²⁾
Common Stock	12/16/2019		C⁽¹⁾		9,632,457	A	$0	9,632,457	I	See Footnote⁽³⁾

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Series A Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			65,720	⁽¹⁾	⁽¹⁾	Common Stock	65,720	$0	0	I	See Footnote⁽²⁾
Series A Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			2,584,280	⁽¹⁾	⁽¹⁾	Common Stock	2,584,280	$0	0	I	See Footnote⁽³⁾
Series B Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			57,320	⁽¹⁾	⁽¹⁾	Common Stock	57,320	$0	0	I	See Footnote⁽²⁾
Series B Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			2,253,980	⁽¹⁾	⁽¹⁾	Common Stock	2,253,980	$0	0	I	See Footnote⁽³⁾
Series C Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			19,947	⁽¹⁾	⁽¹⁾	Common Stock	19,947	$0	0	I	See Footnote⁽²⁾
Series C Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			784,389	⁽¹⁾	⁽¹⁾	Common Stock	784,389	$0	0	I	See Footnote⁽³⁾
Series D Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			23,758	⁽¹⁾	⁽¹⁾	Common Stock	23,758	$0	0	I	See Footnote⁽²⁾
Series D Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			934,218	⁽¹⁾	⁽¹⁾	Common Stock	934,218	$0	0	I	See Footnote⁽³⁾
Series E Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			41,092	⁽¹⁾	⁽¹⁾	Common Stock	41,092	$0	0	I	See Footnote⁽²⁾
Series E Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			1,615,846	⁽¹⁾	⁽¹⁾	Common Stock	1,615,846	$0	0	I	See Footnote⁽³⁾
Series F Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			28,237	⁽¹⁾	⁽¹⁾	Common Stock	28,237	$0	0	I	See Footnote⁽²⁾
Series F Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			1,110,383	⁽¹⁾	⁽¹⁾	Common Stock	1,110,383	$0	0	I	See Footnote⁽³⁾
Series G Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			8,884	⁽¹⁾	⁽¹⁾	Common Stock	8,884	$0	0	I	See Footnote⁽²⁾
Series G Convertible Preferred Stock	⁽¹⁾	12/16/2019		C⁽¹⁾			349,361	⁽¹⁾	⁽¹⁾	Common Stock	349,361	$0	0	I	See Footnote⁽³⁾

1. Name and Address of Reporting Person^*

DCM Affiliates Fund IV, L.P.

(Last)

(First)

(Middle)

C/O DCM INVESTMENT MANAGEMENT

2420 SAND HILL ROAD, SUITE 200

(Street)

MENLO PARK

94025

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

X	Director	X	10% Owner
	Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

DCM IV, L.P.

(Last)

(First)

(Middle)

C/O DCM INVESTMENT MANAGEMENT

2420 SAND HILL ROAD, SUITE 200

(Street)

MENLO PARK

94025

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

Explanation of Responses:

1. 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.

2. 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.

3. 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, COO & Legal Partner	12/18/2019
	** Signature of Reporting Person	Date
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