Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 6:25PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
O'Driscoll Rory |
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 _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
|
|
(Last)
(First)
(Middle)
C/O BILL.COM HOLDINGS, INC., 1800 EMBARCADERO ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/1/2021 |
|
(Street)
PALO ALTO, CA 94306
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ 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. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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)
|
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
| Common Stock | 12/29/2020 | | J(1) |
V
| 3750 | D | $0.00 | 0 | D | |
| Common Stock | 12/29/2020 | | J(1) |
V
| 3750 | A | $0.00 | 3750 | I | See Footnote (2) |
| Common Stock | 1/1/2021 | | M | | 1250 | A | (3) | 1250 | D | |
| Common Stock | | | | | | | | 36567 | I | See Footnote (4) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Restricted Stock Units | (3) | 1/1/2021 | | M | | | 1250 | (5) | (5) | Common Stock | 1250 | $0.00 | 0 | D (6) | |
| Explanation of Responses: |
| (1) | Under the governing documents of Scale Venture Partners IV, LP ("ScaleVP IV LP"), the fund that the Reporting Person represents on the Issuer's board of directors, the shares were transferred to Scale Management, LLC ("ScaleMgt"). The Reporting Person did not receive any consideration in connection with such transfer. |
| (2) | The shares are held by ScaleMgt. The managers of ScaleMgt are Rory O'Driscoll, a member of the Issuer's board of directors, Stacey Bishop, Andrew Vitus and Ariel Tseitlin, who all share voting and dispositive power with respect to the shares held by ScaleMgt. |
| (3) | Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of the Issuer's Common Stock. |
| (4) | The shares are held by a trust for which the Reporting Person serves as a trustee. |
| (5) | The RSUs vested in four (4) equal quarterly installments over the 12-month period beginning January 1, 2020, subject to continued service on each applicable vesting date. |
| (6) | Pursuant to the policies of ScaleVP IV LP and ScaleMgt, the Reporting Person is deemed to hold the reported RSUs for the benefit of ScaleMgt. ScaleMgt may be deemed the indirect beneficial owner of the RSUs. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
O'Driscoll Rory
C/O BILL.COM HOLDINGS, INC.
1800 EMBARCADERO ROAD
PALO ALTO, CA 94306 | X |
|
|
|
Signatures
|
| /s/ Rajesh Aji, Attorney-in-Fact | | 1/5/2021 |
| **Signature of Reporting Person | Date |
BILL (NYSE:BILL)
Historical Stock Chart
From Mar 2024 to Apr 2024
BILL (NYSE:BILL)
Historical Stock Chart
From Apr 2023 to Apr 2024
