0001367929-13-000002.txt : 20131114 0001367929-13-000002.hdr.sgml : 20131114 20131114172129 ACCESSION NUMBER: 0001367929-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131114 DATE AS OF CHANGE: 20131114 EFFECTIVENESS DATE: 20131114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BILL.COM, INC. CENTRAL INDEX KEY: 0001367929 IRS NUMBER: 204895317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-206397 FILM NUMBER: 131221504 BUSINESS ADDRESS: STREET 1: 3200 ASH STREET CITY: PALO ALTO STATE: CA ZIP: 94306 BUSINESS PHONE: 650-353-3301 MAIL ADDRESS: STREET 1: 3200 ASH STREET CITY: PALO ALTO STATE: CA ZIP: 94306 FORMER COMPANY: FORMER CONFORMED NAME: CASHBOARD INC DATE OF NAME CHANGE: 20060628 D 1 primary_doc.xml X0707 D LIVE 0001367929 BILL.COM, INC. 3200 ASH STREET PALO ALTO CA CALIFORNIA 94306 650-353-3301 DELAWARE CASHVIEW, INC. CASHBOARD INC Corporation true Rene Lacerte c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Executive Officer Director Mark Orttung c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Executive Officer Tom Blaisdell c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Brian Jacobs c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Tom Mawhinney c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Mark Johnson c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Steve Piaker c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Rory O'Driscoll c/o Bill.com, Inc. 3200 Ash Street Palo Alto CA CALIFORNIA 94306 Director Other Decline to Disclose 06b false 2013-08-01 false true true Series E and Series E-1 Preferred Stock. false 0 37999685 37999685 0 Actual Total Offering Amount is $37,999,685.87 and Actual Total Amount Sold is $37,999,685.87. false 25 0 0 0 false BILL.COM, INC. /s/ Rene Lacerte Rene Lacerte CEO 2013-11-14