0001367929-17-000001.txt : 20171010 0001367929-17-000001.hdr.sgml : 20171010 20171010143911 ACCESSION NUMBER: 0001367929-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171010 DATE AS OF CHANGE: 20171010 EFFECTIVENESS DATE: 20171010 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: 021-296293 FILM NUMBER: 171130106 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 X0708 D LIVE 0001367929 BILL.COM, INC. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 650-353-3301 DELAWARE CASHVIEW, INC. CASHBOARD INC Corporation true Rene Lacerte c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Executive Officer Director Raj Aji c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Executive Officer John Rettig c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Executive Officer Tom Mawhinney c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director Mark Johnson c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director Steve Piaker c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director Rory O'Driscoll c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director David Chao c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director David Hornik c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director Brian Jacobs c/o Bill.com, Inc. 1810 Embarcadero Rd. Palo Alto CA CALIFORNIA 94303 Director Other Decline to Disclose 06b false 2017-06-21 false true true Series G Preferred Stock false 0 80000013 80000013 0 Total Offering Amount: $80,000,012.90; Total Amount Sold: $80,000,012.90; Total Remaining to be Sold: $0.00 false 19 0 0 0 false BILL.COM, INC. /s/ Rene Lacerte Rene Lacerte CEO 2017-10-10