0000899243-21-040692.txt : 20211019 0000899243-21-040692.hdr.sgml : 20211019 20211019214849 ACCESSION NUMBER: 0000899243-21-040692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211019 DATE AS OF CHANGE: 20211019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUSMAN JAMES E CENTRAL INDEX KEY: 0001202397 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40898 FILM NUMBER: 211332620 MAIL ADDRESS: STREET 1: 1210 AVIDXCHANGE LANE CITY: CHARLOTTE STATE: NC ZIP: 28206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AvidXchange Holdings, Inc. CENTRAL INDEX KEY: 0001858257 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1210 AVIDXCHANGE LANE CITY: CHARLOTTE STATE: NC ZIP: 28206 BUSINESS PHONE: 8005609305 MAIL ADDRESS: STREET 1: 1210 AVIDXCHANGE LANE CITY: CHARLOTTE STATE: NC ZIP: 28206 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-15 0 0001858257 AvidXchange Holdings, Inc. AVDX 0001202397 HAUSMAN JAMES E C/O AVIDXCHANGE HOLDINGS, INC. 1210 AVIDXCHANGE LANE CHARLOTTE NC 28206 1 0 0 0 Common Stock 2021-10-15 4 C 0 1991744 A 2091528 D Common Stock 720000 I By Hausman Family Trust Series B Preferred Stock 2021-10-15 4 C 0 430208 0.00 D Common Stock 1720832 0 D Series C Preferred Stock 2021-10-15 4 C 0 67728 0.00 D Common Stock 270912 0 D In connection with the issuer's initial public offering of common stock, all shares of Series B Preferred Stock and Series C Preferred Stock were automatically converted into shares of the issuer's common stock on a four-for-one basis. The preferred stock is perpetual and therefore has no expiration date. /s/ Ryan Stahl, Attorney-in-Fact for James Hausman 2021-10-19