SEC Form 4 · accession 0000899243-18-026968

Anaplan, Inc. · PLAN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Oct 16, 2018

Accepted (ET)

Oct 18, 2018 · 5:04 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001540755

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F4	Oct 16, 2018	C	35,806	—	A	194,305	D
Common Stock^F2	Oct 16, 2018	P	29,411	$17.00	A	223,716	D
Common Stock^F1,F4,F3	Oct 16, 2018	C	6,461,625	—	A	7,781,812	I	By Napean Trading and Investment Company (Singapore) Pte. LTD
Common Stock^F2,F3	Oct 16, 2018	P	1,075,588	$17.00	A	8,857,500	I	By Napean Trading and Investment Company (Singapore) Pte. LTD

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series A Convertible Preferred Stock^F4	—	Oct 16, 2018	C	35,806	D	—	—	Common Stock	35,806	D
Series A Convertible Preferred Stock^F4,F3	—	Oct 16, 2018	C	327,168	D	—	—	Common Stock	327,168	I
Series E Convertible Preferred Stock^F4,F3	—	Oct 16, 2018	C	3,861,730	D	—	—	Common Stock	3,861,730	I
Series F Convertible Preferred Stock^F4,F3	—	Oct 16, 2018	C	2,272,727	D	—	—	Common Stock	2,272,727	I

F1The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series E Convertible Preferred Stock and Series F Convertible Preferred Stock.
F2Represents shares purchased in a private placement that closed concurrently with the Issuer's initial public offering.
F3Napean Trading and Investment Co (Singapore) Pte. Ltd. is an entity affiliated with Premji Invest. Sandesh Kaveripatnam is a member of our board of directors and is a partner of Napean Trading and Investment Co (Singapore) Pte. Ltd and as such Mr. Kaveripatnam may be deemed to have voting and investment power with respect to such shares. Mr. Kaveripatnam disclaims beneficial ownership of the shares held by the aforementioned entity except to the extent of any pecuniary interest therein.
F4The reported security converted into the Issuer's Common Stock on a 1-for-1 basis automatically immediately prior to the closing of the Issuer's initial public offering without payment of further consideration. The shares have no expiration date.