SEC Form 4 · accession 0000899243-18-026972

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 · 5:08 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,F3,F2	Oct 16, 2018	C	184,427	—	A	191,027	I	By Meritech Capital Affiliates IV L.P.
Common Stock^F1,F3,F2	Oct 16, 2018	C	7,468,192	—	A	7,735,459	I	By Meritech Capital Partners IV L.P.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series A Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	484	D	—	—	Common Stock	484	I
Series A Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	19,604	D	—	—	Common Stock	19,604	I
Series C Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	150,619	D	—	—	Common Stock	150,619	I
Series C Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	6,099,119	D	—	—	Common Stock	6,099,119	I
Series D Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	16,854	D	—	—	Common Stock	16,854	I
Series D Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	682,520	D	—	—	Common Stock	682,520	I
Series E Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	7,159	D	—	—	Common Stock	7,159	I
Series E Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	289,897	D	—	—	Common Stock	289,897	I
Series F Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	9,311	D	—	—	Common Stock	9,311	I
Series F Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	377,052	D	—	—	Common Stock	377,052	I

F1The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock and Series F Convertible Preferred Stock.
F2Meritech Capital Associates IV L.L.C. is the general partner of Meritech Capital Partners IV L.P. and Meritech Capital Affiliates IV L.P. Robert Ward, a member of our board of directors, is one of several managing members of the general partner of these funds that directly hold shares and as such Mr. Ward may be deemed to have voting and investment power with respect to such shares. Mr. Ward disclaims beneficial ownership of the shares held by the aforementioned entities except to the extent of any pecuniary interest therein.
F3The 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.