SEC Form 4/A · accession 0000899243-19-004323

Anaplan, Inc. · PLAN

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

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Director · 10% Owner

Period of report

Oct 16, 2018

Accepted (ET)

Feb 20, 2019 · 8:41 pm EST

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	8,179	—	A	68,848	I	By Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Convertible Preferred Stock^F3,F2	—	Oct 16, 2018	C	8,179	D	—	—	Common Stock	8,179	0	I

F1The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock held by the Trust (as defined below). On October 18, 2018, the Reporting Person filed a Form 4 which inadvertently omitted the conversion of 8,179 shares of Series A Convertible Preferred Stock held by the Trust in connection with the Initial Public Offering of the Issuer.
F2The shares are held by Standish H. O'Grady and Anne Brophy O'Grady, Trustees of The O'Grady Revocable Trust, dated January 3, 2014 (the "Trust").
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.