0000899243-18-026973.txt : 20181018 0000899243-18-026973.hdr.sgml : 20181018 20181018170942 ACCESSION NUMBER: 0000899243-18-026973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181016 FILED AS OF DATE: 20181018 DATE AS OF CHANGE: 20181018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRANITE VENTURES LLC CENTRAL INDEX KEY: 0001106556 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128867 BUSINESS ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 4155917700 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 FORMER NAME: FORMER CONFORMED NAME: H&Q VENTURE ASSOCIATES LLC DATE OF NAME CHANGE: 20000211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Granite Ventures II L P CENTRAL INDEX KEY: 0001332381 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128868 BUSINESS ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-591-7700 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRANITE VENTURES ENTREPRENEURS FUND II LP CENTRAL INDEX KEY: 0001337895 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128869 BUSINESS ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 4155917700 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GV Anaplan SPV, L.P. CENTRAL INDEX KEY: 0001662811 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128870 BUSINESS ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-591-7700 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET STREET 2: SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Granite Management II, LLC CENTRAL INDEX KEY: 0001755308 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128871 BUSINESS ADDRESS: STREET 1: 300 MONTGOMERY STREET, SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-591-7700 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET, SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Berterretche Jacqueline CENTRAL INDEX KEY: 0001755292 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128872 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET, SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McKay Christopher CENTRAL INDEX KEY: 0001755317 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128873 MAIL ADDRESS: STREET 1: 300 MONTGOMERY STREET, SUITE 638 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Anaplan, Inc. CENTRAL INDEX KEY: 0001540755 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 270897861 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 50 HAWTHORNE STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-742-8199 MAIL ADDRESS: STREET 1: 50 HAWTHORNE STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-10-16 0 0001540755 Anaplan, Inc. PLAN 0001106556 GRANITE VENTURES LLC 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001332381 Granite Ventures II L P 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001337895 GRANITE VENTURES ENTREPRENEURS FUND II LP 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001662811 GV Anaplan SPV, L.P. 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001755308 Granite Management II, LLC 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001755292 Berterretche Jacqueline 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 0001755317 McKay Christopher 300 MONTGOMERY STREET, SUITE 638 SAN FRANCISCO CA 94104 0 0 1 0 Common Stock 2018-10-16 4 C 0 99025 A 99947 I By Granite Ventures Entrepreneurs Fund II, L.P. Common Stock 2018-10-16 4 C 0 12237847 A 12351794 I By Granite Ventures II, L.P. Common Stock 2018-10-16 4 C 0 223246 A 250036 I By GV Anaplan SPV, L.P. Series A Convertible Preferred Stock 2018-10-16 4 C 0 282 D Common Stock 282 0 I By Granite Ventures Entrepreneurs Fund II, L.P. Series A Convertible Preferred Stock 2018-10-16 4 C 0 34850 D Common Stock 34850 0 I By Granite Ventures II, L.P. Series A Convertible Preferred Stock 2018-10-16 4 C 0 27264 D Common Stock 27264 0 I By GV Anaplan SPV, L.P. Series B Convertible Preferred Stock 2018-10-16 4 C 0 72071 D Common Stock 72071 0 I By Granite Ventures Entrepreneurs Fund II, L.P. Series B Convertible Preferred Stock 2018-10-16 4 C 0 8804194 D Common Stock 8804194 0 I By Granite Ventures II, L.P. Series C Convertible Preferred Stock 2018-10-16 4 C 0 25466 D Common Stock 25466 0 I By Granite Ventures Entrepreneurs Fund II, L.P. Series C Convertible Preferred Stock 2018-10-16 4 C 0 3110903 D Common Stock 3110903 0 I By Granite Ventures II, L.P. Series D Convertible Preferred Stock 2018-10-16 4 C 0 140578 D Common Stock 140578 0 I By Granite Ventures II, L.P. Series E Convertible Preferred Stock 2018-10-16 4 C 0 1206 D Common Stock 1206 0 I By Granite Ventures Entrepreneurs Fund II, L.P. Series E Convertible Preferred Stock 2018-10-16 4 C 0 147322 D Common Stock 147322 0 I By Granite Ventures II, L.P. Series E Convertible Preferred Stock 2018-10-16 4 C 0 150528 D Common Stock 150528 0 I By GV Anaplan SPV, L.P. Series F Convertible Preferred Stock 2018-10-16 4 C 0 45454 D Common Stock 45454 0 I By GV Anaplan SPV, L.P. The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock and/or Series F Convertible Preferred Stock. The reported security is directly held by Granite Management II, LLC is the general partner of Granite Ventures II, L.P. and Granite Ventures Entrepreneurs Fund II, L.P. Granite Ventures, LLC is the general partner of GV Anaplan SPV, L.P. Standish O'Grady, a member of our board of directors, Jacqueline Berterretche and Christopher McKay are managing directors of the general partner entities of these funds that directly hold shares and as such Mr. O'Grady, Ms. Berterreche and Mr. McKay may be deemed to have voting and investment power with respect to such shares. These individuals disclaim beneficial ownership of the shares held by the aforementioned entities except to the extent of any pecuniary interest therein. The 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. GRANITE MANAGEMENT II, LLC, By Granite Ventures, LLC, Its Managing Member, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2018-10-18 GRANITE VENTURES, LLC, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2018-10-18 GRANITE VENTURES II, L.P., By Granite Management II, LLC, Its General Partner, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2018-10-18 GRANITE VENTURES ENTREPRENEURS FUND II, L.P., By Granite Management II, LLC, Its General Partner, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2018-10-18 GV ANAPLAN SPV, L.P., By Granite Ventures, LLC, Its General Partner, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2018-10-18 By: /s/ Jacqueline Berterretche 2018-10-18 By: /s/ Christopher McKay 2018-10-18