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