0000899243-19-010605.txt : 20190412 0000899243-19-010605.hdr.sgml : 20190412 20190412171741 ACCESSION NUMBER: 0000899243-19-010605 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190410 FILED AS OF DATE: 20190412 DATE AS OF CHANGE: 20190412 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: 19747039 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: 19747040 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: 19747041 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: 19747042 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: 19747043 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: 19747044 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: 19747045 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: 0131 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 2019-04-10 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 2019-04-10 4 J 0 103577 A 103577 D Common Stock 99947 I By Granite Ventures Entrepreneurs Fund II, L.P. Common Stock 12351794 I By Granite Ventures II, L.P. Common Stock 250036 I By GV Anaplan SPV, L.P. Common Stock 4000 D Represents an acquisition of securities from an in-kind distribution, and not a purchase or sale, without additional consideration paid, and is therefore an exempt, non-matchable acquisition pursuant to Section 16(b). 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. Represents shares held directly by Christopher McKay. GRANITE MANAGEMENT II, LLC, By Granite Ventures, LLC, Its Managing Member, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche Title: Member 2019-04-12 GRANITE VENTURES, LLC, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2019-04-12 GRANITE VENTURES II, L.P., By Granite Management II, LLC, Its General Partner, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2019-04-12 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 2019-04-12 GV ANAPLAN SPV, L.P. By Granite Ventures, LLC, Its General Partner, By /s/ Jacqueline Berterretche, Printed Name: Jacqueline Berterretche, Title: Member 2019-04-12 By /s/ Jacqueline Berterretche, Jacqueline Berterretche 2019-04-12 By /s/ Christopher McKay, Christopher McKay 2019-04-12