0001193125-19-031422.txt : 20190208 0001193125-19-031422.hdr.sgml : 20190208 20190208060700 ACCESSION NUMBER: 0001193125-19-031422 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20190208 DATE AS OF CHANGE: 20190208 GROUP MEMBERS: SHASTA VENTURES II GP, LLC SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-90839 FILM NUMBER: 19577167 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Shasta Ventures II LP CENTRAL INDEX KEY: 0001418902 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: c/o Shasta Ventures STREET 2: 2440 Sand Hill Road, Suite 300 CITY: Menlo Park STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 543-1700 MAIL ADDRESS: STREET 1: c/o Shasta Ventures STREET 2: 2440 Sand Hill Road, Suite 300 CITY: Menlo Park STATE: CA ZIP: 94025 SC 13G 1 d699347dsc13g.htm SC 13G SC 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2

(Amendment No.     ) *

 

 

Anaplan, Inc.

(Name of Issuer)

Common Stock, $0.0001 par value per share

(Title of Class of Securities)

03272L 10 8

(CUSIP Number)

December 31, 2018

(Date of Event Which Requires Filing of This Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)

☐ Rule 13d-1(c)

☒ Rule 13d-1(d)

 

*

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

CUSIP NO. 03272L 10 8    13 G   

 

  1       

  NAMES OF REPORTING PERSONS.

 

  Shasta Ventures II, L.P.

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

     5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  13,427,098 shares of Common Stock (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  13,427,098 shares of Common Stock (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  13,427,098 shares of Common Stock (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  10.7% (3)

12      

  TYPE OF REPORTING PERSON*

 

  PN

 

(1)

This Schedule 13G is filed by Shasta Ventures II, L.P. (“Shasta II”) and Shasta Ventures II GP, LLC (“Shasta II GP”, together with Shasta II, the “Reporting Persons”). The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Shasta II GP serves as the sole general partner of Shasta II and has sole voting and investment control over the shares owned by Shasta II and may be deemed to own beneficially the shares held by Shasta II.

(3)

This percentage is calculated based on 124,964,193 shares of the Common Stock outstanding as of November 30, 2018, as disclosed in the Issuer’s Form 10-Q for the period ended October 31, 2018, as filed with the Securities and Exchange Commission (the “Commission”) on December 10, 2018.

 

2.

CUSIP NO. 03272L 10 8    13 G   

 

  1       

  NAMES OF REPORTING PERSONS

 

  Shasta Ventures II GP, LLC

  2      

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☒ (1)

 

  3      

  SEC USE ONLY

 

  4      

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  Delaware

NUMBER OF

SHARES

  BENEFICIALLY  

OWNED BY

EACH

REPORTING

PERSON

WITH

     5     

  SOLE VOTING POWER

 

  0 shares

  6     

  SHARED VOTING POWER

 

  13,427,098 shares of Common Stock (2)

  7     

  SOLE DISPOSITIVE POWER

 

  0 shares

  8     

  SHARED DISPOSITIVE POWER

 

  13,427,098 shares of Common Stock (2)

  9      

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  13,427,098 shares of Common Stock (2)

10      

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

  ☐

11      

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

  10.7% (3)

12      

  TYPE OF REPORTING PERSON*

 

  OO

 

(1)

This Schedule 13G is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a “group” for purposes of this Schedule 13G.

(2)

Shasta II GP serves as the sole general partner of Shasta II and has sole voting and investment control over the shares owned by Shasta II and may be deemed to own beneficially the shares held by Shasta II.

(3)

This percentage is calculated based on 124,964,193 shares of the Common Stock outstanding as of November 30, 2018, as disclosed in the Issuer’s Form 10-Q for the period ended October 31, 2018, as filed with the Commission on December 10, 2018.

 

3.

Introductory Note: This statement on Schedule 13G is filed by the Reporting Persons with the Commission in respect of shares of Common Stock, par value $0.0001 per share (“Common Stock”), of Anaplan, Inc., a Delaware corporation (the “Issuer”).

Item 1

 

(a)    Name of Issuer:    Anaplan, Inc.
(b)    Address of Issuer’s   
       Principal Executive Offices:    50 Hawthorne Street
      San Francisco, California 94105

Item 2

 

(a)

Name of Reporting Persons Filing:

 

  1.

Shasta Ventures II, L.P. (“Shasta II”)

  2.

Shasta Ventures II GP, LLC (“Shasta II GP”)

 

(b)

   

Address of Principal Business Office:

   

c/o Shasta Ventures

     

2440 Sand Hill Road, Suite 300

     

Menlo Park, California 94025

 

(c)

Citizenship:

 

                    Shasta II   

Delaware

                    Shasta II GP   

Delaware

 

(d)

   

Title of Class of Securities:

   

Common Stock

(e)

   

CUSIP Number:

   

03272L 10 8

 

Item 3

Not applicable.

 

Item 4

Ownership.

The following information with respect to the ownership of the Common Stock by the Reporting Persons filing this statement on Schedule 13G is provided as of December 31, 2018:

 

Reporting Persons

    Shares Held
Directly (1)		      Sole Voting
Power		      Shared
Voting
Power		      Sole
Dispositive
Power		      Shared
Dispositive
Power		      Beneficial
Ownership		      Percentage of
Class (3)		  

Shasta II

      13,427,098        0        13,427,098        0        13,427,098        13,427,098        10.7 % 

Shasta II GP (2)

      0        0        13,427,098        0        13,427,098        13,427,098        10.7 % 

 

(1)

Represents the number of shares of Common Stock held by the Reporting Persons.

(2)

Shasta II GP serves as the sole general partner of Shasta II and has sole voting and investment control over the shares owned by Shasta II and may be deemed to own beneficially the shares held by Shasta II.

(3)

These percentages are calculated based on 124,964,193 shares of the Common Stock outstanding as of November 30, 2018, as disclosed in the Issuer’s Form 10-Q for the period ended October 31, 2018, as filed with the Commission on December 10, 2018.

 

4.

Item 5

Ownership of Five Percent or Less of a Class.

If this statement is being filed to report the fact that as of the date hereof, the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: ☐

 

Item 6

Ownership of More Than Five Percent on Behalf of Another Person.

Not applicable.

 

Item 7

Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company.

Not applicable.

 

Item 8

Identification and Classification of Members of the Group.

Not applicable.

 

Item 9

Notice of Dissolution of Group.

Not applicable.

 

Item 10

Certification.

Not applicable.

 

5.

SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in the attached statement on Schedule 13G is true, complete and correct.

Dated: February 8, 2019

 

SHASTA VENTURES II, L.P.
By: Shasta Ventures II GP, LLC
Its: General Partner
By:  

/s/ Ravi Mohan

  Ravi Mohan Managing Director
SHASTA VENTURES II GP, LLC
By:  

/s/ Ravi Mohan

  Ravi Mohan, Managing Director

Exhibit(s):

A:    Joint Filing Statement

 

 

6.

EX-99.A 2 d699347dex99a.htm EX-99.A EX-99.A
CUSIP NO. [need to confirm]    13 G   

EXHIBIT A

JOINT FILING STATEMENT

We, the undersigned, hereby express our agreement that the attached statement on Schedule 13G relating to the Common Stock of Anaplan, Inc. is filed on behalf of each of us.

Dated: February 8, 2019

 

SHASTA VENTURES II, L.P.
By: Shasta Ventures II GP, LLC
Its: General Partner
By:  

/s/ Ravi Mohan

  Ravi Mohan Managing Director
SHASTA VENTURES II GP, LLC
By:  

/s/ Ravi Mohan

  Ravi Mohan, Managing Director