0000899243-18-026972.txt : 20181018 0000899243-18-026972.hdr.sgml : 20181018 20181018170804 ACCESSION NUMBER: 0000899243-18-026972 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20181016 FILED AS OF DATE: 20181018 DATE AS OF CHANGE: 20181018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ward Rob CENTRAL INDEX KEY: 0001501075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181128857 MAIL ADDRESS: STREET 1: 245 LYTTON AVENUE, SUITE 350 CITY: PALO ALTO STATE: CA ZIP: 94301 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 0001501075 Ward Rob C/O MERITECH CAPITAL PARTNERS 245 LYTTON AVENUE, #125 PALO ALTO CA 94301 1 0 0 0 Common Stock 2018-10-16 4 C 0 184427 A 191027 I By Meritech Capital Affiliates IV L.P. Common Stock 2018-10-16 4 C 0 7468192 A 7735459 I By Meritech Capital Partners IV L.P. Series A Convertible Preferred Stock 2018-10-16 4 C 0 484 D Common Stock 484 0 I By Meritech Capital Affiliates IV L.P. Series A Convertible Preferred Stock 2018-10-16 4 C 0 19604 D Common Stock 19604 0 I By Meritech Capital Partners IV L.P. Series C Convertible Preferred Stock 2018-10-16 4 C 0 150619 D Common Stock 150619 0 I By Meritech Capital Affiliates IV L.P. Series C Convertible Preferred Stock 2018-10-16 4 C 0 6099119 D Common Stock 6099119 0 I By Meritech Capital Partners IV L.P. Series D Convertible Preferred Stock 2018-10-16 4 C 0 16854 D Common Stock 16854 0 I By Meritech Capital Affiliates IV L.P. Series D Convertible Preferred Stock 2018-10-16 4 C 0 682520 D Common Stock 682520 0 I By Meritech Capital Partners IV L.P. Series E Convertible Preferred Stock 2018-10-16 4 C 0 7159 D Common Stock 7159 0 I By Meritech Capital Affiliates IV L.P. Series E Convertible Preferred Stock 2018-10-16 4 C 0 289897 D Common Stock 289897 0 I By Meritech Capital Partners IV L.P. Series F Convertible Preferred Stock 2018-10-16 4 C 0 9311 D Common Stock 9311 0 I By Meritech Capital Affiliates IV L.P. Series F Convertible Preferred Stock 2018-10-16 4 C 0 377052 D Common Stock 377052 0 I By Meritech Capital Partners IV L.P. The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock and Series F Convertible Preferred Stock. Meritech Capital Associates IV L.L.C. is the general partner of Meritech Capital Partners IV L.P. and Meritech Capital Affiliates IV L.P. Robert Ward, a member of our board of directors, is one of several managing members of the general partner of these funds that directly hold shares and as such Mr. Ward may be deemed to have voting and investment power with respect to such shares. Mr. Ward disclaims 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. /s/ Suhani Akhare, Attorney-in-Fact 2018-10-18 EX-24 2 attachment1.htm EX-24 DOCUMENT

                       Anaplan, Inc. - Power of Attorney

     KNOW ALL BY THESE PRESENTS, the undersigned hereby constitutes and appoints
each of Gary Spiegel and Suhani Akhare, signing singly, and with full power of
substitution, the undersigned's true and lawful attorney-in-fact to:

 (1) execute for and on behalf of the undersigned a Form ID Application, if
     required, and submit the same to the United States Securities and Exchange
     Commission;

 (2) execute for and on behalf of the undersigned, in the undersigned's capacity
     as an officer and/or director of Anaplan, Inc. (the "Company") or as a
     holder of 10% or more of the Company's securities, Forms 3, 4 and 5, and
     any amendments thereto, in accordance with Section 16 of the Securities
     Exchange Act of 1934, as amended, and the rules thereunder and, if
     necessary, such forms or similar reports required by state or foreign
     regulators in jurisdictions in which the Company operates;

 (3) do and perform any and all acts for and on behalf of the undersigned that
     may be necessary or desirable to complete and execute any such Form 3, 4 or
     5 or similar form or report required by state or foreign regulators, and
     any amendments thereto, and file such form or report with the United States
     Securities and Exchange Commission and any stock exchange or similar
     authority or appropriate state or foreign regulator; and

 (4) take any other action of any type whatsoever in connection with the
     foregoing that, in the opinion of such attorney-in-fact, may be of benefit
     to, in the best interest of or legally required to be done by the
     undersigned, it being understood that the documents executed by such
     attorney-in-fact on behalf of the undersigned pursuant to this Power of
     Attorney shall be in such form and shall contain such terms and conditions
     as such attorney-in-fact may approve in such attorney-in-fact's discretion.

     The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934, as amended, and the
rules thereunder. This Power of Attorney may be filed with the SEC as a
confirming statement of the authority granted herein.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys- in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.

Date: September 13, 2018
      ------------------

By: Rob Ward
    ---------------------------------

Name: Rob Ward
     --------------------------------