0000899243-19-004323.txt : 20190220
0000899243-19-004323.hdr.sgml : 20190220
20190220204139
ACCESSION NUMBER: 0000899243-19-004323
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181016
FILED AS OF DATE: 20190220
DATE AS OF CHANGE: 20190220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: O'Grady Standish
CENTRAL INDEX KEY: 0001753530
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38698
FILM NUMBER: 19620305
MAIL ADDRESS:
STREET 1: 50 HAWTHORNE STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2018-10-16
2018-10-18
0
0001540755
Anaplan, Inc.
PLAN
0001753530
O'Grady Standish
C/O ANAPLAN, INC.
50 HAWTHORNE STREET
SAN FRANCISCO
94105
1
0
1
0
Common Stock
2018-10-16
4
C
0
8179
A
68848
I
By Trust
Series A Convertible Preferred Stock
2018-10-16
4
C
0
8179
D
Common Stock
8179
0
I
By Trust
The total represents shares received upon conversion of shares of Series A Convertible Preferred Stock held by the Trust (as defined below). On October 18, 2018, the Reporting Person filed a Form 4 which inadvertently omitted the conversion of 8,179 shares of Series A Convertible Preferred Stock held by the Trust in connection with the Initial Public Offering of the Issuer.
The shares are held by Standish H. O'Grady and Anne Brophy O'Grady, Trustees of The O'Grady Revocable Trust, dated January 3, 2014 (the "Trust").
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/ Standish O'Grady
2019-02-20