MOHAN RAVI 4
4 · Anaplan, Inc. · Filed Oct 18, 2018
Insider Transaction Report
Form 4
Anaplan, Inc.PLAN
MOHAN RAVI
Director10% Owner
Transactions
- Conversion
Series A Convertible Preferred Stock
2018-10-16−37,569→ 0 total(indirect: By Shasta Ventures II, L.P.)→ Common Stock (37,569 underlying) - Conversion
Series B Convertible Preferred Stock
2018-10-16−8,876,265→ 0 total(indirect: By Shasta Ventures II, L.P.)→ Common Stock (8,876,265 underlying) - Conversion
Series D Convertible Preferred Stock
2018-10-16−984,044→ 0 total(indirect: By Shasta Ventures II, L.P.)→ Common Stock (984,044 underlying) - Conversion
Series E Convertible Preferred Stock
2018-10-16−247,547→ 0 total(indirect: By Shasta Ventures II, L.P.)→ Common Stock (247,547 underlying) - Conversion
Series C Convertible Preferred Stock
2018-10-16−3,136,369→ 0 total(indirect: By Shasta Ventures II, L.P.)→ Common Stock (3,136,369 underlying) - Conversion
Common Stock
2018-10-16+13,281,794→ 13,427,098 total(indirect: By Shasta Ventures II, L.P.)
Footnotes (3)
- [F1]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 and Series E Convertible Preferred Stock.
- [F2]Shasta Ventures II GP, LLC is the general partner of Shasta Ventures II, L.P. Ravi Mohan, a member of the issuer's Board of Directors, Robert Coneybeer, Tod Francis, and Jason Pressman are the managing members of Shasta Ventures II GP, LLC and each of them may be deemed to exercise voting and investment power over the shares held of record by Shasta Ventures II, L.P. These individuals disclaim beneficial ownership of the shares held by the aforementioned entities except to the extent of any pecuniary interest therein.
- [F3]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.