|4Oct 18, 5:10 PM ET

Shasta Ventures II GP, LLC 4

4 · Anaplan, Inc. · Filed Oct 18, 2018

Insider Transaction Report

Form 4
Period: 2018-10-16
Transactions
  • Conversion

    Common Stock

    2018-10-16+13,281,79413,427,098 total
  • Conversion

    Series A Convertible Preferred Stock

    2018-10-1637,5690 total
    Common Stock (37,569 underlying)
  • Conversion

    Series B Convertible Preferred Stock

    2018-10-168,876,2650 total
    Common Stock (8,876,265 underlying)
  • Conversion

    Series C Convertible Preferred Stock

    2018-10-163,136,3690 total
    Common Stock (3,136,369 underlying)
  • Conversion

    Series D Convertible Preferred Stock

    2018-10-16984,0440 total
    Common Stock (984,044 underlying)
  • Conversion

    Series E Convertible Preferred Stock

    2018-10-16247,5470 total
    Common Stock (247,547 underlying)
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.

Documents

1 file
  • 4
    doc4.xmlPrimary

    FORM 4 SUBMISSION