MOHAN RAVI 4
4 · Anaplan, Inc. · Filed May 30, 2019
Insider Transaction Report
Form 4
Anaplan, Inc.PLAN
MOHAN RAVI
Director10% Owner
Transactions
- Other
Common Stock
2019-05-28−3,400,000→ 10,027,098 total(indirect: By Shasta Ventures II, L.P.) - Other
Common Stock
2019-05-28+149,257→ 149,257 total - Other
Common Stock
2019-05-28+707,200→ 707,200 total(indirect: By LLC) - Other
Common Stock
2019-05-28−690,200→ 17,000 total(indirect: By LLC)
Footnotes (6)
- [F1]Represents an in kind distribution without consideration by Shasta Ventures II, L.P. ("Shasta II") to its partners, including its general partner, Shasta Ventures II GP, LLC ("Shasta II GP").
- [F2]These shares are owned directly by Shasta II, of which Shasta II GP is the sole general partner and exercises voting and investment power over these shares. The reporting person is a managing director of Shasta II and disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
- [F3]Represents the receipt of shares in the pro rata in kind distribution of Common Stock of the Issuer by Shasta II described in footnote (1).
- [F4]These shares are owned directly by Shasta II GP. The reporting person is a managing director of Shasta II and disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
- [F5]Represents a pro-rata in-kind distribution of shares by Shasta II GP, without consideration, to its members.
- [F6]Represents a change in the form of ownership from indirect ownership to direct by virtue of the receipt of shares in the pro rata in kind distribution by Shasta II GP described in footnote (5).