0000899243-18-026591.txt : 20181011 0000899243-18-026591.hdr.sgml : 20181011 20181011193910 ACCESSION NUMBER: 0000899243-18-026591 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20181011 FILED AS OF DATE: 20181011 DATE AS OF CHANGE: 20181011 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Birdsall Steven Dean CENTRAL INDEX KEY: 0001753654 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 181119128 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: 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-10-11 0 0001540755 Anaplan, Inc. PLAN 0001753654 Birdsall Steven Dean C/O ANAPLAN, INC. 50 HAWTHORNE STREET SAN FRANCISCO CA 94105 0 1 0 0 Chief Revenue Officer Restricted Stock Units Common Stock 75000 D Stock Option (right to buy) 7.12 2028-03-22 Common Stock 700000 D Stock Option (right to buy) 11.86 2028-08-30 Common Stock 149367 D Restricted Stock Units Common Stock 179089 D The Reporting Person was granted restricted stock units ("RSUs") which represent a contingent right to receive one share of Common Stock for each RSU. 25% of the RSUs will vest on March 10, 2019 and an additional 6.25% of the RSUs will vest quarterly thereafter provided that the Reporting Person remains in continuous service on each vesting date. Unless otherwise provided, on each vesting date shares of Common Stock will automatically be sold to satisfy the Reporting Person's tax withholding obligations in a non-discretionary transaction. 25% of the stock option will vest on February 26, 2019, with the remainder exercisable in 36 equal monthly installments thereafter provided that the Reporting Person remains in continuous service on each vesting date. 50% of the stock option will vest on September 10, 2020, with the remainder exercisable in 24 equal monthly installments thereafter provided that the Reporting Person remains in continuous service on each vesting date; the option may also be exercised early subject to Issuer's right of repurchase. The Reporting Person was granted RSUs which represent a contingent right to receive one share of Common Stock for each RSU. 50% of the RSUs will vest on September 10, 2020 and an additional 6.25% of the RSUs will vest quarterly thereafter provided that the Reporting Person remains in continuous service on each vesting date. Unless otherwise provided, on each vesting date shares of Common Stock will automatically be sold to satisfy the Reporting Person's tax withholding obligations in a non-discretionary transaction. /s/ Suhani Akhare, Attorney-in-Fact 2018-10-11 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: 14 SEPT ,2018
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By: STEVEN BIRDSALL
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Name: STEVEN BIRDSALL
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