0000899243-18-030875.txt : 20181213
0000899243-18-030875.hdr.sgml : 20181213
20181213163046
ACCESSION NUMBER: 0000899243-18-030875
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181211
FILED AS OF DATE: 20181213
DATE AS OF CHANGE: 20181213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chung David Ying Xian
CENTRAL INDEX KEY: 0001754317
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38698
FILM NUMBER: 181233558
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-12-11
0
0001540755
Anaplan, Inc.
PLAN
0001754317
Chung David Ying Xian
C/O ANAPLAN, INC.
50 HAWTHORNE STREET
SAN FRANCISCO
CA
94105
0
1
0
0
See Remarks
Common Stock
2018-12-11
4
M
0
5267
7.12
A
8867
D
Stock Option (right to buy)
7.12
2018-12-11
4
M
0
5267
0.00
D
2028-03-23
Common Stock
5267
54733
D
Early exercise rights were extended to the Reporting Person such that this stock option is immediately exercisable in full. 25% of the shares subject to the stock option will vest on February 12, 2019, with the remainder vesting in 36 equal monthly installments thereafter provided that the Reporting Person remains in continuous service on each vesting date.
V.P., Chief Accounting Officer and Controller
/s/ Suhani Akhare, Attorney-in-Fact for David Chung
2018-12-13