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