0001540755-21-000013.txt : 20210722 0001540755-21-000013.hdr.sgml : 20210722 20210722170935 ACCESSION NUMBER: 0001540755-21-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210719 FILED AS OF DATE: 20210722 DATE AS OF CHANGE: 20210722 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mehta Vikas D CENTRAL INDEX KEY: 0001872886 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38698 FILM NUMBER: 211108325 MAIL ADDRESS: STREET 1: 50 HAWTHORNE STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 wf-form4_162698814043479.xml FORM 4 X0306 4 2021-07-19 0 0001540755 Anaplan, Inc. PLAN 0001872886 Mehta Vikas D C/O ANAPLAN, INC. 50 HAWTHORNE STREET SAN FRANCISCO CA 94105 0 1 0 0 Chief Financial Officer Restricted Stock Units 2021-07-19 4 A 0 21911 0 A Common Stock 21911.0 21911 D Restricted Stock Units 2021-07-19 4 A 0 182590 0 A Common Stock 182590.0 182590 D Performance Stock Units 2021-07-19 4 A 0 91295 0 A Common Stock 91295.0 91295 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. The RSUs vest on December 10, 2021, provided that the Reporting Person remains in continuous service through such vesting date. Unless otherwise provided, on the vesting date shares of Common Stock will automatically be sold to satisfy the Reporting Person's tax withholding obligations in a non-discretionary transaction. The Reporting Person was granted RSUs which represent a contingent right to receive one share of Common Stock for each RSU. The RSUs vest over 3 years with seven thirty-sixths of the RSUs vesting on March 10, 2022, and the remainder vesting in 10 equal quarterly installments, 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. Each Performance Stock Unit converts into common stock on a one-for-one basis. The Performance Stock Units will vest dependent upon achievement of both performance-based and service-based conditions. /s/ Gary Spiegel, Attorney-in-Fact 2021-07-22