0001209191-16-126568.txt : 20160608 0001209191-16-126568.hdr.sgml : 20160608 20160608163653 ACCESSION NUMBER: 0001209191-16-126568 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160606 FILED AS OF DATE: 20160608 DATE AS OF CHANGE: 20160608 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUALYS, INC. CENTRAL INDEX KEY: 0001107843 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 770534145 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 BRIDGE PARKWAY CITY: REDWOOD SHORES STATE: CA ZIP: 94065 BUSINESS PHONE: 650-801-6100 MAIL ADDRESS: STREET 1: 1600 BRIDGE PARKWAY CITY: REDWOOD SHORES STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: QUALYS INC DATE OF NAME CHANGE: 20000225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DIXON DONALD R CENTRAL INDEX KEY: 0001045434 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35662 FILM NUMBER: 161703942 MAIL ADDRESS: STREET 1: 2480 SAND HILL RD STREET 2: STE 201 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-06 0 0001107843 QUALYS, INC. QLYS 0001045434 DIXON DONALD R 505 HAMILTON AVENUE SUITE 200 PALO ALTO CA 94301 1 0 0 0 Common Stock 2016-06-06 4 A 0 6173 0.00 A 199564 D Common Stock 165074 I See Footnote Common Stock 1283 I See Footnote The reported securities represent restricted stock units which vest on the earlier of (i) June 6, 2017 or (ii) the day before the Issuer's 2017 annual meeting of stockholders, subject to the Reporting Person's continued service through each such vesting date. The shares are held directly by Donald and Elizabeth Dixon Family Limited Partnership, for which the Reporting Person and his spouse serve as general partners. The shares are held directly by Dixon Family Trust U/A Dated 6/18/88, for which the Reporting Person and his spouse serve as settlors. /s/ Donald R. Dixon 2016-06-07