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