0001209191-17-063949.txt : 20171205
0001209191-17-063949.hdr.sgml : 20171205
20171205164218
ACCESSION NUMBER: 0001209191-17-063949
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171122
FILED AS OF DATE: 20171205
DATE AS OF CHANGE: 20171205
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: 171240198
MAIL ADDRESS:
STREET 1: 2480 SAND HILL RD
STREET 2: STE 201
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: 919 E. HILLSDALE BLVD.
CITY: FOSTER CITY
STATE: CA
ZIP: 94404
BUSINESS PHONE: 650-801-6100
MAIL ADDRESS:
STREET 1: 919 E. HILLSDALE BLVD.
CITY: FOSTER CITY
STATE: CA
ZIP: 94404
FORMER COMPANY:
FORMER CONFORMED NAME: QUALYS INC
DATE OF NAME CHANGE: 20000225
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-11-22
0
0001107843
QUALYS, INC.
QLYS
0001045434
DIXON DONALD R
505 HAMILTON AVENUE
SUITE 200
PALO ALTO
CA
94301
1
0
0
0
Common Stock
2017-11-22
5
G
0
E
17500
0.00
D
65038
I
See Footnote
Common Stock
104764
D
Common Stock
643
I
See Footnote
Reflects ownership as of December 4, 2017.
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/ Bruce Posey by power of attorney
2017-12-05