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