0001209191-17-039883.txt : 20170614 0001209191-17-039883.hdr.sgml : 20170614 20170614174716 ACCESSION NUMBER: 0001209191-17-039883 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170605 FILED AS OF DATE: 20170614 DATE AS OF CHANGE: 20170614 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: BERGERON SANDRA E. CENTRAL INDEX KEY: 0001279949 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35662 FILM NUMBER: 17912003 MAIL ADDRESS: STREET 1: C/O NETEGRITY INC STREET 2: 201 JONES RD CITY: WALTHAM STATE: MA ZIP: 02451 FORMER NAME: FORMER CONFORMED NAME: BERGERON SANDRA K DATE OF NAME CHANGE: 20040212 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2017-06-05 2017-06-07 0 0001107843 QUALYS, INC. QLYS 0001279949 BERGERON SANDRA E. C/O QUALYS, INC. 1600 BRIDGE PARKWAY REDWOOD CITY CA 94065 1 0 0 0 Common Stock 2017-06-05 4 A 0 4982 0.00 A 33655 D Common Stock 50000 I See Footnote Common Stock 90000 I See Footnote The reported securities represent restricted stock units which vest on the earlier of (i) June 5, 2018 or (ii) the day before the Issuer's 2018 annual meeting of stockholders, subject to the Reporting Person's continued service through each such vesting date. This amended Form 4 corrects an original Form 4 filed on June 7, 2017, which incorrectly reported the number of restricted stock units acquired. Shares held directly by DBG Investments Inc., an investment company solely owned by the spouse of the Reporting Person. The Reporting Person disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purpose. Shares held directly by the Bergeron Family Trust dtd 11/15/2004 for which the Reporting Person serves as trustee. /s/ Bruce Posey by power of attorney 2017-06-14