SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Highland Management Partners VI, Inc.

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/24/2014

3. Issuer Name and Ticker or Trading Symbol
Imprivata Inc [ IMPR ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series A Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	1,558,065	⁽⁴⁾	I	See footnote⁽¹⁾
Series B Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	756,401	⁽⁴⁾	I	See footnote⁽¹⁾
Series C Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	480,426	⁽⁴⁾	I	See footnote⁽¹⁾
Series A Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	853,699	⁽⁴⁾	I	See footnote⁽²⁾
Series B Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	414,684	⁽⁴⁾	I	See footnote⁽²⁾
Series C Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	263,385	⁽⁴⁾	I	See footnote⁽²⁾
Series A Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	77,155	⁽⁴⁾	I	See footnote⁽³⁾
Series B Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	37,465	⁽⁴⁾	I	See footnote⁽³⁾
Series C Converible Preferred Stock	⁽⁴⁾	⁽⁴⁾	Common Stock	23,796	⁽⁴⁾	I	See footnote⁽³⁾

1. Name and Address of Reporting Person^*

Highland Management Partners VI, Inc.

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

HIGHLAND MANAGEMENT PARTNERS VI L P

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

HIGHLAND CAPITAL PARTNERS VI-B LP

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

HIGHLAND CAPITAL PARTNERS VI LP

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

HIGHLAND ENTREPRENEURS FUND VI LP

(Last)

(First)

(Middle)

C/O HIGHLAND CAPITAL PARTNERS

ONE BROADWAY, 16TH FLOOR

(Street)

CAMBRIDGE

02142

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

Explanation of Responses:

1. The securities are held by Highland Capital Partners VI Limited Partnership ("HCP VI"). Highland Management Partners VI, Inc. ("HMP VI INC") is the general partner of Highland Management Partnership VI Limited Partnership ("HMP VI LP"), which is the general partner of HCP VI. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HCP VI except to the extent, if any, of such entity's pecuniary interest therein.

2. The securities are held by Highland Capital Partners VI-B Limited Partnership ("HCP VI-B"). HMP VI LP is the general partner of HCP VI-B. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HCP VI-B except to the extent, if any, of such entity's pecuniary interest therein.

3. The securities are held by Highland Entrepreneurs' Fund VI Limited Partnership ("HEF VI"). HMP VI LP is the general partner of HEF VI. Each of HMP VI LP and HMP VI INC disclaims beneficial ownership of all shares held by HEF VI except to the extent, if any, of such entity's pecuniary interest therein.

4. The Series A, B and C Convertible Preferred Stock is convertible at any time at the option of the holder, and will automatically convert into shares of Common Stock on a 1.5-for-1 basis upon the closing of the Issuer's initial public offering. The securities have no expiration date.

	/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc.	06/24/2014
	/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership	06/24/2014
	/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Capital Partners VI Limited Partnership	06/24/2014
	/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Capital Partners VI-B Limited Partnership	06/24/2014
	/s/ Paul A. Maeder, Authorized Manager of Highland Management Partners VI, Inc., the general partner of Highland Management Partners VI Limited Partnership, the general partner of Highland Entrepreneurs' Fund VI Limited Partnership	06/24/2014
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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