0001181431-11-055525.txt : 20111109
0001181431-11-055525.hdr.sgml : 20111109
20111109130409
ACCESSION NUMBER: 0001181431-11-055525
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111108
FILED AS OF DATE: 20111109
DATE AS OF CHANGE: 20111109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMPERVA INC
CENTRAL INDEX KEY: 0001364962
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 030460133
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3400 BRIDGE PARKWAY, SUITE 200
CITY: REDWOOD SHORES
STATE: CA
ZIP: 94065
BUSINESS PHONE: 650-345-9000
MAIL ADDRESS:
STREET 1: 3400 BRIDGE PARKWAY, SUITE 200
CITY: REDWOOD SHORES
STATE: CA
ZIP: 94065
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STROHM DAVID N
CENTRAL INDEX KEY: 0001182820
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111190649
MAIL ADDRESS:
STREET 1: EMC CORPORATION
STREET 2: 176 SOUTH STREET
CITY: HOPKINTON
STATE: MA
ZIP: 01748
4
1
rrd324567.xml
FORM 4
X0304
4
2011-11-08
0
0001364962
IMPERVA INC
IMPV
0001182820
STROHM DAVID N
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY, SUITE 200
REDWOOD SHORES
CA
94065
1
0
0
0
Common Stock
2011-11-08
4
A
0
25000
18.00
A
75000
D
Common Stock
18.00
2011-11-08
4
M
0
25000
0
D
2011-11-08
Common Stock
25000
0
D
Includes 50,000 shares of common stock subject to a right of repurchase held by the Issuer, which will lapse according to the following schedule: the right of repurchase shall lapse on 25% of such shares on August 25, 2012 and the remainder shall lapse in 36 equal monthly installments thereafter. The right of repurchase on 100% of such shares still subject to repurchase shall lapse following a change in control of the Issuer.
This common stock was granted under the Issuer's 2011 Stock Option and Incentive Plan on November 8, 2011 and is immediately exercisable.
/s/ Tram Phi, by power of attorney
2011-11-08