0001209191-12-033251.txt : 20120611 0001209191-12-033251.hdr.sgml : 20120611 20120611170221 ACCESSION NUMBER: 0001209191-12-033251 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120607 FILED AS OF DATE: 20120611 DATE AS OF CHANGE: 20120611 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: KRAUSZ STEVEN M CENTRAL INDEX KEY: 0001190636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35338 FILM NUMBER: 12901056 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0305 4 2012-06-07 0 0001364962 IMPERVA INC IMPV 0001190636 KRAUSZ STEVEN M C/O U.S. VENTURE PARTNERS, 2735 SAND HILL ROAD MENLO PARK CA 94025 1 0 0 0 Stock Option (right to buy) 27.86 2012-06-07 4 A 0 8399 0.00 A 2022-06-06 Common Stock 8399 8399 D This stock option vests as to 100% of the underlying shares 12 months following the vesting commencement date of June 7, 2012. This stock option is subject to accelerated vesting as to 100% of such shares following a change in control of the Issuer. /s/ Tram Phi, Attorney-in-Fact 2012-06-11