0001225450-11-000022.txt : 20111108
0001225450-11-000022.hdr.sgml : 20111108
20111108193516
ACCESSION NUMBER: 0001225450-11-000022
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 11
CONFORMED PERIOD OF REPORT: 20111108
FILED AS OF DATE: 20111108
DATE AS OF CHANGE: 20111108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LIDDLE DAVID E
CENTRAL INDEX KEY: 0001212726
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189186
MAIL ADDRESS:
STREET 1: C/O THE NEW YORK TIMES CO
STREET 2: 229 WEST 43RD ST
CITY: NEW YORK
STATE: NY
ZIP: 10036
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FEDERMAN IRWIN
CENTRAL INDEX KEY: 0001192391
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189188
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FU WINSTON S
CENTRAL INDEX KEY: 0001225477
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189187
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROOT JONATHAN D
CENTRAL INDEX KEY: 0001225480
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189185
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rust Christopher J
CENTRAL INDEX KEY: 0001316575
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189193
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: US VENTURE PARTNERS VIII L P
CENTRAL INDEX KEY: 0001225444
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189192
BUSINESS ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9080
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: USVP ENTREPRENEUR PARTNERS VIII A L P
CENTRAL INDEX KEY: 0001225446
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189190
BUSINESS ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9080
MAIL ADDRESS:
STREET 1: P O BOX 7460
CITY: MENLO PARK
STATE: CA
ZIP: 94026
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: USVP ENTREPRENEUR PARTNERS VIII B L P
CENTRAL INDEX KEY: 0001225448
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189189
BUSINESS ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9080
MAIL ADDRESS:
STREET 1: P O BOX 7460
CITY: MENLO PARK
STATE: CA
ZIP: 94026
FORMER NAME:
FORMER CONFORMED NAME: USVP ENTREPRENEUR PARTNERS VII B L P
DATE OF NAME CHANGE: 20030401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: USVP VIII AFFILIATES FUND L P
CENTRAL INDEX KEY: 0001225449
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189191
BUSINESS ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9080
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PRESIDIO MANAGEMENT GROUP VIII L L C
CENTRAL INDEX KEY: 0001225484
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111189194
BUSINESS ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9080
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
edgar.xml
PRIMARY DOCUMENT
X0204
3
2011-11-08
0
0001364962
IMPERVA INC
IMPV
0001225484
PRESIDIO MANAGEMENT GROUP VIII L L C
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225444
US VENTURE PARTNERS VIII L P
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225449
USVP VIII AFFILIATES FUND L P
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225446
USVP ENTREPRENEUR PARTNERS VIII A L P
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225448
USVP ENTREPRENEUR PARTNERS VIII B L P
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001192391
FEDERMAN IRWIN
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225477
FU WINSTON S
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001212726
LIDDLE DAVID E
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001225480
ROOT JONATHAN D
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001316575
Rust Christopher J
2735 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Series B Convertible Preferred Stock
Common Stock
1279659
I
Directly owned by USVP VIII
Series C Convertible Preferred Stock
Common Stock
459921
I
Directly owned by USVP VIII
Series D Convertible Preferred Stock
Common Stock
187797
I
Directly owned by USVP VIII
Series B Convertible Preferred Stock
Common Stock
12352
I
Directly owned by AFF VIII
Series C Convertible Preferred Stock
Common Stock
4439
I
Directly owned by AFF VIII
Series D Convertible Preferred Stock
Common Stock
1813
I
Directly owned by AFF VIII
Series B Convertible Preferred Stock
Common Stock
11827
I
Directly owned by EP VIII-A
Series C Convertible Preferred Stock
Common Stock
4251
I
Directly owned by EP VIII-A
Series D Convertible Preferred Stock
Common Stock
1736
I
Directly owned by EP VIII-A
Series B Convertible Preferred Stock
Common Stock
5995
I
Directly owned by EP VIII-B
Series C Convertible Preferred Stock
Common Stock
2154
I
Directly owned by EP VIII-B
Series D Convertible Preferred Stock
Common Stock
880
I
Directly owned by EP VIII-B
The shares of Convertible Preferred Stock shall convert on a 1-to-1 basis into Common Stock upon the closing of the Issuer's initial public offering.
Not applicable.
This report is one of three reports each on a separate Form 3, but is related to the same transaction being filed by the reporting persons. Presidio Management Group VIII, LLC ("PMG VIII") is the general partner of US Venture Partners VIII, L.P. ("USVP VIII"), USVP Entrepreneur Partners VIII-A, L.P. ("EP VIII-A"), USVP Entrepreneur Partners VIII-B, L.P. ("EP VIII-B"), and USVP VIII Affiliates Fund, L.P. ("AFF VIII"), and Irwin Federman, Winston S. Fu, Steven M. Krausz, David E. Liddle, Jonathan D. Root, Christopher Rust, Casey M. Tansey, and Philip M. Young, the managing members of PMG VIII, may be deemed to share voting and dispositive power over the shares held by USVP VIII, EP VIII-A, EP VIII-B and AFF VIII. Such persons and entities disclaim beneficial ownership of shares held by USVP VIII, EP VIII-A, EP VIII-B and AFF VIII except to the extent of any pecuniary interest therein.
Michael P. Maher - Attorney in Fact for each reporting person
2011-11-08
EX-24
2
pmg8poa.htm
POWER OF ATTORNEY
POA
GRAPHIC
3
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