0001209191-15-065840.txt : 20150813
0001209191-15-065840.hdr.sgml : 20150813
20150813160143
ACCESSION NUMBER: 0001209191-15-065840
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150811
FILED AS OF DATE: 20150813
DATE AS OF CHANGE: 20150813
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Imprivata Inc
CENTRAL INDEX KEY: 0001328015
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
BUSINESS ADDRESS:
STREET 1: 10 MAGUIRE RD, BUILDING 1
STREET 2: SUITE 125
CITY: LEXINGTON
STATE: MA
ZIP: 02421
BUSINESS PHONE: 781-674-2700
MAIL ADDRESS:
STREET 1: 10 MAGUIRE RD, BUILDING 1
STREET 2: SUITE 125
CITY: LEXINGTON
STATE: MA
ZIP: 02421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARRETT DAVID E
CENTRAL INDEX KEY: 0001206640
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36516
FILM NUMBER: 151050634
MAIL ADDRESS:
STREET 1: 422 OCEAN AVE
CITY: MARBLEHEAD
STATE: MA
ZIP: 01945
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-08-11
0
0001328015
Imprivata Inc
IMPR
0001206640
BARRETT DAVID E
1000 WINTER STREET, SUITE 3350
WALTHAM,
MA
02451
1
0
1
0
Common Stock
2015-08-11
4
S
0
1601292
14.10
D
2686498
I
See Footnote
Common Stock
2015-08-11
4
S
0
41174
14.10
D
69076
I
See Footnote
Common Stock
2015-08-11
4
S
0
25034
14.10
D
42002
I
See Footnote
The shares are held directly by Polaris Venture Partners III, L.P., Polaris Venture Partners Entrepreneurs' Fund III, L.P., and Polaris Venture Partners Founders' Fund III, L.P. Polaris Venture Management Co. III, L.L.C. is the general partner of Polaris Venture Partners III, L.P., Polaris Venture Partners Entrepreneurs' Fund III, L.P. and Polaris Venture Partners Founders' Fund III, L.P. The reporting person is a member of Polaris Venture Management Co. III, L.L.C., and may be deemed to be an indirect beneficial owner of the reported securities. The Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein. This report shall not be deemed to be an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
/s/ John Milton, by power of attorney
2015-08-13