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