0001140361-12-046148.txt : 20121107
0001140361-12-046148.hdr.sgml : 20121107
20121107190155
ACCESSION NUMBER: 0001140361-12-046148
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121105
FILED AS OF DATE: 20121107
DATE AS OF CHANGE: 20121107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KRAMER SHLOMO
CENTRAL INDEX KEY: 0001218504
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 121188084
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
4
1
doc1.xml
FORM 4
X0306
4
2012-11-05
0
0001364962
IMPERVA INC
IMPV
0001218504
KRAMER SHLOMO
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY, STE. 200
REDWOOD SHORES
CA
94065
1
1
0
0
President and CEO
Common Stock
2012-11-05
4
J
0
1106
0
A
1218224
D
Common Stock
2377767
I
See footnote
Entities affiliated with Greylock Partners (the "Greylock Entities") made a pro rata distribution to its partners for no consideration of an aggregate of 747,413 shares of common stock of the Issuer on November 5, 2012 (the "Distribution"). Following the Distribution, the Greylock Entities no longer hold any shares of the Issuer.
Pro rata distribution from Greylock XII Limited Partnership, of which the Reporting Person is a limited partner.
Includes 448,279 shares that are subject to a right of repurchase held by the Issuer. The right of repurchase will lapse with respect to 210,954 shares on September 30, 2015. The remaining
shares are a part of a restricted stock purchase agreement for 632,865 shares, and the right of repurchase lapsed or will lapse according to the following schedule: 25% of the 632,865 shares lapsed on May 1, 2011, with the remaining 75% lapsing in 12 equal quarterly installments thereafter. The right of repurchase will lapse in the event of a termination of employment of the Reporting
Person under certain circumstances following a change in control of the Issuer.
The shares are owned of record by HAPRI LIMITED, an investment holding company. The Reporting Person is one of two directors of HAPRI LIMITED. All of HAPRI LIMITED's shares are ultimately controlled by a trust of which the Reporting Person is the sole grantor and sole beneficiary during his life.
Tram Phi, Attorney-in-Fact
2012-11-07