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