0001209191-12-054111.txt : 20121120
0001209191-12-054111.hdr.sgml : 20121120
20121120170314
ACCESSION NUMBER: 0001209191-12-054111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121119
FILED AS OF DATE: 20121120
DATE AS OF CHANGE: 20121120
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: 121218630
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-11-19
0
0001364962
IMPERVA INC
IMPV
0001218504
KRAMER SHLOMO
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY, SUITE 200
REDWOOD SHORES
CA
94065
1
1
1
0
President and CEO
Common Stock
2012-11-19
4
J
0
1297
0.00
A
1219521
D
Common Stock
2377767
I
See footnote
Entities affiliated with Venrock Associates made a pro rata distribution for no consideration of an aggregate of 627,200 shares of common stock of the issuer to its limited partners on November 19, 2012.
Pro rata distribution from Venrock Associates III, L.P. 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 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.
/s/ Tram Phi, Attorney-in-Fact
2012-11-20