0001209191-16-118248.txt : 20160506
0001209191-16-118248.hdr.sgml : 20160506
20160506190300
ACCESSION NUMBER: 0001209191-16-118248
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160506
FILED AS OF DATE: 20160506
DATE AS OF CHANGE: 20160506
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOUW RANZETTA THERESIA
CENTRAL INDEX KEY: 0001219234
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 161629583
MAIL ADDRESS:
STREET 1: 428 UNIVERSITY AVE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-05-06
1
0001364962
IMPERVA INC
IMPV
0001219234
GOUW RANZETTA THERESIA
C/O ASPECT VENTURES,
358 HAWTHORNE AVE
PALO ALTO
CA
94301
1
0
0
0
Common Stock
2016-05-06
4
M
0
1433
0.00
A
1433
D
Common Stock
627
I
See Footnote
Common Stock
80316
I
See Footnote
Restricted Stock Units
2016-05-06
4
M
0
1433
0.00
D
2016-06-05
Common Stock
1433
0
D
Represents the number of shares that were acquired in connection with the settlement of the restricted stock units listed in Table II.
The shares are held by the SGLG Living Trust, dated December 11, 2012, for which the Reporting Person is a beneficiary and trustee.
The shares are held by the SGLG 2016 I GRAT, dated February 9, 2016, for which the Reporting Person is a beneficiary and trustee.
Each restricted stock unit represents a contingent right to receive one share of common stock of the Issuer upon vesting.
The restricted stock units vest as follows: 100% of the underlying shares vest one year following the vesting commencement date of May 6, 2015.
The Issuer has up to 30 days following vesting to settle. The actual expiration date will be immediately following settlement.
/s/ Shulamite White, Attorney-in-Fact
2016-05-06