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