0001181431-11-055526.txt : 20111109
0001181431-11-055526.hdr.sgml : 20111109
20111109131522
ACCESSION NUMBER: 0001181431-11-055526
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111108
FILED AS OF DATE: 20111109
DATE AS OF CHANGE: 20111109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Slootman Frank
CENTRAL INDEX KEY: 0001402348
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111190692
MAIL ADDRESS:
STREET 1: C/O DATA DOMAIN, INC.
STREET 2: 2300 CENTRAL EXPRESSWAY
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
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
rrd324566.xml
FORM 4
X0304
4
2011-11-08
0
0001364962
IMPERVA INC
IMPV
0001402348
Slootman Frank
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY, SUITE 200
REDWOOD SHORES
CA
94065
1
0
0
0
Common Stock
18.00
2011-11-08
4
A
0
25000
0
A
Common Stock
25000
25000
D
This common stock was granted under the Issuer's 2011 Stock Option and Incentive Plan on November 8, 2011 and is immediately exercisable.
Expires 30 days from the date of grant.
/s/ Tram Phi, by power of attorney
2011-11-08