0001209191-12-008803.txt : 20120209
0001209191-12-008803.hdr.sgml : 20120209
20120209182545
ACCESSION NUMBER: 0001209191-12-008803
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120208
FILED AS OF DATE: 20120209
DATE AS OF CHANGE: 20120209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forget Jason
CENTRAL INDEX KEY: 0001533412
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 12588803
MAIL ADDRESS:
STREET 1: IMPERVA, INC.
STREET 2: 3400 BRIDGE PARKWAY, SUITE 200
CITY: REDWOOD SHORES
STATE: CA
ZIP: 94065
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
X0304
4
2012-02-08
0
0001364962
IMPERVA INC
IMPV
0001533412
Forget Jason
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY, SUITE 200
REDWOOD SHORES
CA
94065
0
1
0
0
VP, Business Operations
Restricted Stock Units
2012-02-08
4
A
0
6250
0.00
A
2015-03-17
Common Stock
6250
6250
D
Stock Option (right to buy)
32.79
2012-02-08
4
A
0
6250
0.00
A
2022-02-07
Common Stock
6250
6250
D
Each restricted stock unit represents a contingent right to receive one share of common stock of the Issuer upon vesting.
100% of the restricted stock units shall vest 3 years from February 15, 2012. The restricted stock units are subject to accelerated vesting in the event of a termination of employment of the Reporting Person under certain circumstances following a change in control of the Issuer.
The Issuer has up to 30 days following vesting to settle. The actual expiration date will be immediately following settlement.
This stock option vests over three years of continuous service as follows: 25% of the underlying shares vest 27 months following the vesting commencement date of January 1, 2012, with the remaining 75% vesting in equal quarterly installments over the next nine months. This stock option is subject to accelerated vesting in the event of a termination of employment of the Reporting Person under certain circumstances following a change in control of the Issuer.
/s/ Tram Phi, Attorney-in-Fact
2012-02-09