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