0001209191-12-030842.txt : 20120525
0001209191-12-030842.hdr.sgml : 20120525
20120525181607
ACCESSION NUMBER: 0001209191-12-030842
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120523
FILED AS OF DATE: 20120525
DATE AS OF CHANGE: 20120525
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: 12872370
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
X0305
4
2012-05-23
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
Common Stock
2012-05-23
4
S
0
7375
27.55
D
0
D
Common Stock
2012-05-23
4
S
0
2625
27.50
D
6750
D
Common Stock
2012-05-24
4
S
0
1750
27.10
D
5000
D
Common Stock
2012-05-24
4
S
0
5000
27.11
D
0
D
Common Stock
2012-05-24
4
M
0
3250
1.68
A
3250
D
Common Stock
2012-05-24
4
S
0
3250
27.18
D
0
D
Common Stock
2012-05-25
4
M
0
2282
1.68
A
2282
D
Common Stock
2012-05-25
4
S
0
2282
26.38
D
0
D
Employee Stock Option (right to buy)
1.68
2012-05-24
4
M
0
3250
0.00
D
2020-02-05
Common Stock
3250
15500
D
Employee Stock Option (right to buy)
1.68
2012-05-25
4
M
0
2282
0.00
D
2020-02-05
Common Stock
2282
13218
D
Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $27.34 to $27.99. The reporting person has provided to the issuer, and undertakes to provide to the staff of the Securities and Exchange Commission or any security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range.
The shares are held by Jason Forget and Virginie Forget as joint tenants with the right of survivorship.
Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $27.100 to $27.104. The reporting person has provided to the issuer, and undertakes to provide to the staff of the Securities and Exchange Commission or any security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range.
Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $27.00 to $27.31. The reporting person has provided to the issuer, and undertakes to provide to the staff of the Securities and Exchange Commission or any security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range.
Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $27.18 to $27.19. The reporting person has provided to the issuer, and undertakes to provide to the staff of the Securities and Exchange Commission or any security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range.
Represents a weighted average sales price per share. These shares were sold in multiple transactions at prices ranging from $26.35 to $26.42. The reporting person has provided to the issuer, and undertakes to provide to the staff of the Securities and Exchange Commission or any security holder of the issuer, upon request, full information regarding the number of shares sold at each separate price within the range.
This Stock Option vests over four years of continuous service as follows: 25% of the underlying shares vest one year following the vesting commencement date of January 1, 2010, with the remaining 75% vesting in equal quarterly installments over the next three years. 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
2012-05-25