0001209191-12-053623.txt : 20121116 0001209191-12-053623.hdr.sgml : 20121116 20121116202036 ACCESSION NUMBER: 0001209191-12-053623 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121115 FILED AS OF DATE: 20121116 DATE AS OF CHANGE: 20121116 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: 121212982 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 X0306 4 2012-11-15 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 SVP, WW Business Operations Common Stock 2012-11-15 4 M 0 1093 1.64 A 1726 D Common Stock 2012-11-15 4 S 0 1093 29.00 D 633 D Common Stock 2012-11-15 4 M 0 1562 1.68 A 2195 D Common Stock 2012-11-15 4 S 0 1562 29.00 D 633 D Common Stock 2012-11-16 4 S 0 633 29.00 D 0 D Employee Stock Option (right to buy) 1.64 2012-11-15 4 M 0 1093 0.00 D 2019-02-10 Common Stock 1093 1094 D Employee Stock Option (right to buy) 1.68 2012-11-15 4 M 0 1562 0.00 D 2020-02-05 Common Stock 1562 7812 D Includes 633 shares of common stock acquired by the reporting person on November 15, 2012 under the Imperva, Inc. 2011 Employee Stock Purchase Plan. 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, 2009, 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. 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 2012-11-16