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