0001209191-12-054096.txt : 20121120 0001209191-12-054096.hdr.sgml : 20121120 20121120165930 ACCESSION NUMBER: 0001209191-12-054096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121119 FILED AS OF DATE: 20121120 DATE AS OF CHANGE: 20121120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shulman Amichai CENTRAL INDEX KEY: 0001533440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35338 FILM NUMBER: 121218579 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 2012-11-19 0 0001364962 IMPERVA INC IMPV 0001533440 Shulman Amichai C/O IMPERVA, INC. 3400 BRIDGE PARKWAY, SUITE 200 REDWOOD SHORES CA 94065 0 1 0 0 Chief Technology Officer Common Stock 2012-11-19 4 S 0 452 28.86 D 0 D Common Stock 93750 I See footnote Common Stock 500000 I See footnote These shares of common stock were acquired by the reporting person on November 15, 2012 under the Imperva, Inc. 2011 Employee Stock Purchase Plan. The shares are owned of record by Amichai Shulman Assets 2000 Ltd. The Reporting Person is a director and beneficial owner of the shares held by such entity. The shares are owned of record by Amichai Shulman Holdings 2000 Ltd. The Reporting Person is a director and beneficial owner of the shares held by such entity. /s/ Tram Phi, Attorney-in-Fact 2012-11-20