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