0001209191-16-144197.txt : 20161004 0001209191-16-144197.hdr.sgml : 20161004 20161004162020 ACCESSION NUMBER: 0001209191-16-144197 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161004 DATE AS OF CHANGE: 20161004 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 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: 161919144 MAIL ADDRESS: STREET 1: IMPERVA, INC. STREET 2: 3400 BRIDGE PARKWAY, SUITE 200 CITY: REDWOOD SHORES STATE: CA ZIP: 94065 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-03 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 2016-10-03 4 M 0 938 34.55 A 95085 D Common Stock 2016-10-03 4 S 0 938 53.27 D 94147 D Common Stock 18765 I See footnote Employee Stock Option (right to buy) 34.55 2016-10-03 4 M 0 938 0.00 D 2023-02-04 Common Stock 938 937 D This transaction was effected pursuant to a Rule 10b5-1 plan adopted by the Reporting Person. 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. 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, 2013, 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/ Shulamite White, Attorney-in-Fact 2016-10-04