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