0001209191-17-030120.txt : 20170504 0001209191-17-030120.hdr.sgml : 20170504 20170504180219 ACCESSION NUMBER: 0001209191-17-030120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170504 FILED AS OF DATE: 20170504 DATE AS OF CHANGE: 20170504 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 CITY: REDWOOD SHORES STATE: CA ZIP: 94065 BUSINESS PHONE: 650-345-9000 MAIL ADDRESS: STREET 1: 3400 BRIDGE PARKWAY CITY: REDWOOD SHORES STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TESSLER ALLAN R CENTRAL INDEX KEY: 0000905084 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35338 FILM NUMBER: 17815521 MAIL ADDRESS: STREET 1: C/O EPOCH HOLDING CORPORATION STREET 2: 640 FIFTH AVENUE CITY: NEW YORK, STATE: NY ZIP: 10019 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-04 0 0001364962 IMPERVA INC IMPV 0000905084 TESSLER ALLAN R C/O INTERNATIONAL FINANCIAL GROUP 2500 MOOSE-WILSON ROAD WILSON WY 83014 1 0 0 0 Common Stock 2017-05-04 4 M 0 4417 0.00 A 7905 D Common Stock 35000 I See Footnote Restricted Stock Units 2017-05-04 4 M 0 4417 0.00 D 2017-06-03 Common Stock 4417 0 D Represents the number of shares that were acquired in connection with the settlement of the restricted stock units listed in Table II. The shares are owned of record as follows: (A) 3,250 shares are held by International Financial GP of Nevada, of which the Reporting Person is the sole owner and Chair/CEO; (B) 7,500 shares are held by the Allan R. Tessler Charitable Remainder Unitrust #1 u/a/d 12-16-96, of which the Reporting Person is the sole trustee; (C) 7,500 Shares are held by the Allan R. Tessler Charitable Remainder Unitrust #2 u/a/d 12-16-96, of which the Reporting Person is the sole trustee; (D) 6,750 shares are held by Tessler Family Limited of which the Reporting Person is a limited partner; and (E) 10,000 shares are held by the ART FGT Family Partners Limited, of which the Reporting Person is a limited partner. Each restricted stock unit represents a contingent right to receive one share of common stock of the Issuer upon vesting. The restricted stock units vest as follows: 100% of the underlying shares vest one year following the vesting commencement date of May 4, 2016. The restricted stock units are subject to accelerated vesting as to 100% of such shares following a change in control of the Issuer. The Issuer has up to 30 days following vesting to settle. The actual expiration date will be immediately following settlement. /s/ Shulamite White, Attorney-in-Fact 2017-05-04