0001119517-11-000003.txt : 20111115
0001119517-11-000003.hdr.sgml : 20111115
20111115202002
ACCESSION NUMBER: 0001119517-11-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111115
FILED AS OF DATE: 20111115
DATE AS OF CHANGE: 20111115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VENROCK ASSOCIATES III LP
CENTRAL INDEX KEY: 0001119517
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111208550
BUSINESS ADDRESS:
STREET 1: 30 ROCKEFELLER PLAZA
STREET 2: RM 5508
CITY: NEW YORK
STATE: NY
ZIP: 10112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VEF MANAGEMENT III LLC
CENTRAL INDEX KEY: 0001239246
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111208546
MAIL ADDRESS:
STREET 1: C/O VENROCK ASSOCIATES
STREET 2: 30 ROCKFELLER PLACA RM 5508
CITY: NEW YORK
STATE: NY
ZIP: 10112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VENROCK MANAGEMENT III LLC
CENTRAL INDEX KEY: 0001239247
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111208547
MAIL ADDRESS:
STREET 1: C/O VENROCK ASSOCIATES
STREET 2: 30 ROCKFELLER PLACA RM 5508
CITY: NEW YORK
STATE: NY
ZIP: 10112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VENROCK ENTREPRENEURS FUND III LP
CENTRAL INDEX KEY: 0001141515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111208548
BUSINESS ADDRESS:
STREET 1: C/O VENROCK ASSOCIATES ROOM 5508
STREET 2: 30 ROCKEFELLER PLAZA
CITY: NEW YORK
STATE: NY
ZIP: 10112
BUSINESS PHONE: 212-649-5600
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: VENROCK ASSOCIATES
CENTRAL INDEX KEY: 0000937889
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35338
FILM NUMBER: 111208549
BUSINESS ADDRESS:
STREET 1: ROOM 5508
STREET 2: 30 ROCKEFELLER PLAZA
CITY: NEW YORK
STATE: NY
ZIP: 10112
BUSINESS PHONE: 2126495600
MAIL ADDRESS:
STREET 1: ROOM 5508
STREET 2: 30 ROCKEFELLER PLAZA
CITY: NEW YORK
STATE: NY
ZIP: 10112
4
1
edgar.xml
PRIMARY DOCUMENT
X0304
4
2011-11-15
1
0001364962
IMPERVA INC
IMPV
0001119517
VENROCK ASSOCIATES III LP
C/O VENROCK
3340 HILLVIEW AVE.
PALO ALTO
CA
94304
0
0
1
0
0000937889
VENROCK ASSOCIATES
C/O VENROCK
3340 HILLVIEW AVE.
PALO ALTO
CA
94304
0
0
1
0
0001141515
VENROCK ENTREPRENEURS FUND III LP
C/O VENROCK
3340 HILLVIEW AVE.
PALO ALTO
CA
94304
0
0
1
0
0001239247
VENROCK MANAGEMENT III LLC
C/O VENROCK
3340 HILLVIEW AVE.
PALO ALTO
CA
94304
0
0
1
0
0001239246
VEF MANAGEMENT III LLC
C/O VENROCK
3340 HILLVIEW AVE.
PALO ALTO
CA
94304
0
0
1
0
Common Stock
2011-11-15
4
C
0
1314000
A
1467369
I
By Funds
Common Stock
2011-11-15
4
C
0
471835
A
1939204
I
By Funds
Common Stock
2011-11-15
4
C
0
192790
A
2131994
I
By Funds
Series B Convertible Preferred Stock
2011-11-15
4
C
0
1314000
0
D
Common Stock
1314000
0
I
By Funds
Series C Convertible Preferred Stock
2011-11-15
4
C
0
471835
0
D
Common Stock
471835
0
I
By Funds
Series D Convertible Preferred Stock
2011-11-15
4
C
0
192790
0
D
Common Stock
192790
0
I
By Funds
Each share of Series B Convertible Preferred Stock ("Series B Preferred") was automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering and had no expiration date.
Consists of (i) 1,173,895 shares of Common Stock held by Venrock Associates III, L.P. ("VA III"), (ii) 264,127 shares of Common Stock held by Venrock Associates ("VA"), and (iii) 29,347 shares of Common Stock held by Venrock Entrepreneurs Fund III, L.P. ("VEF III"). Venrock Management III, LLC ("VM III") is the general partner of VA III. VEF Management III, LLC ("VEFM") is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their respective pro-rata pecuniary interest therein.
Each share of Series C Convertible Preferred Stock ("Series C Preferred") was automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering and had no expiration date.
Consists of (i) 1,551,364 shares of Common Stock held by VA III, (ii) 349,057 shares of Common Stock held by VA, and (iii) 38,783 shares of Common Stock held by VEF III. VM III is the general partner of VA III. VEFM is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their respective pro-rata pecuniary interest therein.
Each share of Series D Convertible Preferred Stock ("Series D Preferred") was automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering and had no expiration date.
Consists of (i) 1,705,597 shares of Common Stock held by VA III, (ii) 383,759 shares of Common Stock held by VA, and (iii) 42,638 shares of Common Stock held by VEF III. VM III is the general partner of VA III. VEFM is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their respective pro-rata pecuniary interest therein.
Consists of (i) 1,051,200 shares of Series B Preferred held by VA III, (ii) 236,520 shares of Series B Preferred held by VA, and (iii) 26,280 shares of Series B Preferred held by VEF III. VM III is the general partner of VA III. VEFM is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their pro-rata pecuniary interest therein.
Consists of (i) 377,469 shares of Series C Preferred held by VA III, (ii) 84,930 shares of Series C Preferred held by VA, and (iii) 9,436 shares of Series C Preferred held by VEF III. VM III is the general partner of VA III. VEFM is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their pro-rata pecuniary interest therein.
Consists of (i) 154,233 shares of Series D Preferred held by VA III, (ii) 34,702 shares of Series D Preferred held by VA, and (iii) 3,855 shares of Series D Preferred held by VEF III. VM III is the general partner of VA III. VEFM is the general partner of VEF III. VM III and VEFM disclaim beneficial ownership of these securities except to the extent of their pro-rata pecuniary interest therein.
/s/ David L. Stepp, authorized signatory
2011-11-15