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