1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
Imprivata Inc
[ IMPR ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
3. Date of Earliest Transaction
(Month/Day/Year) 08/11/2015
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O GENERAL CATALYST PARTNERS |
20 UNIVERSITY RD., 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
20 UNIVERSITY RD., 4TH FLOOR |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
/s/ Christopher McCain, as attorney in fact |
08/13/2015 |
|
/s/ William J. Fitzgerald, Member, COO and CFO, General Catalyst GP II, LLC, the General Partner for General Catalyst Partners II, L.P. |
08/13/2015 |
|
/s/ William J. Fitzgerald, Member, COO and CFO, General Catalyst GP II, LLC, the General Partner for General Catalyst Partners II, L.P., the General Partner for General Catalyst Group II, L.P. and GC Entrepreneurs Fund II, L.P. |
08/13/2015 |
|
/s/ Joel Cutler |
08/13/2015 |
|
/s/ David Fialkow |
08/13/2015 |
|
/s/ William J. Fitzgerald, Member, COO and CFO, General Catalyst GP II, LLC |
08/13/2015 |
|
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |