0001209191-16-115978.txt : 20160427 0001209191-16-115978.hdr.sgml : 20160427 20160427173727 ACCESSION NUMBER: 0001209191-16-115978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160425 FILED AS OF DATE: 20160427 DATE AS OF CHANGE: 20160427 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Imprivata Inc CENTRAL INDEX KEY: 0001328015 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 10 MAGUIRE RD, BUILDING 1 STREET 2: SUITE 125 CITY: LEXINGTON STATE: MA ZIP: 02421 BUSINESS PHONE: 781-674-2700 MAIL ADDRESS: STREET 1: 10 MAGUIRE RD, BUILDING 1 STREET 2: SUITE 125 CITY: LEXINGTON STATE: MA ZIP: 02421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hussain Omar CENTRAL INDEX KEY: 0001608602 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36516 FILM NUMBER: 161596475 MAIL ADDRESS: STREET 1: 10 MAGUIRE ROAD STREET 2: BUILDING 1, SUITE 1 CITY: LEXINGTON STATE: MA ZIP: 02421 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-04-25 0 0001328015 Imprivata Inc IMPR 0001608602 Hussain Omar C/O IMPRIVATA, INC. 10 MAGUIRE ROAD, BUILDING 1, SUITE 125 LEXINGTON MA 02421 1 1 0 0 President and CEO Common Stock 2016-04-25 2016-04-25 4 M 0 10922 0.57 A 170762 D Common Stock 2016-04-25 2016-04-25 4 S 0 10922 12.4368 D 159840 D Common Stock 2016-04-26 2016-04-26 4 M 0 6578 0.57 A 166418 D Common Stock 2016-04-26 2016-04-26 4 S 0 6578 12.2902 D 159840 D Common Stock 2016-04-26 2016-04-26 4 M 0 1064 0.57 A 160904 D Common Stock 2016-04-26 2016-04-26 4 S 0 1064 12.2902 D 159840 D Stock Option (Right to buy) 0.57 2016-04-25 2016-04-25 4 D 0 10922 0.00 D 2016-05-04 Common Stock 10922 6578 D Stock Option (Right to buy) 0.57 2016-04-26 2016-04-26 4 D 0 6578 0.00 D 2016-05-04 Common Stock 6578 0 D Stock Option (Right to buy) 0.57 2016-04-26 2016-04-26 4 D 0 1064 0.00 D 2016-05-04 Common Stock 1064 18936 D Includes 1,000 shares acquired under the Imprivata Employee Stock Purchase Plan (ESPP) on February 29, 2016. Sales made pursuant to a Rule 10b5-1 plan dated December 2, 2015 This price represents the weighted average sale price for various open market sales ranging from $12.23 to $12.49 per share. Full information regarding the number of shares sold at each price will be provided upon request from the SEC, the issuer or a security holder. This price represents the weighted average sale price for various open market sales ranging from $12.12 to $12.46 per share. Full information regarding the number of shares sold at each price will be provided upon request from the SEC, the issuer or a security holder. The stock option is fully vested and exercisable. /s/ Jeffrey Kowalski, Attorney-in-Fact 2016-04-27 EX-24.4_650154 2 poa.txt POA DOCUMENT LIMITED POWER OF ATTORNEY The undersigned hereby constitutes and appoints each of Jeffrey Kalowski, John Milton and Jeffrey Kowalski and, signing singly, and with full power of substitution, the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Imprivata, Inc. (the "Company"), from time to time the following U.S. Securities and Exchange Commission ("SEC") forms: (i) Form ID, including any attached documents, to effect the assignment of codes to the undersigned to be used in the transmission of information to the SEC using the EDGAR System; (ii) Form 3, Initial Statement of Beneficial Ownership of Securities, including any attached documents; (iii) Form 4, Statement of Changes in Beneficial Ownership of Securities, including any attached documents; (iv) Form 5, Annual Statement of Beneficial Ownership of Securities in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder, including any attached documents; (v) Schedule 13D and (vi) amendments of each thereof, in accordance with the Securities Exchange Act of 1934, as amended, and the rules thereunder, including any attached documents; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5, Schedule 13D or any amendment(s) thereto, and timely file such form(s) with the SEC and any securities exchange, national association or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact, acting singly, full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 or Regulation 13D-G of the Securities Exchange Act of 1934, as amended. The undersigned hereby agrees to indemnify the attorney in fact and the Company from and against any demand, damage, loss, cost or expense arising from any false or misleading information provided by the undersigned to the attorney-in fact. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file such forms with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of May 28th, 2014. Signature:/s/ Omar Hussain Name: Omar Hussain