0001209191-15-014701.txt : 20150218 0001209191-15-014701.hdr.sgml : 20150216 20150217180213 ACCESSION NUMBER: 0001209191-15-014701 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150217 FILED AS OF DATE: 20150217 DATE AS OF CHANGE: 20150217 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: Shulman Amichai CENTRAL INDEX KEY: 0001533440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35338 FILM NUMBER: 15624833 MAIL ADDRESS: STREET 1: IMPERVA, INC. STREET 2: 3400 BRIDGE PARKWAY, SUITE 200 CITY: REDWOOD SHORES STATE: CA ZIP: 94065 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-02-17 0 0001364962 IMPERVA INC IMPV 0001533440 Shulman Amichai C/O IMPERVA, INC. 3400 BRIDGE PARKWAY, SUITE 200 REDWOOD SHORES CA 94065 0 1 0 0 Chief Technology Officer Common Stock 2015-02-17 4 M 0 10000 0.00 A 75990 D Common Stock 2015-02-17 4 M 0 937 0.00 A 76927 D Common Stock 2015-02-17 4 M 0 4000 0.00 A 80927 D Common Stock 58765 I See footnote Restricted Stock Units 2015-02-17 4 M 0 10000 0.00 D 2022-02-07 Common Stock 10000 0 D Restricted Stock Units 2015-02-17 4 M 0 4000 0.00 D 2024-02-03 Common Stock 4000 12000 D Restricted Stock Units 2015-02-17 4 M 0 937 0.00 D 2023-02-04 Common Stock 937 7500 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 by Amichai Shulman Holdings 2000 Ltd. The Reporting Person is a director and beneficial owner of the shares held by such entity. 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: one-third of the underlying shares vest one year following the vesting commencement date of February 15, 2012, with the remaining two-thirds vesting in equal annual installments over the next two years. The Issuer has up to 30 days following vesting to settle. The actual expiration date will be immediately following settlement. The restricted stock units vest as follows: 25% of the underlying shares vest one year following the vesting commencement date of February 15, 2014, with the remaining 75% vesting in equal quarterly installments over the next three years. The restricted stock units are subject to accelerated vesting in the event of a termination of employment of the Reporting Person under certain circumstances following a change in control of the Issuer. The restricted stock units vest as follows: 25% of the underlying shares vest one year following the vesting commencement date of February 15, 2013, with the remaining 75% vesting in equal quarterly installments over the next three years. The restricted stock units are subject to accelerated vesting in the event of a termination of employment of the Reporting Person under certain circumstances following a change in control of the Issuer. /s/ Tram Phi, Attorney-in-Fact 2015-02-17