Statement of Changes in Beneficial Ownership (4)
2017年11月17日 - 6:56AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
MOONEY MICHAEL D
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2. Issuer Name
and
Ticker or Trading Symbol
IMPERVA INC
[
IMPV
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Revenue Officer
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(Last)
(First)
(Middle)
C/O IMPERVA, INC., 3400 BRIDGE PARKWAY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
11/15/2017
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(Street)
REDWOOD SHORES, CA 94065
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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11/15/2017
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M
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3125
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A
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$0.00
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8163
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D
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Common Stock
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11/15/2017
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F
(1)
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1631
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D
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$40.65
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6532
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D
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Common Stock
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11/15/2017
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M
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1000
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A
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$0.00
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7532
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D
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Common Stock
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11/15/2017
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F
(1)
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522
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D
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$40.65
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7010
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D
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Common Stock
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11/15/2017
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M
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757
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A
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$0.00
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7767
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D
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Common Stock
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11/15/2017
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F
(1)
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396
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D
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$40.65
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7880
(2)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Restricted Stock Units
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(3)
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11/15/2017
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M
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3125
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(4)
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10/7/2024
(5)
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Common Stock
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3125
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$0.00
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12500
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D
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Restricted Stock Units
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(3)
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11/15/2017
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M
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1000
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(6)
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1/31/2026
(5)
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Common Stock
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1000
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$0.00
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9000
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D
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Restricted Stock Units
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(3)
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11/15/2017
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M
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757
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(7)
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1/31/2026
(5)
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Common Stock
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757
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$0.00
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3029
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D
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Explanation of Responses:
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(1)
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Exempt transaction pursuant to Rule 16b-3(e). The shares were automatically withheld by the Issuer in accordance with the agreement governing the RSUs to satisfy tax withholding obligations of the Reporting Person resulting from the vesting and settlement of the RSUs. The shares were withheld and cancelled by the Issuer and no shares were sold by the Reporting Person.
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(2)
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Includes 509 shares of common stock acquired by the reporting person on November 15, 2017 under the Imperva, Inc. 2011 Employee Stock Purchase Plan.
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(3)
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Each restricted stock unit represents a contingent right to receive one share of common stock of the issuer upon vesting.
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(4)
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The restricted stock units vest as follows: 25% of the underlying shares vest one year following the vesting commencement date of November 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.
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(5)
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The Issuer has up to 30 days following vesting to settle. The actual expiration date will be immediately following settlement.
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(6)
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The restricted stock units vest as follows: 25% of the underlying shares vest one year following the vesting commencement date of February 15, 2016, 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.
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(7)
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The restricted stock units vest as follows: 12.5% of the underlying shares vest on February 15, 2017, with the remainder vesting in equal 12.5% installments over the next seven quarters. 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.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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MOONEY MICHAEL D
C/O IMPERVA, INC.
3400 BRIDGE PARKWAY
REDWOOD SHORES, CA 94065
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Chief Revenue Officer
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Signatures
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/s/ Shulamite White, Attorney-in-Fact
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11/16/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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