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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Shulman Amichai C/O IMPERVA, INC. 3400 BRIDGE PARKWAY, SUITE 200 REDWOOD SHORES, CA 94065 |
Chief Technology Officer |
/s/ Tram Phi, Attorney-in-Fact | 02/12/2014 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 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. |
(2) | Received in exchange for shares of SkyFence Networks, Ltd., a company incorporated under the laws of the State of Israel ("SkyFence"), pursuant to the Share Exchange Agreement entered into as of February 6, 2014, by and among the Issuer, SkyFence and the sellers listed therein, including the Reporting Person (the "Exchange Agreement"). A portion of these shares is currently being held in escrow and will be released in accordance with the following schedule: 54 shares no later than 75 days, and 11,784 shares no later than 24 months, of February 7, 2014, in each case subject to reduction as provided in the Exchange Agreement. Under the Exchange Agreement, the cost basis for the shares is $47.64, which is the average closing price of Issuer common stock as quoted on the New York Stock Exchange for the sixty (60) consecutive trading days ending with February 6, 2014 |
Remarks: This Amendment is being filed to reflect that the shares were directly acquired by the Reporting Person, and not indirectly acquired by Amichai Shulman Holdings 2000 Ltd, as described in Footnote 2. |