SEC Form 4/A · accession 0001209191-17-039883
QUALYS, INC. · QLYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Sandra E. Bergeron
Director
Period of report
Jun 5, 2017
Accepted (ET)
Jun 14, 2017 · 5:47 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001107843
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 5, 2017 | A | 4,982 | $0.00 | A | 33,655 | D | |
| Common StockF3 | holding | — | — | — | 50,000 | I | See Footnote | |
| Common StockF4 | holding | — | — | — | 90,000 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reported securities represent restricted stock units which vest on the earlier of (i) June 5, 2018 or (ii) the day before the Issuer's 2018 annual meeting of stockholders, subject to the Reporting Person's continued service through each such vesting date.
- F2This amended Form 4 corrects an original Form 4 filed on June 7, 2017, which incorrectly reported the number of restricted stock units acquired.
- F3Shares held directly by DBG Investments Inc., an investment company solely owned by the spouse of the Reporting Person. The Reporting Person disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or any other purpose.
- F4Shares held directly by the Bergeron Family Trust dtd 11/15/2004 for which the Reporting Person serves as trustee.