SEC Form 4 · accession 0001209191-17-062936
QUALYS, INC. · QLYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sandra E. Bergeron
Director
Period of report
Nov 27, 2017
Accepted (ET)
Nov 29, 2017 · 6:24 pm EST
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 | Nov 27, 2017 | S | 41,987 | $59.7927 | D | 8,013 | I | See Footnote |
| Common StockF3,F2 | Nov 27, 2017 | S | 7,360 | $60.7757 | D | 653 | I | See Footnote |
| Common StockF2 | Nov 28, 2017 | S | 653 | $59.60 | D | 0 | I | See Footnote |
| Common StockF4,F5 | Nov 28, 2017 | S | 70,000 | $60.4918 | D | 20,000 | I | See Footnote |
| Common Stock | holding | — | — | — | 33,655 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The sale price represents the weighted average price of the shares sold ranging from $59.50 to $60.45 per share. Upon request by the Commission staff, the Issuer or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F2Shares held directly by DGB Investment 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.
- F3The sale price represents the weighted average price of the shares sold ranging from $60.50 to $61.30 per share. Upon request by the Commission staff, the Issuer or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F4The sale price represents the weighted average price of the shares sold ranging from $60.00 to $60.88 per share. Upon request by the Commission staff, the Issuer or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F5Shares held directly by the Bergeron Family Trust dtd 11/15/2004 for which the Reporting Person serves as trustee.