SEC Form 4 · accession 0001209191-17-063949
QUALYS, INC. · QLYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald R Dixon
Director
Period of report
Nov 22, 2017
Accepted (ET)
Dec 5, 2017 · 4:42 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 22, 2017 | G | 17,500 | $0.00 | D | 65,038 | I | See Footnote |
| Common StockF1 | holding | — | — | — | 104,764 | D | ||
| Common StockF1,F3 | holding | — | — | — | 643 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reflects ownership as of December 4, 2017.
- F2The shares are held directly by Donald and Elizabeth Dixon Family Limited Partnership, for which the Reporting Person and his spouse serve as general partners.
- F3The shares are held directly by Dixon Family Trust U/A Dated 6/18/88, for which the Reporting Person and his spouse serve as settlors.