0001209191-23-022655.txt : 20230404 0001209191-23-022655.hdr.sgml : 20230404 20230404160609 ACCESSION NUMBER: 0001209191-23-022655 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230331 FILED AS OF DATE: 20230404 DATE AS OF CHANGE: 20230404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zagorski Mark CENTRAL INDEX KEY: 0001709574 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40349 FILM NUMBER: 23797339 MAIL ADDRESS: STREET 1: C/O TREMOR VIDEO, INC. STREET 2: 1501 BROADWAY, SUITE 801 CITY: NEW YORK STATE: NY ZIP: 10036 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DoubleVerify Holdings, Inc. CENTRAL INDEX KEY: 0001819928 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 822714562 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 462 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 212-631-2111 MAIL ADDRESS: STREET 1: 462 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10013 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-03-31 0 0001819928 DoubleVerify Holdings, Inc. DV 0001709574 Zagorski Mark C/O DOUBLEVERIFY HOLDINGS, INC. 462 BROADWAY NEW YORK NY 10013 1 1 0 0 Chief Executive Officer 0 Common Stock 2023-03-31 4 M 0 10417 0.00 A 348992 D Common Stock 2023-03-31 4 F 0 4415 30.15 D 344577 D Restricted Stock Units 2023-03-31 4 M 0 10417 0.00 D Common Stock 10417 62499 D Each restricted stock unit ("RSU") was granted on July 28, 2020 and represents a right to receive one share of common stock on a one-to-one basis. 37.5% of the RSUs vested and were settled on April 20, 2021, upon the initial public offering (the "IPO") of common stock of DoubleVerify Holdings, Inc. The remaining RSUs vest on the original vesting schedule as though the IPO had not occurred, subject to Mr. Zagorksi's continued employment through the applicable vesting date. Represents shares withheld to satisfy tax obligations in connection with the vesting of 10,417 RSUs on March 31, 2023. Restricted stock units convert into common stock on a one-for-one basis. /s/ Andrew E. Grimmig, as Attorney-in-Fact for Mark S. Zagorski 2023-04-04