0001209191-24-000334.txt : 20240103 0001209191-24-000334.hdr.sgml : 20240103 20240103160750 ACCESSION NUMBER: 0001209191-24-000334 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240103 DATE AS OF CHANGE: 20240103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zagorski Mark CENTRAL INDEX KEY: 0001709574 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40349 FILM NUMBER: 24506364 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] ORGANIZATION NAME: 06 Technology 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 X0508 4 2023-12-31 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 2023-12-31 4 M 0 10416 0.00 A 375465 D Common Stock 2023-12-31 4 F 0 5761 36.78 D 369704 D Restricted Stock Units 2023-12-31 4 M 0 10416 0.00 D Common Stock 10416 31249 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 10,416 RSUs on December 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 2024-01-03