0001209191-21-060125.txt : 20211008 0001209191-21-060125.hdr.sgml : 20211008 20211008195403 ACCESSION NUMBER: 0001209191-21-060125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211006 FILED AS OF DATE: 20211008 DATE AS OF CHANGE: 20211008 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perez Rosario C CENTRAL INDEX KEY: 0001886750 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40349 FILM NUMBER: 211316413 MAIL ADDRESS: STREET 1: C/O DOUBLEVERIFY HOLDINGS, INC. STREET 2: 233 SPRING STREET CITY: NEW YORK STATE: NY ZIP: 10013 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: 233 SPRING STREET CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 212-631-2111 MAIL ADDRESS: STREET 1: 233 SPRING STREET CITY: NEW YORK STATE: NY ZIP: 10013 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-10-06 0 0001819928 DoubleVerify Holdings, Inc. DV 0001886750 Perez Rosario C C/O DOUBLEVERIFY HOLDINGS, INC. 233 SPRING STREET NEW YORK NY 10013 1 0 0 0 Restricted Stock Units 2021-10-06 4 A 0 6301 0.00 A 2022-10-06 Common Stock 6301 6301 D Restricted stock units convert into common stock on a one-for-one basis. Represents time-based restricted stock units granted on October 6, 2021 pursuant to DoubleVerify Holdings, Inc.'s non-employee director compensation program. The restricted stock units vest on October 6, 2022, subject to Ms. Perez's continued service. /s/ Andrew E. Grimmig, as Attorney-in-Fact for Rosario C. Perez 2021-10-08