0001209191-22-053269.txt : 20221011 0001209191-22-053269.hdr.sgml : 20221011 20221011160557 ACCESSION NUMBER: 0001209191-22-053269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221006 FILED AS OF DATE: 20221011 DATE AS OF CHANGE: 20221011 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: 221304113 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: 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 X0306 4 2022-10-06 0 0001819928 DoubleVerify Holdings, Inc. DV 0001886750 Perez Rosario C C/O DOUBLEVERIFY HOLDINGS, INC. 462 BROADWAY NEW YORK NY 10013 1 0 0 0 Common Stock 2022-10-06 4 M 0 6301 0.00 A 6301 D Restricted Stock Units 2022-10-06 4 M 0 6301 0.00 D 2022-10-06 Common Stock 6301 0 D Each restricted stock unit ("RSU") was granted on October 6, 2021 and represents a right to receive one share of common stock on a one-to-one basis. The RSUs fully vested on October 6, 2022. Restricted stock units convert into common stock on a one-for-one basis. /s/ Andrew E. Grimmig, as Attorney-in-Fact for Rosario C. Perez 2022-10-11