0001209191-21-031212.txt : 20210510
0001209191-21-031212.hdr.sgml : 20210510
20210510160500
ACCESSION NUMBER: 0001209191-21-031212
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210427
FILED AS OF DATE: 20210510
DATE AS OF CHANGE: 20210510
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: List Teri
CENTRAL INDEX KEY: 0001529370
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21907048
MAIL ADDRESS:
STREET 1: 2200 PENNSYLVANIA AVENUE
STREET 2: SUITE 800W
CITY: WASHINGTON
STATE: DC
ZIP: 20037
FORMER NAME:
FORMER CONFORMED NAME: List-Stoll Teri
DATE OF NAME CHANGE: 20180306
FORMER NAME:
FORMER CONFORMED NAME: List Teri L.
DATE OF NAME CHANGE: 20110907
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
2021-04-27
0
0001819928
DoubleVerify Holdings, Inc.
DV
0001529370
List Teri
C/O DOUBLEVERIFY HOLDINGS, INC.
233 SPRING STREET
NEW YORK
NY
10013
1
0
0
0
Common Stock
2021-04-27
4
M
0
31008
A
45439
D
Restricted Stock Units
2021-04-27
4
M
0
31008
0.00
D
2021-04-27
Common Stock
31008
0
D
Each restricted stock unit ("RSU") was granted on April 27, 2020 and represents a right to receive one share of common stock on a one-to-one basis. The RSUs fully vested on April 27, 2021.
Restricted stock units convert into common stock on a one-for-one basis.
/s/ Andrew E. Grimmig, as Attorney-in-Fact for Teri L. List
2021-05-07