0001209191-21-027547.txt : 20210420 0001209191-21-027547.hdr.sgml : 20210420 20210420160139 ACCESSION NUMBER: 0001209191-21-027547 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210420 FILED AS OF DATE: 20210420 DATE AS OF CHANGE: 20210420 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Desmond Laura CENTRAL INDEX KEY: 0001550028 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40349 FILM NUMBER: 21837834 MAIL ADDRESS: STREET 1: 345 PARK AVENUE CITY: SAN JOSE STATE: CA ZIP: 95110 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-04-20 0 0001819928 DoubleVerify Holdings, Inc. DV 0001550028 Desmond Laura C/O DOUBLEVERIFY HOLDINGS, INC. 233 SPRING STREET NEW YORK NY 10013 1 0 0 0 Common Stock 190393 I By Trust Options (Rights to Buy) 2.01 2027-09-20 Common Stock 721694 I By Trust Options (Rights to Buy) 2.01 2027-09-20 Common Stock 721694 I By Trust Restricted Stock Units Common Stock 18519 I By Trust Restricted Stock Units Common Stock 54264 I By Trust Restricted Stock Units 2021-04-27 Common Stock 31008 I By Trust Represents shares, options and restricted stock units held by the Laura B. Desmond Revocable Trust for which Ms. Desmond is trustee. Represents non-qualified stock options granted on September 20, 2017, 25% of which vested on September 20, 2018 and the remainder of which have continued, and will continue, to vest at a rate of 6.25% per quarter thereafter, subject to Ms. Desmond's continued service. Represents non-qualified stock options granted on September 20, 2017 that vest upon the date that Providence VII U.S. Holdings L.P. receives cumulative cash proceeds in respect of its investment in DoubleVerify Holdings, Inc. (the "Company") equal to two times its aggregate cash investment in the Company, subject to Ms. Desmond's continued service. Represents time vesting restricted stock units granted on September 20, 2019 that vested/vest in two equal installments on September 20, 2020 and September 20, 2021, subject to Ms. Desmond's continued service (unless Ms. Desmond's service is terminated by the Company without cause, or by reason of Ms. Desmond's death or disability, in which case all of the unvested restricted stock units will accelerate and fully vest). Restricted stock units convert into common stock on a one-for-one basis. Represents time vesting restricted stock units granted on April 27, 2020 that vest in two equal installments on April 27, 2021 and April 27, 2022, subject to Ms. Desmond's continued service. Represents time vesting restricted stock units granted on April 27, 2020 that vest on April 27, 2021, subject to Ms. Desmond's continued service (unless Ms. Desmond's service is terminated by the Company without cause, or by reason of Ms. Desmond's death or disability, in which case all of the unvested restricted stock units will accelerate and fully vest). Exhibit List: Ex.24 - Power of Attorney /s/ Andrew E. Grimmig, as Attorney-in-Fact for Laura B. Desmond 2021-04-20 EX-24 2 attachment1.htm EX-24 DOCUMENT

POWER OF ATTORNEY


Know all by these presents, that the undersigned hereby constitutes and appoints
each of Mark S. Zagorski, Nicola T. Allais and Andrew E. Grimmig, and each of
them individually, the undersigned's true and lawful attorney-in-fact to:
(1)	execute for and on behalf of the undersigned, in the undersigned's capacity
as an Officer and/or Director of DoubleVerify Holdings, Inc. (the "Company"),
(i) Forms 3, 4 and 5 and any other forms required to be filed in accordance with
Section 16(a) of the Securities Exchange Act of 1934 (the "Exchange Act") and
the rules thereunder (a "Section 16 Form"), and (ii) a Form ID and any other
forms required to be filed or submitted in accordance with Regulation S-T
promulgated by the United States Securities and Exchange Commission (or any
successor provision) in order to file a Section 16 Form electronically (a "Form
ID", and, together with a Section 16 Form, the "Forms and Schedules");
(2)	do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Forms and
Schedules, complete and execute any amendment or amendments thereto, and timely
file such Forms and Schedules with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and
(3)	take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of each such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by each such attorney-in-fact on behalf
of the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as he or she may approve in his or her
discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that each such attorney-in-fact, or his or
her substitute or substitutes, shall lawfully do or cause to be done by virtue
of this Power of Attorney and the rights and powers herein granted.  The
undersigned acknowledges that each such attorney-in-fact is serving in such
capacity at the request of the undersigned, and is not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Exchange Act.
The Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file any Forms and Schedules with respect
to the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to each such attorney-in-fact.
From and after the date hereof, any Power of Attorney previously granted by the
undersigned concerning the subject matter hereof is hereby revoked.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 22nd day of March, 2021.



By: /s/ Laura B. Desmond
Laura B. Desmond