0001209191-21-057251.txt : 20210922 0001209191-21-057251.hdr.sgml : 20210922 20210922162059 ACCESSION NUMBER: 0001209191-21-057251 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210920 FILED AS OF DATE: 20210922 DATE AS OF CHANGE: 20210922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Desmond Laura CENTRAL INDEX KEY: 0001550028 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40349 FILM NUMBER: 211269849 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-20 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 2021-09-20 4 M 0 18520 0.00 A 267053 I By Trust Restricted Stock Units 2021-09-20 4 M 0 18520 0.00 D 2021-09-20 Common Stock 18520 0 I By Trust The total was increased by one share due to an administrative calculation error due to rounding of the vested amount. Each restricted stock unit was granted on September 20, 2019 and represents a right to receive one share of common stock on a one-for-one basis. The restricted stock units fully vested on September 20, 2021. Represents shares and restricted stock units held by the Laura B. Desmond Revocable Trust for which Ms. Desmond is trustee. Restricted stock units convert into common stock on a one-for-one basis. /s/ Andrew E. Grimmig, as Attorney-in-Fact for Laura B. Desmond 2021-09-22