0001209191-22-009422.txt : 20220214
0001209191-22-009422.hdr.sgml : 20220214
20220214173131
ACCESSION NUMBER: 0001209191-22-009422
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MacLachlan Daniel
CENTRAL INDEX KEY: 0001640723
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38407
FILM NUMBER: 22635279
MAIL ADDRESS:
STREET 1: 2650 NORTH MILITARY TRAIL
STREET 2: SUITE 300
CITY: BOCA RATON
STATE: FL
ZIP: 33431
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Red Violet, Inc.
CENTRAL INDEX KEY: 0001720116
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 822408531
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2650 NORTH MILITARY TRAIL
STREET 2: SUITE 300
CITY: BOCA RATON
STATE: FL
ZIP: 33431
BUSINESS PHONE: 5617574000
MAIL ADDRESS:
STREET 1: 2650 NORTH MILITARY TRAIL
STREET 2: SUITE 300
CITY: BOCA RATON
STATE: FL
ZIP: 33431
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2021-12-31
0
0
0
0001720116
Red Violet, Inc.
RDVT
0001640723
MacLachlan Daniel
C/O RED VIOLET, INC.
2650 N. MILITARY TRAIL, SUITE 300
BOCA RATON
FL
33431
0
1
0
0
Chief Financial Officer
Common Stock
2021-12-08
5
G
0
1200
0.00
D
281920
D
Common Stock
466
I
Held in IRA
This transaction represented a gift/charitable donation effective December 8, 2021, to a qualified religious and educational organization. This is
not a market transaction, thus no price has been reported. No value was received for the gifted shares.
Includes 20,000 RSUs originally granted on November 20, 2020, convertible into common stock of the issuer on a one-for-one basis, which vest
in two equal installments on each of November 1, 2022, and November 1, 2023, subject to accelerated vested under certain conditions.
Includes 32,500 RSUs originally granted on September 24, 2021, convertible into common stock of the issuer on a one-for-one basis, which vest
in three equal installments on each of October 1, 2022, October 1, 2023 and October 1, 2024, subject to accelerated vested under certain
conditions.
/s/ Daniel MacLachlan
2022-02-14