Filing Details

Accession Number:
0001209191-21-028561
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-04-27 16:06:11
Reporting Period:
2021-04-23
Accepted Time:
2021-04-27 16:06:11
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1819928 Doubleverify Holdings Inc. DV () RI
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1035233 M Jonathan Nelson C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1320307 J Michael Dominguez C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1476657 David J. Phillips C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1831271 Providence Butternut Co-Investment L.p. C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1854132 L.p. Holdings U.s. Vii Providence C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1857194 A Karim Tabet C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1857411 A Andrew Tisdale C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1857463 L.p. Master Public Providence C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
1857469 L.p. Vii-A Gp Equity Providence C/O Providence Equity Partners L.l.c.
50 Kennedy Plaza, 18Th Fl
Providence RI 02903
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2021-04-23 5,992,869 $0.00 90,148,070 No 4 S Direct
Common Stock Acquisiton 2021-04-23 871,520 $0.00 871,520 No 4 C Indirect By Providence Public Master L.P.
Common Stock Acquisiton 2021-04-23 581,014 $0.00 581,014 No 4 C Indirect By Providence Butternut Co-Investment L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 C Indirect By Providence Public Master L.P.
No 4 C Indirect By Providence Butternut Co-Investment L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Preferred Stock Disposition 2021-04-23 2,614,561 $0.00 2,614,561 $0.00
Common Stock Series A Preferred Stock Disposition 2021-04-23 1,743,041 $0.00 1,743,041 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. The securities reported represent 4,881,758 shares of common stock of DoubleVerify Holdings, Inc. (the "Issuer") sold by Providence VII U.S. Holdings L.P. ("Providence VII") in the Issuer's initial public offering (the "IPO") at a net price per share of $25.38 after deducting underwriting discounts and commissions and 1,111,111 shares of the Issuer's common stock sold by Providence VII in a secondary transaction concurrent with the IPO at a price per share of $27.00.
  2. The securities reported are held directly by Providence VII and may be deemed to be beneficially owned by Providence Equity GP VII-A L.P. ("Providence GP") because Providence GP is the general partner of Providence VII. Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez control Providence Holdco (International) GP Ltd. ("Holdco"), which is the general partner of Providence Fund Holdco (International) L.P. Providence Fund Holdco (International) L.P. is the general partner of PEP VII-A International Ltd., which is the general partner of Providence GP.
  3. Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez may be deemed to exercise voting and investment power over, and thus may be deemed to beneficially own, the securities held by Providence VII due to their relationships with Holdco. Each of Providence GP, Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez hereby disclaims beneficial ownership of the shares held by Providence VII, except to the extent of its or his pecuniary interest therein, and this form shall not be construed as an admission that any such reporting person is the beneficial owner of any of the securities reported on this form.
  4. R. Davis Noell has separately filed a Form 4.
  5. The securities reported are held directly by Providence Public Master L.P., which had the right to acquire 871,520 shares of common stock of the Issuer upon the conversion of 2,614,561 shares of Series A Preferred Stock at a conversion rate of one-third of a share of common stock for every three shares of Series A Preferred Stock. Each outstanding share of Series A Preferred Stock automatically converted into one-third of a share of common stock of the Issuer for no additional consideration upon the completion of the IPO. Providence Public Master L.P. is an investment fund affiliated with Providence VII and thus Providence VII may be deemed to beneficially own the securities held by Providence Public Master L.P.
  6. The securities reported are held directly by Providence Butternut Co-Investment L.P., which had the right to acquire 581,014 shares of common stock of the Issuer upon the conversion of 1,743,041 shares of Series A Preferred Stock at a conversion rate of one-third of a share of common stock for every three shares of Series A Preferred Stock. Each outstanding share of Series A Preferred Stock automatically converted into one-third of a share of common stock of the Issuer for no additional consideration upon the completion of the IPO. Providence Butternut Co-Investment L.P. is an investment fund affiliated with Providence VII and thus Providence VII may be deemed to beneficially own the securities held by Providence Butternut Co-Investment L.P.