# EDGAR Filing Document

**Accession Number:** 0001320307
**File Stem:** 0001209191-23-017416
**Filing Date:** 2023-3
**Character Count:** 20650
**Document Hash:** da14616fe3d89fd2d122517971677d97
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-017416.hdr.sgml**: 20230308

**ACCESSION NUMBER**: 0001209191-23-017416

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230306

**FILED AS OF DATE**: 20230308

**DATE AS OF CHANGE**: 20230308

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** NELSON JONATHAN M
- **CENTRAL INDEX KEY:** 0001035233
- **STATE OF INCORPORATION:** RI
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717840

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Dominguez Michael J
- **CENTRAL INDEX KEY:** 0001320307

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717836

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, INC.
- **STREET 2:** 50 KENNEDY PLAZA
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Phillips J. David
- **CENTRAL INDEX KEY:** 0001476657

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717839

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FLOOR
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Providence Butternut Co-Investment L.P.
- **CENTRAL INDEX KEY:** 0001831271
- **STATE OF INCORPORATION:** E9

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717841

**BUSINESS ADDRESS:**
- **STREET 1:** PROVIDENCE EQUITY PARTNERS L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
- **BUSINESS PHONE:** 401-751-1700

**MAIL ADDRESS:**
- **STREET 1:** PROVIDENCE EQUITY PARTNERS L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Providence Equity GP VII-A L.P.
- **CENTRAL INDEX KEY:** 0001857469
- **STATE OF INCORPORATION:** E9
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717842

**BUSINESS ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
- **BUSINESS PHONE:** 401-751-1700

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Providence VII U.S. Holdings L.P.
- **CENTRAL INDEX KEY:** 0001854132
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717843

**BUSINESS ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
- **BUSINESS PHONE:** 401-751-1700

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Tabet Karim A
- **CENTRAL INDEX KEY:** 0001857194

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717838

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Tisdale Andrew A
- **CENTRAL INDEX KEY:** 0001857411

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40349
- **FILM NUMBER:** 23717837

**MAIL ADDRESS:**
- **STREET 1:** C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
- **STREET 2:** 50 KENNEDY PLAZA, 18TH FL
- **CITY:** PROVIDENCE
- **STATE:** RI
- **ZIP:** 02903
**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:** 462 BROADWAY
- **CITY:** NEW YORK
- **STATE:** NY
- **ZIP:** 10013
- **BUSINESS PHONE:** 212-631-2111

**MAIL ADDRESS:**
- **STREET 1:** 462 BROADWAY
- **CITY:** NEW YORK
- **STATE:** NY
- **ZIP:** 10013

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Providence VII U.S. Holdings L.P.<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Providence Equity GP VII-A L.P.<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Providence Butternut Co-Investment L.P.<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>NELSON JONATHAN M<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Phillips J. David<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Tabet Karim A<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Tisdale Andrew A<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Dominguez Michael J<br><sub>(Last) (First) (Middle)</sub><br>C/O PROVIDENCE EQUITY PARTNERS L.L.C.<br>50 KENNEDY PLAZA, 18TH FL<br><sub>(Street)</sub><br>PROVIDENCE, RI 02903<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>DoubleVerify Holdings, Inc. [ DV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-03-06 |  | S |  | 12419952<sup>(1)</sup> | D | 26.50<sup>(1)</sup> | 54688436 | D<sup>(2)(3)(4)</sup> |  |
| Common Stock | 2023-03-06 |  | S |  | 80048<sup>(5)</sup> | D | 26.50<sup>(5)</sup> | 352472 | I | By Providence Butternut Co-Investment L.P.<sup>(4)(6)(7)</sup> |
| Common Stock | 2023-03-06 |  | S |  | 1862992<sup>(8)</sup> | D | 26.50<sup>(8)</sup> | 52825444 | D<sup>(2)(3)(4)</sup> |  |
| Common Stock | 2023-03-06 |  | S |  | 12008<sup>(9)</sup> | D | 26.50<sup>(9)</sup> | 340464 | I | By Providence Butternut Co-Investment L.P.<sup>(4)(6)(7)</sup> |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) The securities reported represent shares of common stock of DoubleVerify Holdings, Inc. (the "Issuer") sold by Providence VII U.S. Holdings L.P. ("Providence VII") in an underwritten offering at a net price per share of $26.50.

(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 represent shares of common stock of the Issuer sold by Providence Butternut Co-Investment L.P. ("Providence Butternut") in an underwritten offering at a net price per share of $26.50.

(6) The securities reported are held directly by Providence Butternut and may be deemed to be beneficially owned by Providence GP because Providence GP is the general partner of Providence Butternut. Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez control 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.

(7) 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 Butternut 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 Butternut, 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.

(8) The securities reported represent shares of common stock of the Issuer sold by Providence VII, after the underwriter's exercise of their option to purchase an additional 1,862,992 shares of the Issuer's common stock from Providence VII, in an underwritten offering at a net price per share of $26.50.

(9) The securities reported represent shares of common stock of the Issuer sold by Providence Butternut, after the underwriter's exercise of their option to purchase an additional 12,008 shares of the Issuer's common stock from Providence Butternut, in an underwritten offering at a net price per share of $26.50.

**Signature:** Providence VII U.S. Holdings L.P.: /s/ Sarah N. Conde, General Counsel and Chief Compliance Officer  
**Date:** 2023-03-08

**Signature:** Providence Equity GP VII-A L.P.: /s/ Sarah N. Conde, General Counsel and Chief Compliance Officer  
**Date:** 2023-03-08

**Signature:** Providence Butternut Co-Investment L.P.: /s/ Sarah N. Conde, General Counsel and Chief Compliance Officer  
**Date:** 2023-03-08

**Signature:** /s/ Sarah N. Conde, as Attorney-in-Fact for Jonathan M. Nelson  
**Date:** 2023-03-08

**Signature:** /s/ Sarah N. Conde, as Attorney-in-Fact for J. David Phillips  
**Date:** 2023-03-08

**Signature:** /s/ Sarah N. Conde, as Attorney-in-Fact for Karim A. Tabet  
**Date:** 2023-03-08

**Signature:** /s/ Sarah N. Conde, as Attorney-in-Fact for Andrew A. Tisdale  
**Date:** 2023-03-08

**Signature:** /s/ Sarah N. Conde, as Attorney-in-Fact for Michael J. Dominguez  
**Date:** 2023-03-08

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**