0000899243-22-033312.txt : 20221007 0000899243-22-033312.hdr.sgml : 20221007 20221007185723 ACCESSION NUMBER: 0000899243-22-033312 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221001 FILED AS OF DATE: 20221007 DATE AS OF CHANGE: 20221007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NARDELLI ROBERT L CENTRAL INDEX KEY: 0001195005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39994 FILM NUMBER: 221301786 MAIL ADDRESS: STREET 1: 2455 PACES FERRY ROAD CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fathom Digital Manufacturing Corp CENTRAL INDEX KEY: 0001836176 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440] IRS NUMBER: 981571400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1050 WALNUT RIDGE DRIVE CITY: HARTLAND STATE: WI ZIP: 53209 BUSINESS PHONE: 262-367-8254 MAIL ADDRESS: STREET 1: 1050 WALNUT RIDGE DRIVE CITY: HARTLAND STATE: WI ZIP: 53209 FORMER COMPANY: FORMER CONFORMED NAME: Fathom Digital Manufacturing DATE OF NAME CHANGE: 20211223 FORMER COMPANY: FORMER CONFORMED NAME: Altimar Acquisition Corp. II DATE OF NAME CHANGE: 20201211 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-10-01 0 0001836176 Fathom Digital Manufacturing Corp FATH 0001195005 NARDELLI ROBERT L C/O FATHOM DIGITAL MANUFACTURING CORP. 1050 WALNUT RIDGE DRIVE HARTLAND WI 53029 1 0 0 0 Class A Common Stock 2022-10-01 4 M 0 19396 0.00 A 62470 D Restricted Stock Units 2022-10-01 4 M 0 19396 0.00 D 2022-10-01 Class A Common Stock 19396 19397 D Represents shares of Class A Common Stock underlying Restricted Stock Units ("RSUs") issued under the Fathom Digital Manufacturing Corporation 2021 Omnibus Incentive Plan, as amended and/or restated from time to time. Each RSU represents the contingent right to receive one share of the Issuer's Class A Common Stock. 19,396 RSUs vested on October 1, 2022 and 19,397 will vest October 1, 2023, subject to continued service through the applicable vesting date. /s/Robert Nardelli, by James R. Brown as Attorney-in-Fact 2022-10-07