0000899243-23-012780.txt : 20230511 0000899243-23-012780.hdr.sgml : 20230511 20230511213950 ACCESSION NUMBER: 0000899243-23-012780 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211223 FILED AS OF DATE: 20230511 DATE AS OF CHANGE: 20230511 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: 23912938 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 X0407 4 2021-12-23 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 0 Class A Common Stock 2021-12-23 4 A 0 38793 A 61293 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 (the "Incentive Plan"). Each RSU represents the contingent right to receive one share of the Issuer's Class A Common Stock. These RSUs vested in connection with the filing of the Issuer's Registration Statement on Form S-8. This Form 4 is being filed late due to inadvertent administrative error. /s/Robert Nardelli, by James R. Brown as Attorney-in-Fact 2023-05-11