0000899243-23-012782.txt : 20230511
0000899243-23-012782.hdr.sgml : 20230511
20230511214126
ACCESSION NUMBER: 0000899243-23-012782
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230504
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: 23912944
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
2023-05-04
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
2023-05-04
4
A
0
117514
A
218777
D
Class A Common Stock
2023-05-04
4
A
0
152174
A
370951
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 vest on the earlier of (i) the first anniversary of the grant date, and (ii) the day before Issuer's 2024 annual meeting of stockholders, subject to the Reporting Person remaining in service as a member of the Issuer's Board of Directors (the "Board") through such vesting date.
Represents shares of Class A Common Stock underlying RSUs issued under the Incentive Plan to the Reporting Person in lieu of cash retainer fees payable for service on the Issuer's Board and any committees thereof. Each RSU represents the contingent right to receive one share of the Issuer's Class A Common Stock. These RSUs vest on the first anniversary of the grant date.
This transaction is being reported late due to inadvertent administrative error.
/s/Robert Nardelli, by James R. Brown as Attorney-in-Fact
2023-05-11