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