0000899243-23-012784.txt : 20230511 0000899243-23-012784.hdr.sgml : 20230511 20230511214459 ACCESSION NUMBER: 0000899243-23-012784 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230403 FILED AS OF DATE: 20230511 DATE AS OF CHANGE: 20230511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frost Mark T CENTRAL INDEX KEY: 0001310262 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39994 FILM NUMBER: 23912953 MAIL ADDRESS: STREET 1: 21 CORPORATE CIRCLE STREET 2: PO BOX 15098 CITY: ALBANY STATE: NY ZIP: 12033-5098 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 2023-04-03 0 0001836176 Fathom Digital Manufacturing Corp FATH 0001310262 Frost Mark T C/O FATHOM DIGITAL MANUFACTURING CORP. 1050 WALNUT RIDGE DRIVE HARTLAND WI 53029 1 1 0 0 Chief Financial Officer 0 Class A Common Stock 2023-04-03 4 A 0 235027 D 738352 D Stock Options 0.60 2023-04-03 4 A 0 440675 A 2030-04-03 Class A Common Stock 440675 440675 D This transaction is being reported late due to inadvertent administrative error. 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. These RSUs vest ratably over three years. Represents stock options issued under the Fathom Digital Manufacturing Corporation 2021 Omnibus Incentive Plan, as amended and/or restated from time to time. Each stock option represents the right to purchase one share of the Issuer's Class A Common Stock. The stock options vest ratably over three years and become exercisable as to 100% of the shares of Class A Common Stock on the third anniversary of the grant date, April 3, 2026. The options expire on April 3, 2030. /s/ Mark Frost, by James R. Brown as Attorney-in-Fact 2023-05-11