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