0000950170-24-046565.txt : 20240422 0000950170-24-046565.hdr.sgml : 20240422 20240422193946 ACCESSION NUMBER: 0000950170-24-046565 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240404 FILED AS OF DATE: 20240422 DATE AS OF CHANGE: 20240422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frost Mark T CENTRAL INDEX KEY: 0001310262 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39994 FILM NUMBER: 24862400 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] ORGANIZATION NAME: 04 Manufacturing 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 ownership.xml 4 X0508 4 2024-04-04 0001836176 Fathom Digital Manufacturing Corp FATH 0001310262 Frost Mark T C/O FATHOM DIGITAL MANUFACTURING CORP. 1050 WALNUT RIDGE DRIVE HARTLAND WI 53029 true true false false Chief Financial Officer false Class A Common Stock 2024-04-04 4 F false 1369 4.520 D 35351 D This Form 4 is being filed late due to inadvertent administrative error. Shares forfeited to satisfy the mandatory tax withholding requirement upon vesting of restricted shares. This is not an open market sale of securities. On September 28, 2023, the Class A Common Stock of the Issuer underwent a 1-for-20 reverse stock split (the "Reverse Stock Split"). The amounts of securities listed herein have been adjusted to reflect the effect of the Reverse Stock Split. /s/ Mark Frost, by Steven J. Gavin as Attorney-in-Fact 2024-04-22