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