0000950170-23-054369.txt : 20231020 0000950170-23-054369.hdr.sgml : 20231020 20231020160806 ACCESSION NUMBER: 0000950170-23-054369 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231016 FILED AS OF DATE: 20231020 DATE AS OF CHANGE: 20231020 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chen Carey CENTRAL INDEX KEY: 0001737962 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39994 FILM NUMBER: 231337255 MAIL ADDRESS: STREET 1: 3055 TORRINGTON DRIVE CITY: BALL GROUND STATE: GA ZIP: 30107 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 ownership.xml 4 X0508 4 2023-10-16 0001836176 Fathom Digital Manufacturing Corp NONE 0001737962 Chen Carey C/O FATHOM DIGITAL MANUFACTURING CORPORATION, 1050 WALNUT RIDGE DRIVE HARTLAND WI 53029 true false false false false Class A Common Stock 2023-10-16 4 S false 366 3.604 D 74028 D The sale reported on this Form 4 represents shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting and settlement of restricted stock units. The sale is mandated by the Issuer's election to require the satisfaction of tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary transaction by the Reporting Person. The shares were sold in two transactions at this price. 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. This Form is being filed late due to inadvertent administrative error. /s/ Carey Chen, by Steve Gavin as Attorney-in-Fact 2023-10-20