0001104659-21-021930.txt : 20210212
0001104659-21-021930.hdr.sgml : 20210212
20210212161342
ACCESSION NUMBER: 0001104659-21-021930
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200208
FILED AS OF DATE: 20210212
DATE AS OF CHANGE: 20210212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fregenal Marco
CENTRAL INDEX KEY: 0001817271
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39412
FILM NUMBER: 21627482
MAIL ADDRESS:
STREET 1: C/O FATHOM HOLDINGS INC.
STREET 2: 211 NEW EDITION COURT, SUITE 211
CITY: CARY
STATE: NC
ZIP: 27511
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fathom Holdings Inc.
CENTRAL INDEX KEY: 0001753162
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE AGENTS & MANAGERS (FOR OTHERS) [6531]
IRS NUMBER: 821518164
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 211 NEW EDITION COURT
STREET 2: SUITE 211
CITY: CARY
STATE: NC
ZIP: 27511
BUSINESS PHONE: (919) 434-3975
MAIL ADDRESS:
STREET 1: 211 NEW EDITION COURT
STREET 2: SUITE 211
CITY: CARY
STATE: NC
ZIP: 27511
4
1
tm216324-3_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2020-02-08
0
0001753162
Fathom Holdings Inc.
FTHM
0001817271
Fregenal Marco
C/O FATHOM HOLDINGS INC.
211 NEW EDITION COURT, SUITE 211
CARY
NC
27511
1
1
0
0
Chief Financial Officer
Common Stock
2020-02-08
4
G
0
2000
0
D
1317350
D
Common Stock
150000
I
By: Fregenal 2020 Irrevocable Trust
These shares were previously reported as directly held by the reporting person. This description has been updated to indicate that the shares are now held by a trust for the benefit of the reporting person's children. The reporting person's spouse is trustee of the trust. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
/s/ Donald R. Reynolds, by Power of Attorney
2021-02-12