0001104659-21-057560.txt : 20210429
0001104659-21-057560.hdr.sgml : 20210429
20210429160726
ACCESSION NUMBER: 0001104659-21-057560
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210305
FILED AS OF DATE: 20210429
DATE AS OF CHANGE: 20210429
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: 21870536
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: 2000 REGENCY PARKWAY DRIVE
STREET 2: SUITE 300
CITY: CARY
STATE: NC
ZIP: 27518
BUSINESS PHONE: 8884556040
MAIL ADDRESS:
STREET 1: 2000 REGENCY PARKWAY DRIVE
STREET 2: SUITE 300
CITY: CARY
STATE: NC
ZIP: 27518
4
1
tm2114633-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-03-05
0
0001753162
Fathom Holdings Inc.
FTHM
0001817271
Fregenal Marco
C/O FATHOM HOLDINGS INC.
2000 REGENCY PARKWAY DRIVE, SUITE 300
CARY
NC
27518
1
1
0
0
Chief Financial Officer
Common Stock
2021-03-05
4
A
0
8359
0
A
1325709
D
Common Stock
2021-03-05
4
A
0
329
0
A
329
I
See footnote
Common Stock
150000
I
By: Fregenal 2020 Irrevocable Trust
Of these shares, 8,359 shares are restricted and vest in full on March 4, 2024.
These shares were granted to reporting person's wife. The shares are restricted and vest in full on March 4, 2024.
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
2021-04-29