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