0001104659-21-057567.txt : 20210429
0001104659-21-057567.hdr.sgml : 20210429
20210429160834
ACCESSION NUMBER: 0001104659-21-057567
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: Giuggio Samantha
CENTRAL INDEX KEY: 0001817258
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39412
FILM NUMBER: 21870569
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
tm2114633-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-03-05
0
0001753162
Fathom Holdings Inc.
FTHM
0001817258
Giuggio Samantha
C/O FATHOM HOLDINGS INC.
2000 REGENCY PARKWAY DRIVE, SUITE 300
CARY
NC
27518
0
1
0
0
Chief Broker Officer
Common Stock
2021-03-05
4
A
0
3043
0
A
36537
D
Common Stock
4837
I
Owned by spouse
Of these shares, 6,974 shares are restricted and vest in full on October 18, 2023, and 3,043 shares are restricted and vest in full on March 4, 2024.
Of these shares, 13 shares are restricted and vest in full on September 6, 2021, 19 shares are restricted and vest in full on November 21, 2022, 3 shares are restricted and vest in full on October 18, 2023, and 1 share is restricted and vests in full on December 23, 2023.
/s/ Donald R. Reynolds, by Power of Attorney
2021-04-29