0001104659-21-095919.txt : 20210726 0001104659-21-095919.hdr.sgml : 20210726 20210726171312 ACCESSION NUMBER: 0001104659-21-095919 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210715 FILED AS OF DATE: 20210726 DATE AS OF CHANGE: 20210726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sampson Glenn A. CENTRAL INDEX KEY: 0001817245 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39412 FILM NUMBER: 211114921 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 tm2123294-2_4.xml FORM 4 X0306 4 2021-07-15 0 0001753162 Fathom Holdings Inc. FTHM 0001817245 Sampson Glenn A. C/O FATHOM HOLDINGS INC. 2000 REGENCY PARKWAY DRIVE, SUITE 300 CARY NC 27518 1 0 1 0 Common Stock 2021-07-15 5 G 0 E 726064 0 D 1563723 D Stock Option (Right to Buy) 44.00 2031-02-28 Common Stock 2273 2273 D Stock Option (Right to Buy) 20.10 2030-11-03 Common Stock 1493 1493 D Stock Option (Right to Buy) 4.71 2029-04-16 Common Stock 5304 5304 D The option will vest in full on March 1, 2022, provided that the reporting person provides Continuous Service to the Issuer or a Related Entity as of such vesting date. The option will vest in full on November 4, 2021, provided that the reporting person provides Continuous Service to the Issuer or a Related Entity as of such vesting date. The option vested in full on April 16, 2020. /s/ Donald R. Reynolds, by Power of Attorney 2021-07-26