0000950170-24-021437.txt : 20240227
0000950170-24-021437.hdr.sgml : 20240227
20240227173003
ACCESSION NUMBER: 0000950170-24-021437
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240226
FILED AS OF DATE: 20240227
DATE AS OF CHANGE: 20240227
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Frost Mark T
CENTRAL INDEX KEY: 0001310262
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39994
FILM NUMBER: 24688762
MAIL ADDRESS:
STREET 1: 21 CORPORATE CIRCLE
STREET 2: PO BOX 15098
CITY: ALBANY
STATE: NY
ZIP: 12033-5098
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fathom Digital Manufacturing Corp
CENTRAL INDEX KEY: 0001836176
STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 981571400
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1050 WALNUT RIDGE DRIVE
CITY: HARTLAND
STATE: WI
ZIP: 53209
BUSINESS PHONE: 262-367-8254
MAIL ADDRESS:
STREET 1: 1050 WALNUT RIDGE DRIVE
CITY: HARTLAND
STATE: WI
ZIP: 53209
FORMER COMPANY:
FORMER CONFORMED NAME: Fathom Digital Manufacturing
DATE OF NAME CHANGE: 20211223
FORMER COMPANY:
FORMER CONFORMED NAME: Altimar Acquisition Corp. II
DATE OF NAME CHANGE: 20201211
4
1
ownership.xml
4
X0508
4
2024-02-26
0001836176
Fathom Digital Manufacturing Corp
FATH
0001310262
Frost Mark T
C/O FATHOM DIGITAL MANUFACTURING CORP.
1050 WALNUT RIDGE DRIVE
HARTLAND
WI
53029
true
true
false
false
Chief Financial Officer
false
Class A Common Stock
2024-02-26
4
F
false
197
4.350
D
36720
D
Shares forfeited to satisfy the mandatory tax withholding requirement upon vesting of restricted shares. This is not an open market sale of securities.
On September 28, 2023, the Class A Common Stock of the Issuer underwent a 1-for-20 reverse stock split (the "Reverse Stock Split"). The amounts of securities listed herein have been adjusted to reflect the effect of the Reverse Stock Split.
/s/ Mark Frost, by Steven J. Gavin as Attorney-in-Fact
2024-02-27