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