0000899243-22-015345.txt : 20220421
0000899243-22-015345.hdr.sgml : 20220421
20220421190946
ACCESSION NUMBER: 0000899243-22-015345
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220419
FILED AS OF DATE: 20220421
DATE AS OF CHANGE: 20220421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chen Carey
CENTRAL INDEX KEY: 0001737962
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39994
FILM NUMBER: 22842784
MAIL ADDRESS:
STREET 1: 3055 TORRINGTON DRIVE
CITY: BALL GROUND
STATE: GA
ZIP: 30107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fathom Digital Manufacturing Corp
CENTRAL INDEX KEY: 0001836176
STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440]
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-04-19
0
0001836176
Fathom Digital Manufacturing Corp
FATH
0001737962
Chen Carey
C/O FATHOM DIGITAL MANUFACTURING CORP.
1050 WALNUT RIDGE DRIVE
HARTLAND
WI
53029
1
0
0
0
Class A Common Stock
2022-04-19
4
A
0
20574
A
1263552
D
Represents shares of Class A Common Stock underlying Restricted Stock Units ("RSUs") issued under the Fathom Digital Manufacturing Corporation 2021 Omnibus Incentive Plan, as amended and/or restated from time to time. Each RSU represents the contingent right to receive one share of the Issuer's Class A Common Stock. These RSUs vest on the earlier of (i) the first anniversary of the grant date, and (ii) the day before Issuer's 2023 annual meeting of stockholders, subject to the Reporting Person remaining in service as a member of the Issuer's board of directors through such vesting date.
/s/Carey Chen, by James R. Brown as Attorney-in-Fact
2022-04-21