0001104659-21-021910.txt : 20210212
0001104659-21-021910.hdr.sgml : 20210212
20210212160844
ACCESSION NUMBER: 0001104659-21-021910
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210212
DATE AS OF CHANGE: 20210212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harley Joshua
CENTRAL INDEX KEY: 0001817237
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39412
FILM NUMBER: 21627318
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: 211 NEW EDITION COURT
STREET 2: SUITE 211
CITY: CARY
STATE: NC
ZIP: 27511
BUSINESS PHONE: (919) 434-3975
MAIL ADDRESS:
STREET 1: 211 NEW EDITION COURT
STREET 2: SUITE 211
CITY: CARY
STATE: NC
ZIP: 27511
5
1
tm216324-2_5seq1.xml
OWNERSHIP DOCUMENT
X0306
5
2020-12-31
0
0
0
0001753162
Fathom Holdings Inc.
FTHM
0001817237
Harley Joshua
C/O FATHOM HOLDINGS INC.
211 NEW EDITION COURT, SUITE 211
CARY
NC
27511
1
1
1
0
Chief Executive Officer
Common Stock
2020-08-18
5
G
0
19285
0
D
3270682
D
Common Stock
2020-10-28
5
G
0
10532
0
D
3260150
D
Common Stock
1705304
I
See footnote
Includes an aggregate of 1,700,000 shares held by three trust for which Mr. Harley serves as a trustee, and 5,304 shares held for the benefit of a stepchild.
/s/ Donald R. Reynolds, by Power of Attorney
2021-02-12