0001104659-21-057543.txt : 20210429 0001104659-21-057543.hdr.sgml : 20210429 20210429160453 ACCESSION NUMBER: 0001104659-21-057543 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210305 FILED AS OF DATE: 20210429 DATE AS OF CHANGE: 20210429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harley Joshua CENTRAL INDEX KEY: 0001817237 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39412 FILM NUMBER: 21870422 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 tm2114633-5_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-03-05 0 0001753162 Fathom Holdings Inc. FTHM 0001817237 Harley Joshua C/O FATHOM HOLDINGS INC. 2000 REGENCY PARKWAY DRIVE, SUITE 300 CARY NC 27518 1 1 0 0 Chief Executive Officer Common Stock 2021-03-05 4 A 0 9558 0 A 3269708 D Common Stock 1700000 I See footnote Of these shares, 9,558 shares are restricted and vest in full on March 4, 2024. Includes an aggregate of 1,700,000 shares held by three trusts for which Mr. Harley serves as a trustee. A previous Form 5 mistakenly reported 5,304 shares held indirectly for the benefit of a stepchild. This disclosure was made in error and the shares have been removed. /s/ Donald R. Reynolds, by Power of Attorney 2021-04-29