0001104659-22-053532.txt : 20220429
0001104659-22-053532.hdr.sgml : 20220429
20220429160607
ACCESSION NUMBER: 0001104659-22-053532
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210702
FILED AS OF DATE: 20220429
DATE AS OF CHANGE: 20220429
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: 22875181
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
tm2214025-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-07-02
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
1
0
Chief Executive Officer
Common Stock
2021-07-02
4
A
0
4426
0.00
A
2917496
D
Common Stock
2021-12-01
4
A
0
18443
0.00
A
2935939
D
Common Stock
2022-04-01
4
A
0
29616
0.00
A
2965555
D
Common Stock
2063032
I
See Footnote
Of these shares, 9,558 shares are restricted and vest in full on March 4, 2024 and 4,426 shares are restricted and vest in full on July 1, 2024.
Of these shares, 18,443 shares are restricted and vest in full on November 30, 2024.
Of these shares, 29,616 shares are restricted and vest in full on March 31, 2025.
Includes an aggregate of 1,700,000 shares held by three trusts for which Mr. Harley serves as a trustee. Includes 363,032 shares held in a trust where an immediate family member serves as trustee.
/s/ Donald R. Reynolds, by Power of Attorney
2022-04-29