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