0001104659-22-091766.txt : 20220816
0001104659-22-091766.hdr.sgml : 20220816
20220816162053
ACCESSION NUMBER: 0001104659-22-091766
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220812
FILED AS OF DATE: 20220816
DATE AS OF CHANGE: 20220816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gupta Ravila
CENTRAL INDEX KEY: 0001842546
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39412
FILM NUMBER: 221170408
MAIL ADDRESS:
STREET 1: 211 NEW EDITION COURT
STREET 2: 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
tm2223579-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-08-12
0
0001753162
Fathom Holdings Inc.
FTHM
0001842546
Gupta Ravila
C/O FATHOM HOLDINGS INC.
2000 REGENCY PARKWAY DRIVE, SUITE 300
CARY
NC
27518
1
0
0
0
Stock Option (Right to Buy)
8.22
2022-08-12
4
A
0
13078
0
A
2032-08-11
Common Stock
13078
13078
D
Stock Option (Right to Buy)
44.00
2031-02-28
Common Stock
2273
2273
D
The option will vest in full on August 12, 2023, provided that the reporting person provides Continuous Service to the Issuer or a Related Entity as of such vesting date.
The option vested in full on March 1, 2022.
/s/ Donald R. Reynolds, by Power of Attorney
2022-08-16