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