0001104659-22-091770.txt : 20220816 0001104659-22-091770.hdr.sgml : 20220816 20220816162128 ACCESSION NUMBER: 0001104659-22-091770 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: Sampson Glenn A. CENTRAL INDEX KEY: 0001817245 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39412 FILM NUMBER: 221170416 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 tm2223579-4_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-08-12 0 0001753162 Fathom Holdings Inc. FTHM 0001817245 Sampson Glenn A. C/O FATHOM HOLDINGS INC. 2000 REGENCY PARKWAY DRIVE, SUITE 300 CARY NC 27518 1 0 0 0 Common Stock 1544086 D 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 Stock Option (Right to Buy) 20.10 2030-11-03 Common Stock 1493 1493 D Stock Option (Right to Buy) 4.71 2029-04-16 Common Stock 5304 5304 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. The option vested in full on November 4, 2021. The option vested in full on April 16, 2020. /s/ Donald R. Reynolds, by Power of Attorney 2022-08-16