0001472713-21-000005.txt : 20211210
0001472713-21-000005.hdr.sgml : 20211210
20211209174715
ACCESSION NUMBER: 0001472713-21-000005
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20211210
DATE AS OF CHANGE: 20211209
SUBJECT COMPANY:
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
FILING VALUES:
FORM TYPE: SC 13G/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-92186
FILM NUMBER: 211483013
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
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: Syndicated Capital Inc.
CENTRAL INDEX KEY: 0001472713
IRS NUMBER: 954042447
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: SC 13G/A
BUSINESS ADDRESS:
STREET 1: 1299 OCEAN AVENUE
STREET 2: SUITE 210
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
BUSINESS PHONE: 3102554490
MAIL ADDRESS:
STREET 1: 1299 OCEAN AVENUE
STREET 2: SUITE 210
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
SC 13G/A
1
13ga.txt
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
Fathom Holdings, Inc.
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(Name of Issuer)
Common Stock, no par value per share
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(Title of Class of Securities)
31189V109
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(CUSIP Number)
December 7, 2021
--------------------------------------------------------------------------------
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
|_| Rule 13d-1(b)
|X| Rule 13d-1(c)
|_| Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
--------------------------------------------------------------------------------
CUSIP No. 31189V109 13G Page 2 of 3 Pages
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1. Names of Reporting Persons.
Patrick Lee
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2. Check the Appropriate Box If a Member of a Group
(See Instructions)
(a) |_|
(b) |_|
--------------------------------------------------------------------------------
3. SEC Use Only
--------------------------------------------------------------------------------
4. Citizenship or Place of Organization
USA
--------------------------------------------------------------------------------
5. SOLE VOTING POWER
805,559
-------------------------------------------------------------
6. SHARED VOTING POWER
NUMBER OF
SHARES 0
BENEFICIALLY -------------------------------------------------------------
OWNED BY EACH 7. SOLE DISPOSITIVE POWER
REPORTING
PERSON WITH 805,559
-------------------------------------------------------------
8. SHARED DISPOSITIVE POWER
0
--------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting Person
805,559
--------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions) |_|
--------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (9)
4.97%
--------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions)
IN
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
CUSIP No. 31189V109 13G Page 3 of 3 Pages
Item 1.
(a) Name of Issuer:
Fathom Holdings Inc.
(b) Address of Issuer's Principal Executive Offices:
211 New Edition Court, Suite 211, Cary, NC 27511
Item 2.
(a) Name of Person Filing:
Patrick Lee
(b) Address of the Principal Office or, if none, residence:
PO Box 274, Brea, CA 92822
(c) Citizenship:
USA
(d) Title of Class of Securities:
Common Stock, no par value per share
(e) CUSIP Number:
31189V109
Item 3. If this statement is filed pursuant to SS.240.13d-1(b) or 240.13d-2(b)
or (c), check whether the person filing is a:
Not Applicable
Item 4. Ownership
Provide the following information regarding the aggregate number and percentage
of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned: 805,559
(b) Percent of class: 4.97%
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote 805,559
(ii) Shared power to vote or to direct the vote 0
(iii) Sole power to dispose or to direct the disposition
of 805,559
(iiii) Shared power to dispose or to direct the disposition
of 0
Item 5. Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof
the reporting person has ceased to be the beneficial owner of more than five
percent of the class of securities, check the following |X|.
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
Not Applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on By the Parent Holding Company or Control Person.
Not Applicable
Item 8. Identification and Classification of Members of the Group
Not Applicable
Item 9. Notice of Dissolution of Group
Not Applicable
Item 10. Certification
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were not acquired and are not held for
the purpose of or with the effect of changing or influencing the control
of the issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose
or effect.
After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.
12/7/2021
-------------------------------------------
Date
/s/ Patrick Lee
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Signature
Patrick Lee
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Name