0001578563-23-000077.txt : 20230830 0001578563-23-000077.hdr.sgml : 20230830 20230830161300 ACCESSION NUMBER: 0001578563-23-000077 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210702 FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harley Joshua CENTRAL INDEX KEY: 0001817237 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-39412 FILM NUMBER: 231225396 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0508 4/A 2021-07-02 2022-04-29 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 0 Common Stock 2021-12-01 4 A 0 18466 0 A 2935962 D Common Stock 2977074 D Of these shares, 9,558 shares are restricted and vest in full on March 4, 2024, 4,426 shares are restricted and vest in full on July 1, 2024, and 18,466 shares are restricted and vest in full on November 30, 2024. This amendment is filed to correct the amount of shares awarded on December 1, 2021 from the originally reported 18,443 shares to the correct amount of 18,466 shares. The total shares reflected as owned directly in the line after the line in which the amended transaction is reported reflects the subsequent grant of shares on April 1, 2022 reported on the original Form 4. All other information in the original Form 4 remains unchanged. /s/ Donald R. Reynolds, by Power of Attorney 2023-08-30