0001781048-19-000001.txt : 20190709 0001781048-19-000001.hdr.sgml : 20190709 20190709142220 ACCESSION NUMBER: 0001781048-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190709 DATE AS OF CHANGE: 20190709 EFFECTIVENESS DATE: 20190709 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fathom, Inc. CENTRAL INDEX KEY: 0001781048 IRS NUMBER: 473644819 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-343771 FILM NUMBER: 19946980 BUSINESS ADDRESS: STREET 1: 880 HARRISON STREET STREET 2: SUITE 203 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 650-995-4393 MAIL ADDRESS: STREET 1: 880 HARRISON STREET STREET 2: SUITE 203 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 D 1 primary_doc.xml X0708 D LIVE 0001781048 Fathom, Inc. 880 HARRISON STREET SUITE 203 SAN FRANCISCO CA CALIFORNIA 94103 650-516-6178 DELAWARE Tiny RX, Inc. None Corporation true 2015 Andrew Lockhart 880 Harrison Street Suite 203 San Francisco CA CALIFORNIA 94103 Executive Officer Director Christopher Bockman 880 Harrison Street Suite 203 San Francisco CA CALIFORNIA 94103 Executive Officer Director Rishi Reddy 880 Harrison Street Suite 203 San Francisco CA CALIFORNIA 94103 Director Other Technology Decline to Disclose 06b false 2019-05-02 false true false 0 14808610 14808610 0 false 40 0 0 0 false Fathom, Inc. /s/ Kyung Hyun Kim Kyung Hyun Kim Attorney-in-Fact 2019-07-09