0001415889-23-004895.txt : 20230314 0001415889-23-004895.hdr.sgml : 20230314 20230314191537 ACCESSION NUMBER: 0001415889-23-004895 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARRIS C MARTIN CENTRAL INDEX KEY: 0001236982 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 23732747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AGILITI, INC. \DE CENTRAL INDEX KEY: 0001749704 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS EQUIPMENT RENTAL & LEASING [7350] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11095 VIKING DRIVE, SUITE 300 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 952-893-3200 MAIL ADDRESS: STREET 1: 11095 VIKING DRIVE, SUITE 300 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 form4-03142023_110327.xml X0306 4 2023-03-10 0001749704 AGILITI, INC. \DE AGTI 0001236982 HARRIS C MARTIN C/O AGILITI, INC. 11095 VIKING DRIVE, SUITE 300 EDEN PRAIRIE MN 55344 true false false false Common Stock, $0.0001 par value 2023-03-10 4 A 0 11800 0 A 19150 D Represents 11,800 restricted share units ("RSUs") granted under the Agiliti, Inc. Amended and Restated 2018 Omnibus Incentive Plan, which vest on March 10, 2024, subject to the reporting person remaining a director of the issuer on the vesting date. /s/ Lee M. Neumann, by power of attorney 2023-03-14