0001140361-22-030328.txt : 20220819 0001140361-22-030328.hdr.sgml : 20220819 20220819081652 ACCESSION NUMBER: 0001140361-22-030328 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220817 FILED AS OF DATE: 20220819 DATE AS OF CHANGE: 20220819 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Parisi James E. CENTRAL INDEX KEY: 0001307171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 221178970 MAIL ADDRESS: STREET 1: C/O COTIVITI HOLDINGS, INC. STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30346 FORMER NAME: FORMER CONFORMED NAME: Parisi Jamie DATE OF NAME CHANGE: 20041027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATI Physical Therapy, Inc. CENTRAL INDEX KEY: 0001815849 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 851408039 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 790 REMINGTON BOULEVARD CITY: BOILINGBROOK STATE: IL ZIP: 60440 BUSINESS PHONE: 630-296-2223 MAIL ADDRESS: STREET 1: 790 REMINGTON BOULEVARD CITY: BOILINGBROOK STATE: IL ZIP: 60440 FORMER COMPANY: FORMER CONFORMED NAME: Fortress Value Acquisition Corp. II DATE OF NAME CHANGE: 20200622 4 1 form4.xml FORM 4 X0306 4 2022-08-17 0001815849 ATI Physical Therapy, Inc. ATIP 0001307171 Parisi James E. C/O ATI PHYSICAL THERAPY 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 true Class A common stock 2022-08-17 4 A 0 26000 0.96 A 26000 D /s/ Erik Kantz, as Attorney-In-Fact for Reporting Person 2022-08-17