0001415889-23-013773.txt : 20231002
0001415889-23-013773.hdr.sgml : 20231002
20231002190009
ACCESSION NUMBER: 0001415889-23-013773
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231001
FILED AS OF DATE: 20231002
DATE AS OF CHANGE: 20231002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Leonard Thomas J
CENTRAL INDEX KEY: 0001468016
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40361
FILM NUMBER: 231301094
MAIL ADDRESS:
STREET 1: CAREFUSION CORPORATION
STREET 2: 3750 TORREY VIEW COURT
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
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
form4-10022023_071001.xml
X0508
4
2023-10-01
0001749704
AGILITI, INC. \DE
AGTI
0001468016
Leonard Thomas J
C/O AGILITI, INC.
11095 VIKING DRIVE, SUITE 300
EDEN PRAIRIE
MN
55344
true
true
false
false
CHIEF EXECUTIVE OFFICER
0
Common Stock, $0.0001 par value
2023-10-01
4
A
0
963020
0
A
1929142
D
Represents restricted share units ("RSUs") granted under the Agiliti, Inc. Amended and Restated 2018 Omnibus Incentive Plan, which vest ratably in 15 monthly installments on the last day of each calendar month beginning on October 31, 2023 and ending on December 31, 2024, subject to the reporting person remaining in continuous employment with the issuer on each vesting date.
/s/ Lee M. Neumann, by power of attorney
2023-10-02