0001415889-24-000821.txt : 20240108 0001415889-24-000821.hdr.sgml : 20240108 20240108201009 ACCESSION NUMBER: 0001415889-24-000821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240105 FILED AS OF DATE: 20240108 DATE AS OF CHANGE: 20240108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bird Bettyann CENTRAL INDEX KEY: 0001756899 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 24521519 MAIL ADDRESS: STREET 1: C/O UNIVERSAL HOSPITAL SERVICES, INC. STREET 2: 6625 WEST 78TH ST, SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55439 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AGILITI, INC. \DE CENTRAL INDEX KEY: 0001749704 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS EQUIPMENT RENTAL & LEASING [7350] ORGANIZATION NAME: 07 Trade & Services 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 form4-01082024_080102.xml X0508 4 2024-01-05 0001749704 AGILITI, INC. \DE AGTI 0001756899 Bird Bettyann C/O AGILITI, INC. 11095 VIKING DRIVE, SUITE 300 EDEN PRAIRIE MN 55344 false true false false EVP, CHIEF STRATEGY OFFICER 0 Common Stock, $0.0001 par value 2024-01-05 4 F 0 10896 8.05 D 262643 D /s/ Lee M. Neumann, by power of attorney 2024-01-08