0001415889-24-007447.txt : 20240308
0001415889-24-007447.hdr.sgml : 20240308
20240308190026
ACCESSION NUMBER: 0001415889-24-007447
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240306
FILED AS OF DATE: 20240308
DATE AS OF CHANGE: 20240308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pekarek James B
CENTRAL INDEX KEY: 0001756301
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40361
FILM NUMBER: 24736161
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
form4-03082024_070318.xml
X0508
4
2024-03-06
0001749704
AGILITI, INC. \DE
AGTI
0001756301
Pekarek James B
C/O AGILITI, INC.
11095 VIKING DRIVE, SUITE 300
EDEN PRAIRIE
MN
55344
false
true
false
false
EVP & CFO
0
Common Stock, $0.0001 par value
2024-03-06
4
A
0
12285
0
A
177533
D
Common Stock, $0.0001 par value
2024-03-08
4
F
0
8083
9.91
D
169450
D
Represents shares of common stock acquired upon the vesting of performance restricted stock units ("PRSUs") granted in April 2021, which time-vested on March 6, 2024 and settled on March 8, 2024.
/s/ Lee M. Neumann, by power of attorney
2024-03-08