0001415889-24-012093.txt : 20240502
0001415889-24-012093.hdr.sgml : 20240502
20240502210009
ACCESSION NUMBER: 0001415889-24-012093
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240430
FILED AS OF DATE: 20240502
DATE AS OF CHANGE: 20240502
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: 24910484
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
form4-05022024_090502.xml
X0508
4
2024-04-30
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
2024-04-30
4
F
0
12867
10.15
D
254014
D
/s/ Lee M. Neumann, by power of attorney
2024-05-02