0001959173-23-001823.txt : 20230613 0001959173-23-001823.hdr.sgml : 20230613 20230613102032 ACCESSION NUMBER: 0001959173-23-001823 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230613 DATE AS OF CHANGE: 20230613 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 231010457 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Pekarek James B CENTRAL INDEX KEY: 0001756301 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O UNIVERSAL HOSPITAL SERVICES, INC. STREET 2: 6625 WEST 78TH ST, SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55439 144 1 primary_doc.xml 144 0001756301 XXXXXXXX LIVE 0001749704 AGILITI, INC. \DE 001-40361 11095 VIKING DRIVE, SUITE 300 EDEN PRAIRIE MN 55344 952-893-3200 Pekarek James B Officer Common Fidelity Brokerage Services LLC
900 Salem Street Smithfield RI 02917
30000 541200.00 134460244 06/13/2023 NYSE
Common 04/23/2022 Restricted Stock Vesting Issuer N 30000 04/23/2022 Compensation N James B. Pekarek
11095 Viking Drive Eden Prairie MN 55344
Common 03/13/2023 14668 220408.70
James B. Pekarek
11095 Viking Drive Eden Prairie MN 55344
Common 03/14/2023 1396 20966.24
James B. Pekarek
11095 Viking Drive Eden Prairie MN 55344
Common 05/12/2023 35000 555565.50
James B. Pekarek
11095 Viking Drive Eden Prairie MN 55344
Common 05/15/2023 35920 577704.95
06/13/2023 03/01/2023 /s/ Daniel Tucci, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for James Pekarek