0001415889-23-014232.txt : 20231013 0001415889-23-014232.hdr.sgml : 20231013 20231013193653 ACCESSION NUMBER: 0001415889-23-014232 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20231012 FILED AS OF DATE: 20231013 DATE AS OF CHANGE: 20231013 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bird Bettyann CENTRAL INDEX KEY: 0001756899 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 231326029 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] 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 3 1 form3-10132023_111047.xml X0206 3 2023-10-12 0 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 Common Stock, $0.0001 par value 138311 D Options (Right to Buy) 2.13 2019-01-04 2024-11-04 Common Stock, $0.0001 par value 102316 D /s/ Lee M. Neumann, by power of attorney 2023-10-13 EX-24 2 ex24-10132023_111047.htm ex24-10132023_111047.htm



Exhibit 24.1


LIMITED POWER OF ATTORNEY FOR

SECTION 16 REPORTING PURPOSES


October 13, 2023


KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints each of Scott A. Christensen, Matthew E. McCabe and Lee M. Neumann, signing singly, the undersigned's true and lawful attorney-in-fact to: (i) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director and/or owner of greater than 10% of the outstanding common stock of Agiliti, Inc., a Delaware corporation (the "Company"), Forms 3, 4 and 5 (including any amendments, supplements or exhibits thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (ii) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 (including any amendments, supplements or exhibits thereto) and timely file such form with the United States Securities and Exchange Commission (the "SEC") and any stock exchange or similar authority, including without limitation the filing of a Form ID or any other documents necessary or appropriate to enable the undersigned to file the Form 3, 4 and 5 electronically with the SEC; (iii) seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to each of the undersigned's attorneys-in-fact appointed by this Power of Attorney and ratifies any such release of information; and (iv) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.


The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.


This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.


IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of the date first written above.




Signed and acknowledged:



By: /s/ Bettyann Bird

                        

Name: Bettyann Bird