0001140361-22-019192.txt : 20220513
0001140361-22-019192.hdr.sgml : 20220513
20220513185232
ACCESSION NUMBER: 0001140361-22-019192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220512
FILED AS OF DATE: 20220513
DATE AS OF CHANGE: 20220513
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vitti Sharon
CENTRAL INDEX KEY: 0001927109
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 22924576
MAIL ADDRESS:
STREET 1: C/O ATI HOLDINGS, LLC
STREET 2: 790 REMINGTON BLVD.
CITY: BOLINGBROOK
STATE: IL
ZIP: 60440-4909
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ATI Physical Therapy, Inc.
CENTRAL INDEX KEY: 0001815849
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 790 REMINGTON BOULEVARD
CITY: BOILINGBROOK
STATE: IL
ZIP: 60440
BUSINESS PHONE: 702-844-6111
MAIL ADDRESS:
STREET 1: 790 REMINGTON BOULEVARD
CITY: BOILINGBROOK
STATE: IL
ZIP: 60440
FORMER COMPANY:
FORMER CONFORMED NAME: Fortress Value Acquisition Corp. II
DATE OF NAME CHANGE: 20200622
4
1
form4.xml
FORM 4
X0306
4
2022-05-12
0001815849
ATI Physical Therapy, Inc.
ATIP
0001927109
Vitti Sharon
C/O ATI PHYSICAL THERAPY, INC.
790 REMINGTON BLVD.
BOLINGBROOK
IL
60440
true
true
Chief Executive Officer
Class A Common stock
2022-05-12
4
A
0
544872
0
A
544872
D
Stock Option (right to buy)
1.56
2022-05-12
4
A
0
956251
0
A
2032-05-12
Class A Common stock
956251
956251
D
Restricted stock units, one-third of which will vest on the first three anniversaries of May 12, 2022, each subject to the Reporting Person's continued service through the applicable vesting date.
One-third of the Stock Options vest on each of the first three anniversaries of May 12, 2022, each subject to the Reporting Person's continued service through the applicable vesting date.
/s/ John Lines, as Attorney-In-Fact for Reporting Person
2022-05-13