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