0001140361-22-043171.txt : 20221125 0001140361-22-043171.hdr.sgml : 20221125 20221125211334 ACCESSION NUMBER: 0001140361-22-043171 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221123 FILED AS OF DATE: 20221125 DATE AS OF CHANGE: 20221125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Oakes Augustus CENTRAL INDEX KEY: 0001867889 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 221421014 MAIL ADDRESS: STREET 1: C/O ATI PHYSICAL THERAPY 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: 851408039 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 790 REMINGTON BOULEVARD CITY: BOILINGBROOK STATE: IL ZIP: 60440 BUSINESS PHONE: 630-296-2223 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 X0306 4 2022-11-23 0001815849 ATI Physical Therapy, Inc. ATIP 0001867889 Oakes Augustus C/O ATI PHYSICAL THERAPY 790 REMINGTON BLVD. BOLINGBROOK IL 60440 true Chief Information Officer Class A Common Stock 2018-07-23 4 A 0 9686 0 A 118075 D Class A Common Stock 2020-10-01 4 A 0 70087 0 A 188162 D Class A Common Stock 2022-11-23 4 F 0 3570 0.5052 D 184592 D Time-vested restricted stock which was inadvertently omitted from the Reporting Person's Form 3 filed on June 28, 2021. Shares withheld by the Issuer to satisfy tax withholding obligations upon vesting. /s/John Lines as Attorney-in-Fact for Reporting Person 2022-11-25