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