0001140361-23-013958.txt : 20230327
0001140361-23-013958.hdr.sgml : 20230327
20230327145211
ACCESSION NUMBER: 0001140361-23-013958
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230322
FILED AS OF DATE: 20230327
DATE AS OF CHANGE: 20230327
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tansey Eimile
CENTRAL INDEX KEY: 0001944782
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 23764158
MAIL ADDRESS:
STREET 1: C/O ATI HOLDINGS, LLC
STREET 2: 790 REMINGTON BOULEVARD
CITY: BOLINGBROOK
STATE: IL
ZIP: 60440
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/A
1
form4.xml
X0407
4/A
2023-03-22
2023-03-24
0001815849
ATI Physical Therapy, Inc.
ATIP
0001944782
Tansey Eimile
C/O ATI PHYSICAL THERAPY
790 REMINGTON BOULEVARD.
BOLINGBROOK
IL
60440
true
Chief People Officer
false
Class A Common Stock
2023-03-22
4
A
0
1470588
0
A
1604240
D
Award of restricted stock units subject to stockholder approval of an amendment to the ATI Physical Therapy Inc.'s 2021 Equity Incentive Plan, under which the restricted stock units were granted. The stockholder approval vote is expected to occur at the Company's 2023 Annual Meeting.
This amendment is being filed to correct a clerical error in Table I item 4. The securities were acquired and not disposed.
/s/John Lines as Attorney-in-Fact for Reporting Person
2023-03-27