0001868427-23-000001.txt : 20231127 0001868427-23-000001.hdr.sgml : 20231127 20231127170125 ACCESSION NUMBER: 0001868427-23-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231123 FILED AS OF DATE: 20231127 DATE AS OF CHANGE: 20231127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jordan Joseph Francis CENTRAL INDEX KEY: 0001868427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 231440921 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 primary_doc.xml PRIMARY DOCUMENT X0508 4 2023-11-23 0 0001815849 ATI Physical Therapy, Inc. ATIP 0001868427 Jordan Joseph Francis C/O ATI PHYSICAL THERAPY 790 REMINGTON BLVD. BOLINGBROOK IL 60440-4909 0 1 0 0 Chief Financial Officer 0 Class A Common Stock 2023-11-23 4 F 0 143 7.4 D 51312 D Stock Option (Right to Buy) 171 2031-11-23 Class A Common Stock 2797 2797 D Stock Option (Right to Buy) 87 2032-03-07 Class A Common Stock 5350 8147 D As of June 14, 2023, the issuer effected a reverse stock split of its common stock at a ratio of 1-or-50, resulting in every 50 shares owned by the reporting person to be combined into one share of common stock. The Reporting Person was granted Restricted Stock Units ("RSUs") which vest annually and Restricted Stock Awards ("RSAs") which vest quarterly. There are 46,520 unvested RSUs and 680 unvested RSAs. The Stock Options have been adjusted to reflect the reverse stock split that occurred on June 14, 2023. One-third of the Stock Options vest on each of the first three anniversaries of November 23, 2021, each subject to the Reporting Person's service through the applicable vesting date. 931 Stock Options remain unvested. One-third of the Stock Options vest on each of the first three anniversaries of March 7, 2022, each subject to the Reporting Person's service through the applicable vesting date. 3,566 Stock Options remain unvested. Erik Kantz as Attorney-in-Fact for Reporting Person 2023-11-27