0001944782-24-000001.txt : 20240326 0001944782-24-000001.hdr.sgml : 20240326 20240326180324 ACCESSION NUMBER: 0001944782-24-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240322 FILED AS OF DATE: 20240326 DATE AS OF CHANGE: 20240326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tansey Eimile CENTRAL INDEX KEY: 0001944782 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 24785128 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 2024-03-22 0 0001815849 ATI Physical Therapy, Inc. ATIP 0001944782 Tansey Eimile C/O ATI HOLDINGS, LLC 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 0 1 0 0 Chief People Officer 0 Class A Common Stock 2024-03-22 4 F 0 2873 6.08 D 29038 D Stock Option (Right to Buy) 47 2022-09-02 4 A 0 3112 0 A 2023-09-02 2032-09-02 Class A Common Stock 3112 3112 D Shares withheld by the Issuer to satisfy tax withholding obligations upon vesting. The Reporting Person was granted Restricted Stock Units (RSUs) which vest annually. There are 20,791 unvested RSUs. As of June 14, 2023, the issuer effected a reverse stock split of its common stock at a ratio of 1-for-50, resulting in every 50 shares owned by the reporting person to be combined into one share of common stock. This option was adjusted to reflect the reverse stock split that occurred on June 14, 2023. /s/Erik Kantz as Attorney-in-Fact for Reporting Person 2024-03-26