0001140361-22-043166.txt : 20221125
0001140361-22-043166.hdr.sgml : 20221125
20221125210425
ACCESSION NUMBER: 0001140361-22-043166
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210616
FILED AS OF DATE: 20221125
DATE AS OF CHANGE: 20221125
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LARSEN JOHN L
CENTRAL INDEX KEY: 0001065871
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 221421009
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
3/A
1
form3.xml
X0206
3/A
2021-06-16
2021-06-28
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001065871
LARSEN JOHN L
C/O ATI PHYSICAL THERAPY
790 REMINGTON BBOULEVARD
BOLINGBROOK
IL
60440
true
Class A Common Stock
16143
D
Time-vested restricted stock which was inadvertently omitted from the Reporting Person's Form 3 filed on June 28, 2021.
/s/John Lines as Attorney-in-Fact for Reporting Person
2022-11-25