0001140361-23-013605.txt : 20230324
0001140361-23-013605.hdr.sgml : 20230324
20230324091220
ACCESSION NUMBER: 0001140361-23-013605
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230322
FILED AS OF DATE: 20230324
DATE AS OF CHANGE: 20230324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LARSEN JOHN L
CENTRAL INDEX KEY: 0001065871
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 23757900
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
X0407
4
2023-03-22
0001815849
ATI Physical Therapy, Inc.
ATIP
0001065871
LARSEN JOHN L
C/O ATI PHYSICAL THERAPY
790 REMINGTON BLVD.
BOLINGBROOK
IL
60440
true
false
Class A Common Stock
2023-03-22
4
A
0
367647
0
D
528160
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.
/s/John Lines as Attorney-in-Fact for Reporting Person
2023-03-24