0001415889-22-005624.txt : 20220524
0001415889-22-005624.hdr.sgml : 20220524
20220524185403
ACCESSION NUMBER: 0001415889-22-005624
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220520
FILED AS OF DATE: 20220524
DATE AS OF CHANGE: 20220524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARRIS C MARTIN
CENTRAL INDEX KEY: 0001236982
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40361
FILM NUMBER: 22958482
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AGILITI, INC. \DE
CENTRAL INDEX KEY: 0001749704
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS EQUIPMENT RENTAL & LEASING [7350]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11095 VIKING DRIVE, SUITE 300
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: 952-893-3200
MAIL ADDRESS:
STREET 1: 11095 VIKING DRIVE, SUITE 300
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
4
1
form4-05242022_030543.xml
X0306
4
2022-05-20
0001749704
AGILITI, INC. \DE
AGTI
0001236982
HARRIS C MARTIN
C/O AGILITI, INC.
11095 VIKING DRIVE, SUITE 300
EDEN PRAIRIE
MN
55344
true
false
false
false
Common Stock, $0.0001 par value
2022-05-20
4
A
0
7350
0
A
7350
D
The reporting person received 7,350 restricted share units ("RSUs") under the Agiliti, Inc. Amended and Restated 2018 Omnibus Incentive Plan. The RSUs vest on May 6, 2023, subject to the reporting person remaining a director of the issuer on the vesting date.
/s/ Lee M. Neumann, by power of attorney
2022-05-24