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