0001140361-22-030002.txt : 20220817
0001140361-22-030002.hdr.sgml : 20220817
20220817121924
ACCESSION NUMBER: 0001140361-22-030002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220815
FILED AS OF DATE: 20220817
DATE AS OF CHANGE: 20220817
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Parisi James E.
CENTRAL INDEX KEY: 0001307171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 221172756
MAIL ADDRESS:
STREET 1: C/O COTIVITI HOLDINGS, INC.
STREET 2: 115 PERIMETER CENTER PLACE, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30346
FORMER NAME:
FORMER CONFORMED NAME: Parisi Jamie
DATE OF NAME CHANGE: 20041027
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
FORM 4
X0306
4
2022-08-15
0001815849
ATI Physical Therapy, Inc.
ATIP
0001307171
Parisi James E.
C/O ATI PHYSICAL THERAPY
790 REMINGTON BOULEVARD
BOLINGBROOK
IL
60440
true
Class A common stock
2022-08-15
4
A
0
26000
0.97
A
69356
D
/s/ Erik Kantz, as Attorney-In-Fact for Reporting Person
2022-08-15