0001140361-24-038273.txt : 20240822 0001140361-24-038273.hdr.sgml : 20240822 20240822180034 ACCESSION NUMBER: 0001140361-24-038273 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240820 FILED AS OF DATE: 20240822 DATE AS OF CHANGE: 20240822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Parisi James E. CENTRAL INDEX KEY: 0001307171 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 241233040 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-08-20 0001815849 ATI Physical Therapy, Inc. ATIP 0001307171 Parisi James E. C/O ATI HOLDINGS, LLC 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 true false Stock Option (Right to Buy) 10 2024-08-20 4 A 0 6255 0 A 2034-08-20 Class A Common Stock 6255 7885 D Stock Option (Right to Buy) 12.5 2024-08-20 4 A 0 6255 0 A 2034-08-20 Class A Common Stock 6255 14140 D Stock Option (Right to Buy) 25 2024-08-20 4 A 0 6255 0 A 2034-08-20 Class A Common Stock 6255 20395 D Stock Option (Right to Buy) 50 2024-08-20 4 A 0 12509 0 A 2034-08-20 Class A Common Stock 12509 32904 D One-third of the Stock Options vest on each of the following dates: April 1, 2025, April 1, 2026, and April 1, 2027, each subject to the Reporting Person's continued service through the applicable vesting date or application of certain vesting acceleration rights. /s/ Erik Kantz as Attorney-in-Fact for Reporting Person 2024-08-22