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