0001415889-22-002773.txt : 20220308 0001415889-22-002773.hdr.sgml : 20220308 20220308200236 ACCESSION NUMBER: 0001415889-22-002773 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220306 FILED AS OF DATE: 20220308 DATE AS OF CHANGE: 20220308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Christensen Scott A CENTRAL INDEX KEY: 0001756254 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 22723504 MAIL ADDRESS: STREET 1: C/O UNIVERSAL HOSPITAL SERVICES, INC. STREET 2: 6625 WEST 78TH ST, SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55439 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: 6625 WEST 78TH STREET, SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55439 BUSINESS PHONE: 617-227-1050 MAIL ADDRESS: STREET 1: 6625 WEST 78TH STREET, SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55439 4 1 form4-03082022_050325.xml X0306 4 2022-03-06 0001749704 AGILITI, INC. \DE AGTI 0001756254 Christensen Scott A C/O AGILITI, INC. 6625 WEST 78TH STREET, SUITE 300 MINNEAPOLIS MN 55439 false true false false SVP, CONTROLLER & CAO Common Stock, $0.0001 par value 2022-03-06 4 A 0 4703 0 A 55122 D Common Stock, $0.0001 par value 2022-03-06 4 F 0 385 18.07 D 54737 D The reported securities represent shares of Common Stock underlying performance restricted stock units ("PRSUs") granted to the reporting person on March 6, 2019 and March 6, 2020, which PRSUs vested on March 6, 2022 and will settle in Common Stock upon the earliest to occur of a Change in Control (as defined in the applicable award agreements) and the first (1st) anniversary of the issuer's initial public offering (pursuant to the applicable award agreements). /s/ Lee M. Neumann, by power of attorney 2022-03-08