0001415889-23-004891.txt : 20230314 0001415889-23-004891.hdr.sgml : 20230314 20230314191344 ACCESSION NUMBER: 0001415889-23-004891 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Derrick L CENTRAL INDEX KEY: 0001939448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40361 FILM NUMBER: 23732741 MAIL ADDRESS: STREET 1: C/O LXP INDUSTRIAL TRUST STREET 2: ONE PENN PLAZA, SUITE 4015 CITY: NEW YORK STATE: NY ZIP: 10119-4015 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 form4-03142023_110337.xml X0306 4 2023-03-10 0001749704 AGILITI, INC. \DE AGTI 0001939448 Johnson Derrick L C/O AGILITI, INC. 11095 VIKING DRIVE, SUITE 300 EDEN PRAIRIE MN 55344 false true false false SVP, CHIEF OPERATING OFFICER Common Stock, $0.0001 par value 2023-03-10 4 A 0 8339 0 A 37704 D Common Stock, $0.0001 par value 2023-03-10 4 F 0 2542 14.83 D 35162 D Options (Right to Buy) 14.83 2023-03-10 4 A 0 25017 0 A 2033-03-10 Common Stock, $0.0001 par value 25017 25017 D Represents 8,339 restricted share units ("RSUs") granted under the Agiliti, Inc. Amended and Restated 2018 Omnibus Incentive Plan, which vest ratably on each of March 10, 2024, March 10, 2025 and March 10, 2026, subject to the reporting person remaining in continuous employment with the issuer on the vesting date. The reporting person received 25,017 options under the Agiliti, Inc. Amended and Restated 2018 Omnibus Incentive Plan. The options vest ratably on each of March 10, 2024, March 10, 2025 and March 10, 2026, subject to the reporting person remaining in continuous employment with the issuer on the vesting date. /s/ Lee M. Neumann, by power of attorney 2023-03-14