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