0000899243-22-010344.txt : 20220309
0000899243-22-010344.hdr.sgml : 20220309
20220309204015
ACCESSION NUMBER: 0000899243-22-010344
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220225
FILED AS OF DATE: 20220309
DATE AS OF CHANGE: 20220309
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dourney Daniel
CENTRAL INDEX KEY: 0001915245
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 22727122
MAIL ADDRESS:
STREET 1: C/O ATI PHYSICAL THERAPY
STREET 2: 790 REMINGTON BLVD.
CITY: BOLINGBROOK
STATE: IL
ZIP: 60440-4909
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ATI Physical Therapy, Inc.
CENTRAL INDEX KEY: 0001815849
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 790 REMINGTON BOULEVARD
CITY: BOILINGBROOK
STATE: IL
ZIP: 60440
BUSINESS PHONE: 702-844-6111
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-02-25
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001915245
Dourney Daniel
C/O ATI PHYSICAL THERAPY
790 REMINGTON BOULEVARD
BOLINGBROOK
IL
60440
1
0
0
0
Class A common stock
2022-02-25
4
P
0
1000
2.07
A
1000
D
Class A common stock
2022-03-07
4
A
0
28736
0.00
A
29736
D
Stock Option (right to buy)
1.74
2022-03-07
4
A
0
53491
0.00
A
2032-03-07
Class A common stock
53491
53491
D
One-third of the Stock Options vest on each of the first three anniversaries of March 7, 2022, subject to the Reporting Person's continued service through the applicable vesting date.
/s/ Erik Kantz, as Attorney-In-Fact for Reporting Person
2022-03-09