0000899243-22-010355.txt : 20220309 0000899243-22-010355.hdr.sgml : 20220309 20220309204631 ACCESSION NUMBER: 0000899243-22-010355 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220307 FILED AS OF DATE: 20220309 DATE AS OF CHANGE: 20220309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burns Joanne CENTRAL INDEX KEY: 0001867148 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 22727146 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 2022-03-07 0 0001815849 ATI Physical Therapy, Inc. ATIP 0001867148 Burns Joanne C/O ATI PHYSICAL THERAPY 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 1 0 0 0 Class A common stock 2022-03-07 4 A 0 28736 0.00 A 43356 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 81453 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