0001140361-22-023709.txt : 20220621
0001140361-22-023709.hdr.sgml : 20220621
20220621193803
ACCESSION NUMBER: 0001140361-22-023709
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220621
DATE AS OF CHANGE: 20220621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chafey Diana
CENTRAL INDEX KEY: 0001867966
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 221029576
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/A
1
form4.xml
FORM 4A
X0306
4/A
2022-06-16
2022-06-21
0001815849
ATI Physical Therapy, Inc.
ATIP
0001867966
Chafey Diana
C/O ATI PHYSICAL THERAPY, INC.
790 REMINGTON BLVD.
BOLINGBROOK
IL
60440
true
See Remarks
Class A common stock
2022-06-16
4
F
0
1011
1.79
D
232499
D
Shares withheld by the Issuer to satisfy tax withholding obligations upon vesting.
The previous form 4, filed 6/21/2022 is being amended to correct an administrative error which misreported the amount of securities beneficially owned.
Chief Legal Officer and Corporate Secretary
/s/ Erik Kantz, as Attorney-In-Fact for Reporting Person
2022-06-21