0001140361-23-024840.txt : 20230515 0001140361-23-024840.hdr.sgml : 20230515 20230515185839 ACCESSION NUMBER: 0001140361-23-024840 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230512 FILED AS OF DATE: 20230515 DATE AS OF CHANGE: 20230515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vitti Sharon CENTRAL INDEX KEY: 0001927109 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 23925045 MAIL ADDRESS: STREET 1: C/O ATI HOLDINGS, LLC 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: 851408039 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 790 REMINGTON BOULEVARD CITY: BOILINGBROOK STATE: IL ZIP: 60440 BUSINESS PHONE: 630-296-2223 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 form4.xml X0407 4 2023-05-12 0001815849 ATI Physical Therapy, Inc. ATIP 0001927109 Vitti Sharon C/O ATI PHYSICAL THERAPY, INC. 790 REMINGTON BLVD. BOLINGBROOK IL 60440 true Chief Executive Officer false Class A Common Stock 2023-05-12 4 F 0 53305 0.239 D 5638626 D Shares withheld by the Issuer to satisfy tax withholding obligations upon vesting. /s/ John Lines as Attorney-in-Fact for Reporting Person 2023-05-15