0001868427-23-000001.txt : 20231127
0001868427-23-000001.hdr.sgml : 20231127
20231127170125
ACCESSION NUMBER: 0001868427-23-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231123
FILED AS OF DATE: 20231127
DATE AS OF CHANGE: 20231127
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jordan Joseph Francis
CENTRAL INDEX KEY: 0001868427
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 231440921
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: 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
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2023-11-23
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001868427
Jordan Joseph Francis
C/O ATI PHYSICAL THERAPY
790 REMINGTON BLVD.
BOLINGBROOK
IL
60440-4909
0
1
0
0
Chief Financial Officer
0
Class A Common Stock
2023-11-23
4
F
0
143
7.4
D
51312
D
Stock Option (Right to Buy)
171
2031-11-23
Class A Common Stock
2797
2797
D
Stock Option (Right to Buy)
87
2032-03-07
Class A Common Stock
5350
8147
D
As of June 14, 2023, the issuer effected a reverse stock split of its common stock at a ratio of 1-or-50, resulting in every 50 shares owned by the reporting person to be combined into one share of common stock. The Reporting Person was granted Restricted Stock Units ("RSUs") which vest annually and Restricted Stock Awards ("RSAs") which vest quarterly. There are 46,520 unvested RSUs and 680 unvested RSAs.
The Stock Options have been adjusted to reflect the reverse stock split that occurred on June 14, 2023.
One-third of the Stock Options vest on each of the first three anniversaries of November 23, 2021, each subject to the Reporting Person's service through the applicable vesting date. 931 Stock Options remain unvested.
One-third of the Stock Options vest on each of the first three anniversaries of March 7, 2022, each subject to the Reporting Person's service through the applicable vesting date. 3,566 Stock Options remain unvested.
Erik Kantz as Attorney-in-Fact for Reporting Person
2023-11-27