0001915245-24-000001.txt : 20240822
0001915245-24-000001.hdr.sgml : 20240822
20240822171851
ACCESSION NUMBER: 0001915245-24-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240820
FILED AS OF DATE: 20240822
DATE AS OF CHANGE: 20240822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dourney Daniel
CENTRAL INDEX KEY: 0001915245
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 241232821
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
2024-08-20
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001915245
Dourney Daniel
C/O ATI HOLDINGS, LLC
790 REMINGTON BLVD.
BOLINGBROOK
IL
60440-4909
1
0
0
0
0
Stock Option (Right to Buy)
10
2024-08-20
4
A
0
6255
0
A
2034-08-20
Class A Common Stock
6255
7325
D
Stock Option (Right to Buy)
12.5
2024-08-20
4
A
0
6255
0
A
2034-08-20
Class A Common Stock
6255
13580
D
Stock Option (Right to Buy)
25
2024-08-20
4
A
0
6255
0
A
2034-08-20
Class A Common Stock
6255
19835
D
Stock Option (Right to Buy)
50
2024-08-20
4
A
0
12509
0
A
2034-08-20
Class A Common Stock
12509
32344
D
Stock Option (Right to Buy)
87
2032-03-07
Class A Common Stock
1070
1070
D
One-third of the Stock Options vest on each of the following dates: April 1, 2025, April 1, 2026, and April 1, 2027, each subject to the Reporting Person's continued service through the applicable vesting date or application of certain vesting acceleration rights.
This Stock Option was 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 March 7, 2022, each subject to the Reporting Person's continued service through the applicable vesting date.
/s/ Erik Kantz as Attorney-in-Fact for Reporting Person
2024-08-22