0001944782-24-000002.txt : 20240822 0001944782-24-000002.hdr.sgml : 20240822 20240822175325 ACCESSION NUMBER: 0001944782-24-000002 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: Tansey Eimile CENTRAL INDEX KEY: 0001944782 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 241233015 MAIL ADDRESS: STREET 1: C/O ATI HOLDINGS, LLC STREET 2: 790 REMINGTON BOULEVARD CITY: BOLINGBROOK STATE: IL ZIP: 60440 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 0001944782 Tansey Eimile C/O ATI HOLDINGS, LLC 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 0 1 0 0 Chief People Officer 0 Stock Option (Right to Buy) 10 2024-08-20 4 A 0 48836 0 A 2034-08-20 Class A Common Stock 48836 51948 D Stock Option (Right to Buy) 12.5 2024-08-20 4 A 0 48836 0 A 2034-08-20 Class A Common Stock 48836 100784 D Stock Option (Right to Buy) 25 2024-08-20 4 A 0 48836 0 A 2034-08-20 Class A Common Stock 48836 149620 D Stock Option (Right to Buy) 50 2024-08-20 4 A 0 97672 0 A 2034-08-20 Class A Common Stock 97672 247292 D Stock Option (Right to Buy) 47 2032-09-02 Class A Common Stock 3112 3112 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. This Stock Option was adjusted to reflect the reverse stock split that occurred on June 14, 2023, wherein the issuer effected a reverse stock split of its Class A Common Stock at a ratio of 1-for-50, resulting in every 50 shares owned by the Reporting Person to be combined into one share of Class A Common Stock. One-third of the Stock Options vest on each of the first three anniversaries of September 2, 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